This article addresses how health professionals should monitor and safeguard their patients’ ability to participate in making clinical decisions and making subsequent decisions regarding the implementation of their treatment plan. Patient participation in clinical decision-making is essential, e.g. in self-care, where patients are responsible for most ongoing care. We argue that one common, fact-oriented patient education strategy may in practice easily tend to take a destructive form that we call error trawling. Illustrating with empirical findings from a video study of (...) consultations between clinicians and adolescent patients with diabetes, we argue on independent grounds that this strategy not only risks to overlook significant weaknesses in patient decision competence, but also to undermine patient capacity for decision-making and implementing care. In effect, this strategy for clinically monitoring and addressing the problem of fragile decision-making capacity brings hazards in need of address. We clo... (shrink)

This article argues that standard models of person-centred care (PCC) and shared decision making (SDM) rely on simplistic, often unrealistic assumptions of patient capacities that entail that PCC/SDM might have detrimental effects in many applications. We suggest a complementary PCC/SDM approach to ensure that patients are able to execute rational decisions taken jointly with care professionals when performing self-care. Illustrated by concrete examples from a study of adolescent diabetes care, we suggest a combination of moral and psychological considerations to support (...) the claim that standard PCC/SDM threatens to systematically undermine its own goals. This threat is due to a tension between the ethical requirements of SDM in ideal circumstances and more long-term needs actualized by the context of self-care handled by patients with limited capacities for taking responsibility and adhere to their own rational decisions. To improve this situation, we suggest a counseling, self-care, adherence approach to PCC/SDM, where more attention is given to how treatment goals are internalized by patients, how patients perceive choice situations, and what emotional feedback patients are given. This focus may involve less of a concentration on autonomous and rational clinical decision making otherwise stressed in standard PCC/SDM advocacy. (shrink)

In recent years there has been an increasing awareness that a comprehensive understanding of language, cognitive and affective processes, and social and interpersonal phenomena cannot be achieved without understanding the ways these processes are grounded in bodily states. The term ‘embodiment’ captures the common denominator of these developments, which come from several disciplinary perspectives ranging from neuroscience, cognitive science, social psychology, and affective sciences. For the first time, this volume brings together these varied developments under one umbrella and furnishes a (...) comprehensive overview of this intellectual movement in the cognitive-behavioral sciences. (shrink)

Chapter 1 Introduction Jennifer Gunning and S0ren Holm Ethics as a discipline has begun to escape the theoretical domains of philosophy and to pervade many ...

Tracing the short film as an alternative to the more familiar feature film, Gunning moves from the shorter films of early cinema to the avant-garde films of Peter Kubelka, discussing Maya Deren’s concept of vertical time and Kubelka’s idea of ecstasy. The claim is made that time in short films can be very different from the time in narrative films, not simply briefer.

Positive psychology is an approach to psychology that focuses on the utilization of strengths, positive emotions, well-being, and personal growth to help individuals thrive, flourish, and achieve optimal functioning. The following case study highlights how positive psychology theories and techniques, specifically strengths-development and gratitude interventions, were implemented into a sport psychology intervention by a trainee sport and exercise psychologist. It is hoped that other practitioners may find the case study a useful insight into how they may be able to incorporate (...) positive psychology into their practice. (shrink)

It is argued that the multilayered model offered by the shared circuits model (SCM) falls short of capturing an essential aspect of social cognition, namely, its distributed nature. The SCM therefore falls short of modeling emergent social cognition and behavior.

An introduction to Gila Walker’s translation of Michel Mourlet’s “On a Misunderstood Art (1959).”.

Lack of guidance and regulation for authorizing medical cannabis for conditions involving the health and neurodevelopment of children is ethically problematic as it promulgates access inequities, risk-benefit inconsistencies, and inadequate consent mechanisms. In two virtual sessions using participatory action research and consensus-building methods, we obtained perspectives of stakeholders on ethics and medical cannabis for children and youth. The sessions focused on the scientific and regulatory landscape of medical cannabis, surrogate decision-making and assent, and the social and political culture of medical (...) cannabis. We found that evidence-gathering and data dissemination, pressures on clinical relationships, and the lack of integration of culturally diverse perspectives and Indigenous knowledges were key areas of concern. Participants emphasized the importance of utilizing adaptive study designs, highlighted the importance of trust-building between clinicians, patients and caregivers, and discussed barriers including historical and ongoing stigmatization of medical cannabis. We conclude that continued public consultation and strength-based research that integrate diverse perspectives are critical steps forward. (shrink)

Name der Zeitschrift: Kant-Studien Jahrgang: 106 Heft: 4 Seiten: 717-721.

Biographical verse work illustrating Jaina ethics and morality; includes translation in Hindi.

Natures Way draws upon the latest research to show us how to get the most out of our green pharmacies on the doorstep. It can improve a range of mental health issues and support human creativity, cognition, and problem solving. This book outlines how nature repairs, renews, and supports our physiological systems.