Desire After Affect offers a detailed analysis of the affective turn and its consequences for the humanities.

La pensée de Machiavel a fait l’objet, ces dernières décennies, de nombreuses références dans les réflexions sur les processus de démocratisation, sur la signification et les conditions de la liberté politique ou encore sur la participation civique. La présente contribution défend la thèse d’une actualité indirecte de Machiavel pour la théorie contemporaine de la démocratie, à travers le questionnement que son œuvre suscite sur le rôle du désir de liberté dans l’approfondissement de la démocratie. Sa pensée nous invite à nuancer (...) le rôle que nous attribuons communément à l’institution de la citoyenneté en lien avec la Déclaration des droits de l’homme et du citoyen et la signification donnée à la « modernité » politique. Elle permet d’éclairer les ambivalences de la citoyenneté démocratique et d’interroger les limites de la conception participative de la démocratie. (shrink)

Machiavelli’s thought has been referred to in numerous ways in the past decades in political theory. His work has grounded various comments about the process of democratization, the meaning and the conditions of political liberty and about civic participation. This paper advocates the thesis of an indirect relevance of Machiavelli’s work for contemporary political thought. It stresses the importance given by Machiavelli to the desire for liberty and its meaning for the understanding of the deepening of democracy. From then on, (...) it argues that his thought invites us to qualify the scope of citizenship understood in relationship with the Déclaration des droits de l’homme et du citoyen and with political modernity. It allows us to highlight the ambivalence of democratic citizenship and to question the limits of the participatory conception of democracy. (shrink)

The thought of contemporary North American theologian and ethicist Wendy Farley is an unflinching clarion call to justice and compassion. Farley invites us to discover ways of embodying the deep compassion capable of resisting pernicious distortions and traumatizing injustices that harm and dehumanize us all. This volume of essays embodies her invitation to awaken as beloved community. And when we are overwhelmed by the magnitude of struggle and despair, Farley reminds us that the powerful longing of hope, at times against (...) all evidence, refuses to give up on seeking justice and wholeness. Compassionate justice, radical hospitality, creative liberation, and deep listening emerge as more than ethical values for Farley; they are expressions of erotic faith, a praxis of faithfulness born of divine desire. These writings explore transformative perspectives and practices that have the capacity to help us recover and author our identity as the "god-bearers" we are. Erotic faith embodies the love-seeking persistence of divine faithfulness necessary to transform us from within; it meets the truth of human harm, vulnerability, and suffering by offering a complex, struggling, unscripted creativity capable of remaking us, and our world, until the beloved community is whole. (shrink)

According to the Humean theory of motivation, a person can only be motivated to act by a desire together with a relevantly related belief. More specifically, a person can only be motivated to ϕ by a desire to ψ together with a belief that ϕ-ing is a means to or a way of ψ-ing. In recent writings, Michael Smith gives what has become a very influential argument in favour of the Humean claim that desire is a necessary part of motivation, (...) and a great deal has been written about Smith's defence of this Humean claim. However, no one has yet identified the fundamental weakness of his defence. The fundamental weakness is that there is no single conception of directions of fit that does all the work Smith needs it to do throughout the various stages of his defence. (shrink)

Background: Clinical investigation is a growing field employing increasing numbers of nurses. This has created a new specialty practice defined by aspects unique to nursing in a clinical research context: the objectives (to implement research protocols and advance science), setting (research facilities), and nature of the nurse–participant relationship. The clinical research nurse role may give rise to feelings of ethical conflict between aspects of protocol implementation and the duty of patient advocacy, a primary nursing responsibility. Little is known about whether (...) research nurses experience unique ethical challenges distinct from those experienced by nurses in traditional patient-care settings. Research objectives: The purpose of the study was to describe the nature of ethical challenges experienced by clinical research nurses within the context of their practice. Research design: The study utilized a qualitative descriptive design with individual interviews. Participants and research context: Participating nurses (N = 12) self-identified as having experienced ethical challenges during screening. The majority were Caucasian (90%), female (83%), and worked in outpatient settings (67%). Approximately 50% had > 10 years of research experience. Ethical considerations: The human subjects review board approved the study. Written informed consent was obtained. Findings: Predominant themes were revealed: (1) the inability to provide a probable good, or/do no harm, and (2) dual obligations (identity as a nurse vs a research nurse). The following patterns and subthemes emerged: conflicted allegiances between protocol implementation, needs of the participant, desire to advance science, and tension between the nurse–patient therapeutic relationship versus the research relationship. Discussion: Participants described ethical challenges specific to the research role. The issues are central to the nurse–participant relationship, patient advocacy, the nurse’s role in implementing protocols, and/or advancing science. Conclusion: Ethical challenges related to the specialized role of clinical research nurses were identified. More research is warranted to fully understand their nature and frequency and to identify support systems for resolution. (shrink)

This article is an attempt to rethink the interconnectedness between discourse and subjective agency and to highlight methodological approaches to studies of gendering processes as a central part of it. The notions of desire, subjectification and biography are understood as mediated by narratives and metaphors, as a movement between the individual and her contexts. The transformative methodological project suggests conceptual retoolings as new analytic approaches to empirical analysis of the kind that aims to provide complex understanding of subjectification processes in (...) lived life. The empirical field brought into the article as a means of explication deals with university cultures, and more specifically with a case of an assistant professor caught in conflicts between official academic discourses and more subtle political and gendered discourses. The author takes the concepts of desire trajectories, discursive authority, multifaceted discursive realities and past experiences into an analysis of the enacting forces involved in the processes of exclusion that finally ejects the protagonist in the empirical case from the university field. (shrink)

SummarySon preference has been considered as a determinant of women's risk of intimate partner violence experience in India, although quantitative evidence from large nationally representative studies testing this relationship is limited. This study examines the association between husband's son preference, sex composition of children and risk of physical and sexual IPV victimization among wives. Information was collected for 26,284 couples in the nationally representative 2005–2006 National Family Health Survey of India. The exposures were husband's son preference measured as husband's desire (...) for one or more sons greater than the number of daughters and sex composition of the household: only sons, only daughters and mixed. Outcome included past year physical and/or sexual IPV. The results showed that husband's reported son preference and sex composition of children were not associated with risk for IPV victimization in the models adjusted for socio-demographic factors. The findings from this first population-based study of socio-cultural norms around son preference and married Indian women's risk for IPV victimization indicate that cultural preference for sons does not influence women's risk for IPV victimization. (shrink)

Contingent valuation surveys generally elicit stated preferences by asking how much a respondent would be willing to pay for an environmental improvement. By drawing on linguistic theory, we propose that the modal phrasing of this question establishes a particular type of commitment towards a hypothetical payment, namely a subjective want or desire. Based on the idea that beyond subjective desires, considerations about what is morally adequate may guide expressed values and that elicitation of these can be linguistically facilitated, we employ (...) an experimental framework to investigate the effects of different modals ( willing, should and appropriate) in the elicitation question on stated preferences. We find that elicited amounts with appropriate are higher than those elicited with willing and should for environmental improvements more associated with use values, while differences are non-significant for environmental improvements more associated with non-use values. We discuss the implications of our findings for stated preference studies, as well as the potential broader theoretical implications that our study entails regarding linguistic representations of the moral entrenchment of environmental values. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Wonder, Imagination, and the Matter of Theatre in The TempestMary MooreAriel occurs. Recounting his performance of "the tempest" in Act I, scene 1 of The Tempest, he presents himself as being and action, fracturing grammar, spatial and temporal logic in ways that amaze and confound:I boarded the King's ship; now on the beak, Now in the waist, the deck, in every cabin, I flamed amazement. Sometime I'd divide, And (...) burn in many places; on the topmast, The yards, and bowsprit would I flame distinctly, Then meet and join...(1.2.195–201) 1"I flamed" means that Ariel emits or is flames, which in the normal order of things would consume him. His very narration, however, proves his survival, evoking wonder through the utterance itself. Forceful and compacted syntax, a recognized source of wonder in Classical and Renaissance accounts of style (Biester, pp. 14; 35–40), magnifies this effect. 2 Shakespeare's transitive use of the usually intransitive verb flame reflects a not uncommon practice, as E. A. Abbott shows; 3 but this syntactic device also reflects The Tempest's own logic. Ariel crosses boundaries between [End Page 496] deed and being, verb and noun, subject and object, matter and spirit: he both is and does flames. What could be more jarring to syntax and semantics than a singular subject whose utterance claims that he can flame, divide, meet and join? Just as "a" fire consists of many flames yet functions grammatically as a singular substance in English, just as the Christian Trinity is both singular and multiple, Ariel burns in many places at once. Meanwhile, this extraordinary language seems belied by the actor's very embodiment. Ariel cannot have done what he claims; yet the prior scene has represented the very storm in which Ariel flamed. In that sense, the actor's embodiment represents what we imagine to be matter's intractability, while Ariel's claims, coupled with the storm we have just witnessed, reveal matter's fluidity and permeability to imagination. Fluidity and intractability co-exist, another source of wonder. Sound mimics these paradoxes: the assonance and consonance in flame and amazement create a near rhyme that echoes the near identity of fire and human amazement. If, as Gurr and Ichikawa observe, a Renaissance audience expected to hear more than see a play, this echo calls attention to Ariel's marvelous powers. 4 Lest the noises and pleasures of the Renaissance theatre, which recent scholarship deems to be considerable, distract audience members from this bit of language, similar moments reinforce Ariel's play in and with language and matter throughout the play. Marvelous poetic language is of a piece with a "fever" that is of "the mind," with music that "creeps," actors who vanish, new found goddesses who speak the discoverers' own language.Amazement provides our cue: it and its cognates name the appropriate response to Ariel, his language, and to The Tempest itself. Attention to Ariel's poetic language reveals that it, like the plot, conforms to the marvels of the play and to the period's well documented love for marvels in several ways. Wonder, an aesthetic "'object of desire'" in itself, and a response to the inexplicable in classical and early modern views, may be evoked by the unexpected in style (and through other strategies that the era's handbooks taught). 5 The clause "I flamed amazement" epitomizes the unexpected in syntax as well as differing from one of the few sources found for The Tempest, William Strachey's 1610 letter, which describes just such a storm. 6 While St. Elmo's fire itself may elicit wonder, Shakespeare's syntax and diction reinforce that marvel. And no wonder: rhetoric and theatre alike depend upon audience attention, and wonders naturally evoke it. Jarring language also harmonizes with The Tempest's structural marvels—loose ends, disrupted actions, unforeseen futures—issues several critics explore. 7 [End Page 497]The wonders of The Tempest, however, also involve imagination—in early modern psychology, the human faculty that permits perception of the world and invention of images. 8 Wonder responds to how the perceived differs from the expected, how the imagined supplants the usual, how an... (shrink)

In this book, Mary Townsend proposes that, contrary to the current scholarship on Plato's Republic, Socrates does not in fact set out to prove the weakness of women. Rather, she argues that close attention to the drama of the Republic reveals that Plato dramatizes the reluctance of men to allow women into the public sphere and offers a deeply aporetic vision of women’s nature and political position—a vision full of concern not only for the human community, but for the desires (...) of women themselves. (shrink)

Le philosophe François Poulain de La Barre réfléchit aux conditions nécessaires pour fonder une nouvelle science d'inspiration cartésienne. Parfaite et universelle, celle-ci s'oppose au savoir de type scolastique en remettant en question la distinction traditionnelle entre le savant et le vulgaire. Poulain entend démontrer que la véritable réforme de la science suppose une féminisation de ses acteurs. Les femmes se caractérisent en effet par le désir naturel de se comprendre elles-mêmes, or la véritable science se définit justement comme connaissance de (...) soi-même. Elles ont, de plus, une capacité tout aussi naturelle de la diffuser autour d'elles, capacité qui manque à la plupart des hommes. Avec l'émergence de savantes aux côtés des savants, le sage pourra enfin sortir de son statut ambigu d' « esprit fort ». The philosopher François Poulain de La Barre discussed the conditions that are necessary to found a new science that is inspired by Cartesianism. Since it would be perfect and universal, such a science would contrast with knowing in a scholastic manner by challenging the traditional distinction between the learned and the uneducated. Poulain wished to show that a genuine reform of science presupposes the feminization of its contributors. Women are characterized by a natural desire for self-understanding, and genuine science or knowledge is defined precisely as self-knowledge. Women also have a completely natural capacity for disseminating knowledge -a capacity that is lacking in most men. If learned women appeared sideby-side with learned men, the concept of a wise person would eventually be liberated from its ambiguous association with a 'strong mind'. (shrink)

La femme tableau et/ou miroir de l'homme — telle qu'il la crée, l'aime — renvoie de celui-ci l'image inversée : forme de l'« autre » elle montre dans ce qui se dit d'elle le désir de l'« un » comme désir d'être l'un et l'autre , désir d'être le « Tout » ou, désir de l'« Un ». Plusieurs textes freudiens marquent sans ambiguïté la « sexuation » du désir, marquent le désir comme principe mâle. Il s'agit ici de montrer, (...) avec ces textes, les places et les articulations de l'un et l'autre sexe dans la dynamique du désir.Woman as a picture and/or mirror of man — as he creates and loves her — gives an reversed image of him: she, a form of the "other", reveals in what is said of her the desire of "one" as the desire to be both the one and the other , the desire for "Whole"-ness, for "One"-ness. Several Freudian texts unambiguously mark the sexualisation of desire, desire as a male principle. What is shown here, with these texts, are the places and articulations of the one and the other sex in the dynamics of désire. (shrink)

BackgroundThe emergence of artificial intelligence (AI) in medicine has prompted the development of numerous ethical guidelines, while the involvement of patients in the creation of these documents lags behind. As part of the European PROFID project we explore patient perspectives on the ethical implications of AI in care for patients at increased risk of sudden cardiac death (SCD).AimExplore perspectives of patients on the ethical use of AI, particularly in clinical decision-making regarding the implantation of an implantable cardioverter-defibrillator (ICD).MethodsSemi-structured, future scenario-based (...) interviews were conducted among patients who had either an ICD and/or a heart condition with increased risk of SCD in Germany (n = 9) and the Netherlands (n = 15). We used the principles of the European Commission’s Ethics Guidelines for Trustworthy AI to structure the interviews.ResultsSix themes arose from the interviews: the ability of AI to rectify human doctors’ limitations; the objectivity of data; whether AI can serve as second opinion; AI explainability and patient trust; the importance of the ‘human touch’; and the personalization of care. Overall, our results reveal a strong desire among patients for more personalized and patient-centered care in the context of ICD implantation. Participants in our study express significant concerns about the further loss of the ‘human touch’ in healthcare when AI is introduced in clinical settings. They believe that this aspect of care is currently inadequately recognized in clinical practice. Participants attribute to doctors the responsibility of evaluating AI recommendations for clinical relevance and aligning them with patients’ individual contexts and values, in consultation with the patient.ConclusionThe ‘human touch’ patients exclusively ascribe to human medical practitioners extends beyond sympathy and kindness, and has clinical relevance in medical decision-making. Because this cannot be replaced by AI, we suggest that normative research into the ‘right to a human doctor’ is needed. Furthermore, policies on patient-centered AI integration in clinical practice should encompass the ethics of everyday practice rather than only principle-based ethics. We suggest that an empirical ethics approach grounded in ethnographic research is exceptionally well-suited to pave the way forward. (shrink)

Although advance care planning can lead to more patient-centered care, the communication around it can be challenging in acute care hospitals, where saving a life or shortening hospitalization is important priorities. Our qualitative study in an acute care hospital in Japan revealed when specifically physicians and nurses start communication to facilitate ACP. Seven physicians and 19 nurses responded to an interview request, explaining when ACP communication was initiated with 32 patients aged 65 or older. Our qualitative approach employed descriptive analysis (...) to identify major themes, which included “initiation by patients” and “initiation by healthcare professionals.” In the latter case, seven specific triggers were identified: when the patients’ medical condition changed in terms of symptom relief, when the patients’ medical condition changed in terms of prognostic prediction, when serious events occurred, when a choice of treatment was presented, when the location for end-of-life care was chosen, when the patients’ cognitive function deteriorated, and when serious events settled down. Within this group of healthcare professionals, physicians were more focused on changes in their patients’ medical condition, whereas nurses focused more on their patients’ desire for a long-term perspective. Nurses encouraged patients to consider ACP themselves, which developed into an approach to respect patients’ autonomy. In acute care hospitals, it appeared to be desirable to have an early discussion where patients could understand the significance ACP, which would matter even after their discharge from the hospital. (shrink)

Should we feel inadequate when we fail to be healthy, balanced, and well-adjusted? Is it realistic or even desirable to strive for such an existential equilibrium? Condemning our current cultural obsession with cheerfulness and "positive thinking," Mari Ruti calls for a resurrection of character that honors our more eccentric frequencies and argues that sometimes a tormented and anxiety-ridden life can also be rewarding. Ruti critiques the search for personal meaning and pragmatic attempts to normalize human beings' unruly and idiosyncratic natures. (...) Exposing the tragic banality of a happy life commonly lived, she instead emphasizes the advantages of a lopsided life rich in passion and fortitude. She also shows what matters is not our ability to evade existential uncertainty but our courage to meet adversity in such a way that we do not become irrevocably broken. We are in danger of losing the capacity to cope with complexity, ambiguity, melancholia, disorientation, and disappointment, Ruti warns, leaving us feeling less "real" and less connected and unable to process a full range of emotions. Heeding the call of our character means acknowledging the marginalized, chaotic aspects of our being, and it is precisely these creative qualities that make us inimitable and irreplaceable. (shrink)

This narrative study explores the late-career issues among 15 senior teacher educators from Israeli Academic Colleges of Education (ACEs), in light of the growing conversation about pre-pension maintenance of senior faculty members employed in teacher education institutions. The data analysis of semi-structured interviews highlighted dedication to daily tasks (research activity, administration, teacher education and leading Professional Learning Communities), and a sense of mission during career experiences (leaving legacy to student teachers and colleagues). It was reflected in two parallel work patterns: (...) the ‘work pattern of sharing’, and the ‘work pattern of expertise’. The discussion raises similarities between the literature and the first work pattern, in line with the unique culture of teacher education systems in the world. However, the existence of the ‘work pattern of expertise’ in the literature remains vague and requires more in-depth thinking and research. (shrink)

In her paper Expelled Again from Eden: Facing Difference through Connection, delivered in Plymouth in 1998, Mary Grey said the story of the Garden of Eden was a dilemma for Feminist Theologians. This because it both bears responsibility for the Fall of relationship between God and Man and the misogyny that has ensued through the ages but also underpinning the desire to return to a supposed golden age of matriarchy with the re-emergence of the Goddess and a related ecological and (...) egalitarian epoch of harmony. Grey makes a connection between the Lost Garden myth and the second wave feminist ideal of global sisterhood of the 1960s. Reflecting on her paper and updating it later, Grey concluded she still felt the challenge of years ago: the sense of rightness of connection and mutuality, yet the crucial need to embrace difference. (shrink)

This article engages with Goldenberg's desire to abandon transcendence since it is the enemy of autonomy and to once more encounter corporeality as the site of immanence. The author is in agreement with Goldenberg but attempts to show that the negative outcomes associated with a reliance on transcendence are not necessary and have been produced by a false understanding on the part of Christianity.

This article discusses the relation between emotions and testimony, by asking the questions: What do emotions do? Are emotions possible and desirable starting points for teaching difficult and complex subjects such as injustice and historical wounds? This article explores the 2015 image and testimony of Alan Kurdi, lying on a beach of the Mediterranean Sea and the immense emotional response it elicited from the media. By critiquing emotions based on testimonies in teaching, by primarily following Ahmed and Todd, this article (...) argues that emotions are cultural practices, not psychological states, and, thus, are relational. On this point, the argument is developed into two different movements, first, the effects offered by listening; second, opacity in relation to transparency, based on the thoughts of Glissant. The aspects of listening and opacity in relation to testimonies, in turn, yield an ambivalent space in which emotions play a role in students encounter with testimonies and may, in turn, imply educational possibilities. (shrink)

BackgroundInformation processing speed is a marker for cognitive function. It is associated with neural maturation and increases during development. Traditionally, IPS is measured using paper and pencil tasks requiring fine motor skills. Such skills are often impaired in patients with neurological conditions. Therefore, an alternative that does not need motor dexterity is desirable. One option is the computerized symbol digit modalities test, which requires the patient to verbally associate numbers with symbols.MethodsEighty-six participants were examined, 38 healthy and 48 hospitalized for (...) a non-neurological disease. All participants performed the written SDMT, c-SDMT, and the Test of Non-verbal Intelligence Fourth Edition. Statistical analyses included a multivariate analysis of covariance for the effects of intelligence and hospitalization on the performance of the SDMT and c-SDMT. A repeated measures analysis of variance was used to compare performance across c-SDMT trials between inpatients and outpatients.ResultsThe MANCOVA showed that hospitalization had a significant effect on IPS when measured with the SDMT but not with the c-SDMT, while IQ had no effect on IPS. Age was the best predictor of performance of both tests. The repeated measures ANOVA revealed no significant difference in within-test performance between outpatient and inpatient participants in the c-SDMT.ConclusionPerformance of the c-SDMT is not confounded by hospitalization and gives within-test information. As a valid and reliable measure of IPS for children and adolescents, it is suitable for use in both inpatient and outpatient populations. (shrink)

The hypothetical approach to the supersensible developed by Kant in his three Critiques, exemplified by his analysis of the aesthetic and reflective judgment in his third Critique, with their principle fortuitous purposiveness, can be considered as the basis for a new foundation of metaphysics. According to Kant’s limitation of cognition to the realm of sense intuition, theoretical knowledge of God, the subject, things-in-themselves, transcendental ideas is impossible. This leads to a kind of “negative theology” of the highest principle and the (...) supersensible as a whole. The reasons are rooted in the character of propositional thought, which can only circumscribe a singular, supersensible reality by means of predicative sentences and discursive thought. Taking Kant’s lead, but in contrast to his terminology, I call really existent singularities, including the thinking, knowing, desiring, feeling unique individuals we know as human beings, spontaneities, in order to distinguish them from descriptive characteristics attributed to them by predicative thought. Kant’s “practico-dogmatic” account of the postulates of God and immortality of the soul, based on the “fact of freedom” and its connection to the moral imperative, ensure the possibility of the “highest good” as final aim of moral behaviour — but cannot satisfy our need for knowledge of the supersensible. To “lay the groundwork” for experience of our own self-conscious reality, the reality of others like ourselves, of things which transcend the boundaries of sense intuition, and of true reciprocity, a different method is needed, one which leads us “beyond being and thought” to the unconditional beginning of conditional reality. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:"To make a difference...":Narrative Desire in Global MedicineByron J. Good and Mary-Jo DelVecchio GoodIf, as Arthur Frank (2002) writes, "moral life, for better and worse, takes place in storytelling," this collection of narratives written by physicians working in field settings in global medicine gives us a glimpse of some aspects of moral experience, practice, and dilemmas in settings of poverty and low health care resources. These essays are written (...) from the midst of practice, in diverse settings in Africa, South Asia, Latin America, the Caribbean, and the United States. The majority of the writers are practitioners of contemporary 'global medicine'—physicians from North America or Europe who spend part of their lives flying into settings of poverty or special need to practice medicine and work with on-going collaborative clinical and public health systems—while a smaller number are working in the societies in which they were born. Although a few work for classic humanitarian organizations or have developed their own local NGO's, the great majority are engaged in the 'hybrid life' described by Robert Riviello and noted by Renée Fox, moving between academic medical centers and distant health care systems that are supported by local governments, major international organizations and funding agencies, and international NGO's like Partners in Health. These diverse forms of practice have become a common model for contemporary clinicians engaged in what has emerged as a new discipline of global health or global medicine, and these narratives give us a glimpse of some of the enduring, as well as newly emerging, forms of moral practice and ethical dilemmas characteristic of today's global medicine.Many of these stories are filled with the tension and pathos that makes clinical narratives powerful to read. Physicians are forced to make unfathomable decisions about whether to resuscitate and keep a baby alive, using all means available, or to let the infant die, whether to carry out a procedure that will save an infant in birth but would put the mother at risk, about how to deal with a cancer found in a very advanced state. However, virtually all of the stories transcend these classical stories of the decisions physicians are forced to make by being placed in settings of great scarcity of resources, which stand in particular contrast to the academic medical settings in North America or Europe where many of these global medicine specialists have trained and many continue to practice. The unspeakable inequality of resources emerges throughout these narratives as a kind of master theme, as the underlying moral, as opposed to plot, which gives meaning and sense to the stories. For those who practice medicine in such settings, global inequalities and scarcity of medical resources are deeply felt. They produce the rage that Jeffrey Deal describes. ("I learned to despise American churches during that time, a time when my world encompassed a dying newborn in Sudan, as well as the air conditioned padded seats [End Page 121] of our affluent suburban church.") They produce the distinctive experiences of helplessness and pain felt by clinicians who cannot separate how they would be able to treat such a patient at home from how they have to practice in these settings. For those clinicians working in their own societies, scarcity of resources often produces deep anger at the corrupt governments that fail to support basic human services for the great majority of their population. ("We were temporary actors performing in the cynical play of scarcity on permanent display in Port-au-Prince," writes Haitian physician Paul Pierre about his experience prior to joining Partners in Health.)But for those who regularly travel back and forth across the divide between rich and poor, whether across national boundaries or within their own society, the challenge to live a moral life is unendingly complicated. While becoming a part of a struggle for global justice with colleagues and advocates from both sides of the divide, few of the narrators can avoid personal feelings of ambivalence and guilt at being able to easily move from one side of that divide to the other back home. Many fantasize about giving up their lives in the north to devote themselves... (shrink)

The intention of this work is to trace in the most archaic human condition the anthropological roots that justify the foundation of an ethics, as conceived by Paul Ricœur in his book Oneself as Another . To do this, first I will try to expose the route that the creative image follows from its genesis in drives to its full semantics in the symbol, according to the dialogue that the author engaged with Freud in his work Freud and Philosophy based (...) on his hermeneutic concerns. Second, considering a critical remark that Ricœur makes about Freud, I will explore the intentional orientation towards “the good life”, whose reflexive sense, “self-esteem”, integrates the symbolic dimension of action and sets the basis for the realization ( épanouissement ) of the human person. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 21.1 (2001) 37-41 [Access article in PDF] What I Know and Don't Know: A Christian Reflects on Buddhist Practice Mary Frohlich Catholic Theological Union To reflect and write on spiritual practice for publication in an academic journal requires a delicate balancing act. It is not appropriate simply to recount one's experience; nor is it appropriate merely to theorize. I am assisted in this balancing act by a (...) set of categories proposed some years ago by Walter Principe and generally accepted as standard now within the academic field of spirituality. Principe observed that spirituality operates on three interrelated yet distinct levels and that it is crucial for the academician to be clear about which level or levels are being presented. The three are: (1) experience; (2) articulation within wisdom traditions; (3) academic interpretation. 1 My understanding of what is desired in the present context is some of all three but with a primary emphasis on the second. What does Buddhist practice look like from my stance within my Christian "wisdom traditions"? Thus, this is the horizon within which I will present both experience and academic insights.First a bit of autobiographical context. I became a Christian as a young adult, after having been raised in a secular humanist household. My first attempts at a form of meditation as a teenager came from reading Taoist books; in college I experimented with drugs (at that time this was often seen as "spiritual practice") and spent a couple of years very seriously practicing transcendental meditation. Only after all this did I seek baptism and church membership. Since then, my certainty that my call is to be a Christian has not wavered. I spent several years in a Carmelite contemplative monastery, and I now belong to another Roman Catholic religious order.Yet I have repeatedly been drawn to periods of engagement with various practices having Hindu and Buddhist roots.This context is important to describe because I am aware that for me (and for many spiritual seekers today) there can never be a "pure" insertion in a single tradition. I reflected on that recently in an airplane at twenty-five thousand feet, looking down and seeing how totally human constructive activity has reshaped the contours of the land, the rivers, and everything that depends on them. I realized then that the same must be said of the inner contours of my soul. Nearing fifty, I bear the marks [End Page 37] of everything that I have ever done or touched or suffered or known. As I approach this task of reflecting on Buddhist practice from the point of view of a Christian, I cannot do it as a pure outsider. My spiritual practice is Christian in its core, but it has been inextricably shaped by so many other influences--including varieties of Buddhist practice.It is also important to acknowledge the limits of my knowledge about Buddhism and Buddhist practices. My academic exposure to Buddhism is about equivalent to an introductory undergraduate course. As for Buddhist practice, I have participated in a total of five weekend retreats, three one-week retreats, and one three-week retreat. These were all from either Vipassana (Insight Meditation) or Zen (Kwan Um or Diamond Sangha) traditions. Occasionally, I have also had even briefer exposure to other Buddhist traditions. I am very aware that there is much I do not know, or that perhaps I just plain misunderstand, about Buddhism.Yet dialogue requires that I honestly state my views, in their present form, with the hope that in the dialogical process what is misinformed or insensitive can eventually be corrected.Spiritual practice (for Buddhists as well as Christians) involves many different kinds of practices. Practices of charity, such as hospitality or almsgiving, perhaps present the fewest obstacles to mutual understanding, because the practices may be generally similar in both traditions. The ritual practices of a religious tradition, on the other hand, can feel extremely alien to those who do not belong to that religious culture. Paul Hanvey has noted that our reaction to... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Teaching Ethics in the Health Care Setting Part I:Survey of the LiteratureMary Carrington Coutts (bio)The last twenty years have brought important changes to health care and health care education. Educators and students alike face an enormous number of new fields of study and new medical technologies. Health care professionals and institutions are also facing new challenges in the form of shrinking economic resources, and the AIDS epidemic. They must (...) also respond to increased patient participation in health care decisions, and public concern about abortion and euthanasia. These challenges to the health care professional have compelled educators to accommodate ethics within their already overcrowded curriculum. Those same dilemmas have influenced health care institutions to become active in health care ethics education.Medical ethics education gained a foothold in the United States during the late 1960s, when the medical schools of Pennsylvania State University, the University of Florida, and the State University of New York at Stonybrook established programs in the humanities (Pellegrino 1982). In 1978 Robert Veatch noted that formal teaching in medical ethics was rare; most institutions that taught medical ethics used "informal instruction in the apprenticeship mode" (Veatch 1978). However, by 1982 a survey by the American Medical Association (AMA) revealed that all but one of the 127 medical schools had courses that included medical ethics. Thirty eight of these had medical ethics as a required course (Pellegrino 1985). And by 1989, 43 of the 127 medical schools had separate courses in medical ethics, while 100 covered medical ethics within required courses. Medical ethics is now an accepted part of medical curriculum, though it is not fully mature, and its future remains somewhat unclear (Miles 1989).The evolution of ethics in the nursing curriculum has essentially mirrored that of the medical curriculum. A 1977 survey of baccalaureate nursing programs revealed that only 7 percent of nursing programs required courses in ethics [End Page 171] (Aroskar 1977). A decade later a second survey of undergraduate programs identified 85 percent of responding nursing schools as teaching nursing ethics either in separate ethics courses or within other required courses (Cassells and Redman 1989).Though the precise future of health care ethics may be unpredictable, there is little thought that the role of ethics will diminish in importance as the 21st century approaches. Ethics is seen as part of a larger plan to develop and enhance the health professional's human values, social conscience, and interpersonal skills. "This broader effort derives from concerns about the personal attributes and humanistic sensitivity of physicians, the recent overly 'scientized' trend in premedical education, the selection of medical students, and the socialization and cynicism engendered by medical education" (Miles 1989, p. 705).While nearly every medical and nursing school in the United States now teaches ethics in one form or another, the degree to which ethics is integrated into the curriculum varies from school to school. Some ethics courses are required elements of the students' education; some institutions require attendance at seminars and ethics grand rounds. Other schools offer an array of elective courses in topics that relate to ethics in medicine and nursing (including medical humanities, medicine and the law, literature and medicine, history of medicine, patient advocacy, and human values in nursing.) "Brown bag" seminars and journal clubs are also common.There is much debate over how health care ethics should be taught. Some argue that medical professionals should be conversant with theories of ethics and principles of biomedical ethics. Others think that a theoretical approach will alienate already over-worked medical or nursing students, and that instruction in ethical theory should be kept to a minimum. Case studies are frequently cited as a way to involve students in medical decision making, forcing them to analyze problems that they can relate to their own experiences.Additional concerns center around who should teach health care ethics. Frequently, physicians and nurses interested in ethics teach courses. Some commentators see this as the most desirable arrangement, asserting that practicing health care professionals best understand the conflicts faced by physicians and nurses-in-training. However, there is a growing pool of professionals who are undergoing training as medical ethicists. These individuals study ethical theory and bioethical... (shrink)

The development and utility of genetically modified crops for smallholders around the world is controversial. Critical questions include what traits and crops are to be developed; how they can be adapted to smallholders’ ecological, social and economic contexts; which dissemination channels should be used to reach smallholders; and which policy environments will enable the greatest benefits for smallholders and the rural poor. A key question is how the voices of smallholders who have experience with or desire to use GM technologies (...) enter the larger debate. Africa has the greatest number of smallholders and poor with the least exposure to GM crops. Because of the well-established use of GM crops in South Africa by commercial farmers, we formed a community of practice involving smallholders, extension, researchers, non-profits and agribusiness in KwaZulu-Natal to examine the conditions under which GM crops are used by smallholders, how smallholders interact with GM technologies and what insights smallholders and other stakeholders can provide regarding these questions. One of the advantages of the CoP approach is that it brings stakeholders together in a non-hierarchical way that encourages new ways of thinking and new partnerships. Such interaction around a specific project can enhance the voice of smallholders in a variety of ways. In our project, smallholder participants have increased their knowledge and can make better decisions about GM technologies, which had been barriers for them. Notably, they have also improved their knowledge of maize production practices, accessed new practice networks, and met new researchers and resource providers. They are now being integrated into these networks in a way that should improve their livelihoods and make the wants and needs of smallholders better known. Such knowledge and experience has improved their voice in agriculture and rural development discussions. (shrink)

S'obstiner à établir un distinguo dans le champ des conduites humaines entre celles qui seraient morales - et, à ce titre, objet exclusif de la philosophie pratique - et les autres, qualifiées de pathologiques et abandonnées de facto au médecin ou au psychologue, c'est s'obstiner à ne rien vouloir entendre des conduites humaines, quand tout un chacun sait-il en fait sans cesse l'expérience - que si nul n'est affranchi des usages, nul, non plus, n'est exonéré du symptôme, ni exempté du (...) désir. Que cette obstination soit le produit d'une histoire, sûrement. Mais le plus urgent est de s'en dégager en observant que toutes les conduites humaines relèvent du même modus operandi, sous réserve de bien saisir qu'elles prennent toutes leurs conditions auprès d'énoncés qui tirent leur légitimité, non d'une justification par l'observation - celle dont bénéficient nos énoncés cognitifs - mais de leur partage par une communauté ou de leur expression par une autorité, énoncés de croyance dont le pouvoir d'action est proportionnel à la rhétorique qui y est associée, comme l'exemplifient les messages publicitaires ou politiques. Alors se découvre que ce modus operandi avait déjà été entraperçu par Aristote dans sa réflexion sur le syllogisme pratique, réflexion que l'on retrouve étonnamment sous la plume de Wittgenstein dans sa réflexion sur le rapport entre les jeux de langage et nos manières d'agir et sous celle de Lacan, dans sa réflexion sur les divers discours induisant nos conduites. Mais c'est alors à une tout autre conception de l'homme que nous sommes conviés, celle où le langage ordinaire en est le ressort et non quelque "volonté". (shrink)

Adventurers and discoverers are recurring figures and themes in Nietzsche’s writings. This is especially the case in Morgenröthe and Die fröhliche Wissenschaft, where this conceptual constellation belongs to the context of the “free spirits”. For Nietzsche, it seems, adventurers and discoverers represent the productive as much as destructive potential of any desire for knowledge. In this article, I will thus focus on two connected questions: (1) what are the specific epistemic characteristics of the adventurer and the discoverer, and (2) how (...) are these characteristics performed, and how do they become manifest, in a text like Morgenröthe. The analysis of the function of the “theatre eye” plays a key role here. (shrink)

In an age where digital images are omnipresent, the use of participant photography in qualitative research has become accessible and commonplace. Yet, scant attention is paid to the social justice impact of photovoice amongst studies that have used this innovative method as a way to promote social justice. There is a need to review this method to understand its contributions and possibilities. This literature review of photovoice research studies (i) explores whether authors implicitly or explicitly related the methodologies to their (...) aims of promoting social justice (methodology–method fit) and (ii) outlines the social justice research impact of photovoice findings using the framework of social justice awareness, amelioration and transformation. PubMed, Scopus, PsycINFO and Web of Science databases were searched from the years 2008–13 using the following keywords: photovoice; photonovella; photovoice and social justice; and photovoice and participatory action research. Of the 30 research studies reviewed, only thirteen identified an underlying methodology guiding the photovoice method. The social justice impacts emphasized were more related to social justice awareness (n = 30) than amelioration (n = 11) or transformation (n = 3). Future researchers using photovoice as a way to promote social justice are encouraged to assess and plan for the social justice impact desired. (shrink)

Background: In psychiatry, the issue of providing palliative and end-of-life care for what would be a “terminal psychiatric condition” or considering a palliative approach to severe and persistent mental health problems is still a taboo. Methodology: This question is addressed through an analysis of a case arising during a clinical ethics consultation, using Hubert Doucet’s scenario method. It is about Mrs. Sanchez, a patient over 90 years of age with a psychiatric profile, expressing the desire to die by suicidal gestures, (...) refusing the proposed treatments, and refusing as well to drink and eat. Her clinical history is told through the filter of reflexive support offered in clinical ethics to the various stakeholders. Results: The case analysis, far from responding to the challenges posed by the concept of palliative and end-of-life care in a psychiatric context, nevertheless presents an opportunity to name its main ethical issues: psychic suffering, refusal to eat and drinking as well as refusal of treatment, palliative sedation and medical assistance in dying, wishes and advanced medical directives and clinical-organizational challenges for geriatric psychiatry clients. Conclusion: There are still many challenges for professionals and decision-makers to meet the needs of older mental health clients. We call for further development of knowledge on this specific topic. (shrink)

Angelaki, Volume 17, Issue 1, Page 69-81, March 2012.

Historically, Anthropomorphism is a technique used by humans to make sense of their surroundings. More recently, anthropomorphism has been widely used as a technique to influence consumers to purchase goods or services. These techniques can entice consumers into buying something to fulfil a gap or desire in their life, ranging from loneliness to the desire to be exclusive. By manipulating belief systems, consumer behaviour can be exploited. Anthropomorphism can encourage society to use inappropriate emotional attachments and faulty frameworks to understand (...) complex concepts, which in turn reduces risk awareness and understanding of how that technology might impact the individual or society. This technique also separates and divides individuals and society; it plays into a deep belief system that all humans wish to be distinct and yet be part of a group. The consequences of this are found in the field of dehumanisation, which is extremely damaging for society and individuals alike. This research has found potential serious consequences for society and humanity which indicate an urgent need for further research in this area. (shrink)

Simone de Beauvoir remarks that women have trouble articulating a “we” together; this foible of language is connected to our unwillingness to claim our subjectivity, and to our ability to say “I” in ordinary conversation. The corresponding political difficulty is that the “we” of a non-exclusionary women’s solidarity and revolution seems almost impossible to imagine. Luce Irigaray’s paradigm of between-women-talk, best designated as talk amongst women and non-cis-men, offers a way of reforming the language required: a Platonic participation where desire (...) beyond purpose is the only qualification, with #MeToo being one imperfect conversational example. Interrogating our reluctance and hesitation at the possibilities of this conversation makes our need for the language of mutually reinforcing subjectivity clear. (shrink)

NEOCLASSICAL ECONOMICS IS INSTRUMENTAL IN CHARACTER, FOCUSING on the efficient realization of the sovereign desires of consumers. The emphasis on instrumental reasoning leaves little room for consideration of economic virtue. The tradition of Catholic social teaching has drawn on St. Thomas Aquinas for a framework that approaches economic problems through the lens of virtue. Thomas's thought, however, hinges on the socially determined standards of living of his day, which have no modern counterpart. The neglected consumer economist Hazel Kyrk offers a (...) theory of consumption that does center on the standard of living and thus offers us a bridge between Thomas's thought and our modern economic setting. (shrink)

The subject of “The Other”, the different one always generated conflicts more or less serious in the history of humanity, without proposals of any resolution. In the measure in that The Other questions, by similitude or by difference, the identity in which the subject is sustained, that questioning make unstable that precarious construction, and because of this, it converts itself in the opposer. In this study, we will find, in the text of Il Visconte Dimezzato by Italo Calvino, the subject (...) of the Otherness/Alterity, analyzing from the semiotic point of view the reactions and behaviors of each one of the two characters and of the members of the society in which they live. The starting point of the story by Italo Calvino is that in a war between Austria and the Turks, the Viscount Medardo di Terralba as a consequence of a canon shot remains divided vertically into two halves and both halves survive. One of the two halves is very bad and the other is very good. Each one of the two halves sees in the other one “The Other”, feeling itself “The One” but incomplete and desiring to turn to be “The Same” as it was before being divided by the canon shot. (shrink)

Building on Merleau-Ponty’s recognition of the mutually expressive relation between the body and the space it occupies, I borrow from queer and feminist phenomenologies to reflect on the spatiality of subjects constrained to heterosexuality – a constraint that functions as a common ground, always already present, of the kind that Merleau-Ponty argued was constitutive of subject/world relations. If it is the case, as many feminist theorists after Adrienne Rich argued, that the patriarchal norm orients us early on toward the opposite (...) gender, then there is much to be learned from studying the notion of feminine space and the erasure of the subject in this space -an erasure that has been largely discussed within recent feminist phenomenological work, notably in relation to the contrasting extension of men in space –, particularly as both are established in relation to male desire. Our aim is to argue that because it is temporal, and because it involves sedimentation and habit, the study of this orientational constraint through the lens of Merleau-Ponty could allow us to open up the future of gendered norms, and, through this, of gendered practices of sharing space. (shrink)

Pope Francis's has described his vision for a synodal Church, not simply as a once off programme of renewal, but as God's desire for the Church of the third millennium. As such, it aims to concretise the ecclesiology of the Second Vatican Council, making the Church today more manifestly one of communion, participation, and mission. It differs from previous synods and Councils in history in that it more directly invites and involves all the baptised in a direct process of listening (...) and discernment to the voice of the Holy Spirit. This paper aims to understand from a theological perspective how listening will work in a synodal Church, by exploring firstly what we mean by the ecclesiology of communion from the Council. Such an ecclesiology, manifesting the equal dignity of the faithful in Christ, will ground listening at the level of participation in God as well as acknowledging the gift of infallibility given to the whole Church. It means calling on the Holy Spirit to help discern how and where, the apostolic deposit of faith has been received by members of the body. It also explores what we mean by listening to the sensus fidei of the whole body and how the authority of laity and hierarchy operate both in united but distinct ways within a synodal process grounded in communion ecclesiology. Overall, such listening is to be done carefully for the sake of the Church's mission as the sacrament of salvation to the world. (shrink)