This article examines one aspect of the criticism of inauthenticity that can be levelled against the trustworthiness of professional relationships in general and nurse-patient relationships in particular. The overall question is: are such relationships inherently trustworthy or untrustworthy, from the patient’s point of view? The author concludes that, in spite of legitimate grounds for concern, and while it remains true that nurse-patient relationships may be untrustworthy, they are not inherently so for reasons of inauthenticity relating to emotional labour. The arguments (...) used to defend this claim take their force from the idea that different criteria may be needed to assess the authenticity of nurse-patient relationships from those used to evaluate authenticity in ordinary social relationships. The utility of Hochschild’s idea of ‘deep’ acting, as offering a useful model for the management of emotions in nursing, is examined and rejected. (shrink)

This article suggests that there is a relationship between successfully maintaining integrity in nursing and the practical provision of opportunities for shared reflection offered by good clinical supervision. In order to establish this case, I will first give some definitions and then proceed to consider how these ideas relate conceptually. The article makes no attempt to offer empirical research as confirmation, but provides a conceptual and moral argument making use of anecdotes for puposes of clarification and illumination. It is the (...) author’s belief that, if it is understood and implemented properly, clinical supervision offers a radical challenge to nursing’s existing culture. If nurses are interested in the survival of the profession, it is perhaps a challenge that has to be addressed. (shrink)

This article explores the question of whether or not the ‘art’ of nursing can properly be described as an ‘aesthetics’. The author concludes that, although much nursing literature on the subject is confused and even incoherent, there is nevertheless some justification for seeing a connection between the art of nursing and aesthetics. The philosophical writings of Martha Nussbaum and Iris Murdoch are used to support this position.

This paper explores the issue of the serving of food in hospital from both a moral and a philosophical point of view. The concepts of 'having a meal' and of 'feeling nourished by food' are examined; it is suggested that the former is a necessary condition for the latter. The implications of this for nursing care are considered and it is argued that there is a moral imperative for us to try and serve 'meals', rather than simply 'food' to patients. (...) The importance of this is highlighted by current concerns about malnutrition in hospital. (shrink)

This paper explores the nature of trust in nurse–patient relationships from the perspective of the patient's trust in the nurse and what might be said to then render such a relationship trustworthy, from the patient's point of view. The paper commences with a general examination of the nature of trust, followed by consideration of the nature of professional–patient relationships in healthcare, with emphasis on nurse– patient relationships in particular. The nature of this relationship is used to provide grounds for arguing, (...) both morally and conceptually, that the nature of patients’ trust in those who nurse them is generally such that for the nurse to respond in a trustworthy way, she must care about her patients, not just for them. In arriving at this conclusion, the paper deliberately restricts its focus to nurse–patient encounters where patients are adults and a relationship, as opposed to a brief engagement between two people, can be said to have taken place. The context for this focus is public sector health care in the United Kingdom. In the text, gendered pronouns referring to doctors, nurses and patients are meant to be inclusive of both sexes. (shrink)

This paper explores the respective legitimacy or illegitimacy of medical authority over nursing work. The analysis makes use of Joseph Raz’s ideas concerning the nature of authority. Various scenarios are considered which lend themselves to differing interpretations, and the conclusion reached is that acting in accordance with legitimate medical authority enhances rather than compromises the nurse’s professional integrity. Difficulties, however, may lie in disentangling legitimate from illegitimate attempts to control nursing work.

In this paper, we present an agent-based model for studying the impact of 'myside bias' on the argumentative dynamics in scientific communities. Recent insights in cognitive science suggest that scientific reasoning is influenced by `myside bias'. This bias manifests as a tendency to prioritize the search and generation of arguments that support one's views rather than arguments that undermine them. Additionally, individuals tend to apply more critical scrutiny to opposing stances than to their own. Although myside bias may pull individual (...) scientists away from the truth, its effects on communities of reasoners remain unclear. The aim of our model is two-fold: first, to study the argumentative dynamics generated by myside bias, and second, to explore which mechanisms may act as a mitigating factor against its pernicious effects. Our results indicate that biased communities are epistemically less successful than non-biased ones, and that they also tend to be less polarized than non-biased ones. Moreover, we find that two socio-epistemic mechanisms help communities to mitigate the effect of the bias: the presence of a common filter on weak arguments, which can be interpreted as shared beliefs, and an equal distribution of agents for each alternative at the beginning. (shrink)

Background Speech understanding may rely not only on auditory, but also on visual information. Non-invasive functional neuroimaging techniques can expose the neural processes underlying the integration of multisensory processes required for speech understanding in humans. Nevertheless, noise (from fMRI) limits the usefulness in auditory experiments, and electromagnetic artefacts caused by electronic implants worn by subjects can severely distort the scans (EEG, fMRI). Therefore, we assessed audio-visual activation of temporal cortex with a silent, optical neuroimaging technique: functional near-infrared spectroscopy (fNIRS). Methods (...) We studied temporal cortical activation as represented by concentration changes of oxy- and deoxy-hemoglobin in four, easy-to-apply fNIRS optical channels of 33 normal-hearing adult subjects and 5 post-lingually deaf cochlear implant (CI) users in response to supra-threshold unisensory auditory and visual, as well as to congruent auditory-visual speech stimuli. Results Activation effects were not visible from single fNIRS channels. However, by discounting physiological noise through reference channel subtraction, auditory, visual and audiovisual speech stimuli evoked concentration changes for all sensory modalities in both cohorts (p<0.001). Auditory stimulation evoked larger concentration changes than visual stimuli (p<0.001). A saturation effect was observed for the audiovisual condition. Conclusions Physiological, systemic noise can be removed from fNIRS signals by reference channel subtraction. The observed multisensory enhancement of an auditory cortical channel can be plausibly described by a simple addition of the auditory and visual signals with saturation. (shrink)

This research project investigated manifestations of critical thinking in pupils 10 to 12 years of age during their group discussions held in the context of Philosophy for Children Adapted to Mathematics. The objective of the research project was to examine, through the pupils' discussions, the development of dialogical critical thinking processes. The research was conducted during an entire school year. The research method was based on the Grounded Theory approach; the material used consisted of transcripts of verbal exchanges among the (...) pupils. Analysis of the transcripts revealed that: critical thinking appears to the extent that a 'dia-logue' is established among pupils; on the cognitive level, dialogical critical thinking is comprised of four thinking modes: logical, creative, responsible and meta-cognitive; and on the epistemological level, dialogical critical thinking is only manifested in a context where egocentricity of perspective and relativism of beliefs are transcended. (shrink)

L’hôpital Avicenne évalue et suit des mineurs de retour de zone d’opérations de groupements terroristes depuis sept ans. L’équipe a ainsi pu mesurer l’importance de la prise en charge en psychomotricité pour ces enfants, souvent séparés de leur famille et souffrant de trauma complexe ou développemental. À travers une séquence de soins en psychomotricité et psychothérapie avec deux enfants aux trajectoires familiales complexes, l’article met en évidence les bénéfices d’une prise en charge conjointe. Les auteures développent l’incidence de cette configuration (...) sur la clinique, la complémentarité de ces espaces, les enjeux psychosomatiques du trauma, l’impact de ces derniers sur le développement psychomoteur de l’enfant et de l’adolescent, enfin la dynamique à l’œuvre dans le contre-transfert. (shrink)

To commemorate 40 years since the founding of the Journal of Business Ethics, the editors in chief of the journal have invited the editors to provide commentaries on the future of business ethics. This essay comprises a selection of commentaries aimed at creating dialogue around the theme Ethics at the centre of global and local challenges. For much of the history of the Journal of Business Ethics, ethics was seen within the academy as a peripheral aspect of business. However, in (...) recent years, the stakes have risen dramatically, with global and local worlds destabilized by financial crisis, climate change, internet technologies and artificial intelligence, and global health crises. The authors of these commentaries address these grand challenges by placing business ethics at their centre. What if all grand challenges were framed as grand ethical challenges? Tanusree Jain, Arno Kourula and Suhaib Riaz posit that an ethical lens allows for a humble response, in which those with greater capacity take greater responsibility but remain inclusive and cognizant of different voices and experiences. Focussing on business ethics in connection to the grand challenge of environmental emergencies, Steffen Böhm introduces the deceptively simple yet radical position that business is nature, and nature is business. His quick but profound side-step from arguments against human–nature dualism to an ontological undoing of the business–nature dichotomy should have all business ethics scholars rethinking their “business and society” assumptions. Also, singularly concerned with the climate emergency, Boudewijn de Bruin posits a scenario where, 40 years from now, our field will be evaluated by its ability to have helped humanity emerge from this emergency. He contends that Milieudefensie v. Royal Dutch Shell illustrates how human rights take centre stage in climate change litigation, and how business ethics enters the courtroom. From a consumer ethics perspective, Deirdre Shaw, Michal Carrington and Louise Hassan argue that ecologically sustainable and socially just marketplace systems demand cultural change, a reconsideration of future interpretations of “consumer society”, a challenge to the dominant “growth logic” and stimulation of alternative ways to address our consumption needs. Still concerned with global issues, but turning attention to social inequalities, Nelarine Cornelius links the capability approach to global and corporate governance, arguing that CA will continue to lie at the foundation of human development policy, and, increasingly, CSR and corporate governance. Continuing debate on the grand challenges associated with justice and equality, Laurence Romani identifies a significant shift in the centrality of business ethics in debates on managing differences, positing that dialogue between diversity management and international management can ground future debate in business ethics. Finally, the essay concludes with a commentary by Charlotte Karam and Michelle Greenwood on the possibilities of feminist-inspired theories, methods, and positionality for many spheres of business ethics, not least stakeholder theory, to broaden and deepen its capacity for nuance, responsiveness, and transformation. In the words of our commentators, grand challenges must be addressed urgently, and the Journal of Business Ethics should be at the forefront of tackling them. (shrink)

This paper aims at clarifying the Aristotelian definition of the moral virtue given in the second book of each Ethics by using the various illustrations of this characterization found into literature. The demonstration first bears on the traditional linear plan, which is to be corrected, and goes on to the cross model, that will be refined according to the informations from the Ethics.

Quelle lumière l'idée d'athéisme et la figure de l'athée jettent-elle sur les concepts de tolérance, de liberté de conscience et de laïcité? Pour répondre à cette question, cet ouvrage fait le choix d'éclairer le présent par une perspective historique, en analysant la manière dont l'athéisme est apparu et s'est développé dans le questionnement théologico-politique et philosophique depuis le XVIIe siècle."--Page 4 of cover.

Les 18 cahiers inédits des « Études psychologiques sur moi-même » écrits entre 1862 et 1876 sont caractéristiques de ces écritures de l’intime qui connaissent un déploiement certain dans la sphère privée et un succès éditorial dans la sphère publique au XIXe siècle. Premières écritures tardiennes, si ces cahiers représentent pour Tarde un support matériel pour une écriture et une lecture de soi, ils nous plongent aussi dans le laboratoire intérieur de Tarde où la pratique d’une introspection à visée scientifique (...) se construit et s’affirme comme la genèse d’une véritable méthode de travail de la pensée tardienne en devenir. (shrink)

Comme chacun sait, nous vivons à une époque où le changement est une donnée fondamentale de I’ action et aussi de Ia pensée. De ce point de vue, il est bizarre de penser que des hommes, disons des philosophes, aient non seulement posé l'immutabilité comme critère constitutif de Ia vérité mais en outre qu'ils aient défendu ce critère selon les règles de l'éloquence, avec un succès public notoire. En effet, dire d'un concept qu'il se définit au sein d'une rhétorique c'est (...) dire, entre autres choses, qu'il présente, aux yeux du locuteur qui le propose avec succès, une valeur et une importance qui peuvent être montrées. Encore une fois, dans un monde où le changement est devenu banal, Ia défense efficace de l'immutabilité est non seulement un anachronisme: elle est bizarre. (shrink)

Cette étude se propose d’éclairer le sens des formules concernant les états extrêmes que comporte la théorie aristotélicienne de la vertu morale exposée au deuxième livre de chaque Éthique ; les états moraux particuliers associés au courage servent à illustrer la structure générale de la notion d’extrême. L’examen porte d’abord sur les vices de lâcheté et de témérité, pour ensuite se tourner vers les états limites (l’absence de crainte, la crainte maladive ou bestiale, l’héroïsme) et enfin vers les états mixtes (...) de mollesse et de fermeté. La taxonomie ainsi précisée est conceptualisée par un schéma traduisant les rapports entre les différents états. (shrink)

Il semble que la mise en oeuvre des droits reconnus par les législateurs et les tribunaux en contexte d’avortement tardif et d’aide médicale à mourir connaît, en pratique, un problème d’effectuation. En effet, nous nous trouvons actuellement dans une ère où le droit accorde énormément d’importance à l’autonomie individuelle dans le domaine médical, mais où les pratiques et les autres normativités viennent considérablement limiter cette autonomie. Il convient, dès lors, de poser un regard critique sur le concept d’autonomie en contexte (...) d’avortement tardif et d’aide médicale à mourir. Ces constats soulèvent des questionnements sur le rôle et les limites du droit étatique lorsque transposé en contexte clinique, ainsi que sur le peu d’attention que porte le droit aux destinataires de la norme. Le défi consiste alors à faire cohabiter les différentes normes et valeurs afin que les mécanismes de prises de décisions traduisent un souci réel d’assurer le vivre ensemble. (shrink)

Dans un premier temps, l’auteur accuse le ministère canadien de la Santé de travailler insidieusement au démantèlement de la Direction générale de la protection de la santé pour dorénavant confier la responsabilité de veiller à la sécurité des aliments et des médicaments à l’industrie privée. Face à cette dangereuse déresponsabilisation des pouvoirs publics, l’auteur reproche ensuite aux instances éthiques leur instrumentalisation politique. Par opposition, il importe de mettre en place une éthique de la responsabilité, chien de garde des instances publiques (...) de recherche, d’examen et de contrôle. (shrink)

Prenant appui sur une récente expérience dans le cadre d’une alliance de recherche universités-communautés (ARUC) impliquant quelques communautés innues du Québec, cet article aborde certains des enjeux propres à une éthique collaborative. La relation de recherche entre autochtones et allochtones demeure profondément marquée par l’histoire et par la tradition scientifique occidentale. Dans un contexte ou plusieurs communautés et organisations autochtones élaborent des protocoles et lignes directrices portant sur l’éthique et les pratiques de recherche, et ou les chercheurs se tournent vers (...) des approches qui se veulent plus inclusives et des méthodologies davantage participatives, cette réflexion vise a mettre en évidence le pouvoir critique de la collaboration, les obstacles et les limites sur lesquels elle se heurte actuellement, et aussi son potentiel de transformation, voire de guérison individuelle et collective. (shrink)