Background and objectives: Physicians are exposed to matters of existential character at work, but little is known about the personal impact of such issues. Methods: To explore how physicians experience and cope with existential aspects of their clinical work and how such experiences affect their professional identities, a qualitative study using individual semistructured interviews has analysed accounts of their experiences related to coping with such challenges. Analysis was by systematic text condensation. The purposeful sample comprised 10 physicians (including three women), (...) aged 33–66 years, residents or specialists in cardiology or cardiothoracic surgery, working in a university hospital with 24-hour emergency service and one general practitioner. Results: Participants described a process by which they were able to develop a capacity for coping with the existential challenges at work. After episodes perceived as shocking or horrible earlier in their career, they at present said that they could deal with death and mostly keep it at a distance. Vulnerability was closely linked to professional responsibility and identity, perceived as a burden to be handled. These demands were balanced by an experience of meaning related to their job, connected to making a difference in their patients’ lives. Belonging to a community of their fellows was a presupposition for coping with the loneliness and powerlessness related to their vulnerable professional position. Conclusions: Physicians’ vulnerability facing life and death has been underestimated. Belonging to caring communities may assist growth and coping on exposure to existential aspects of clinical work and developing a professional identity. (shrink)

Researchers from diverse disciplines, including organismal and cellular physiology, sports science, human nutrition, evolution and ecology, have sought to understand the causes and consequences of the surprising variation in metabolic rate found among and within individual animals of the same species. Research in this area has been hampered by differences in approach, terminology and methodology, and the context in which measurements are made. Recent advances provide important opportunities to identify and address the key questions in the field. By bringing together (...) researchers from different areas of biology and biomedicine, we describe and evaluate these developments and the insights they could yield, highlighting the need for more standardisation across disciplines. We conclude with a list of important questions that can now be addressed by developing a common conceptual and methodological toolkit for studies on metabolic variation in animals. (shrink)

This essay explores the role of God’s omnipresence in Newton’s natural philosophy, with special emphasis placed on how God is related to space. Unlike Descartes’ conception, which denies the spatiality of God, or Gassendi and Charleton’s view, which regards God as completely whole in every part of space, it is argued that Newton accepts spatial extension as a basic aspect of God’s omnipresence. The historical background to Newton’s spatial ontology assumes a large part of our investigation, but with attention also (...) focused on the details of Newton’s unique approach to these traditional Scholastic conceptions. (shrink)

Changes in pupil size can reflect social interest or affect, and tend to get mimicked by observers during eye contact. Pupil mimicry has recently been observed in young infants, whereas it is unkno...

This chapter contains sections titled: Faith and Reason God's Existence The Names of God Theology and Metaphysics How We Know Universals Individuation Conclusion.

This chapter discusses various conceptions of moral judgment during the eighteenth century in Britain. It begins with a characterization of moral rationalism that centres on Samuel Clarke and John Locke. It then discusses moral sentimentalism or moral sense theory, which is associated with Shaftesbury, Hutcheson, and Hume, portraying it partly as a reaction to moral rationalism but also as a response to the perceived positions of Hobbes and Mandeville. The chapter then discusses the position of Joseph Butler, Adam Smith’s sophisticated (...) version of sympathy and sentimentalism, and the theories of Richard Price and Thomas Reid, both of which rejected sentimentalism. (shrink)

We study the relationship between various properties of the real numbers and weak choice principles.

This study investigated the use of mobile telephones by males and females in a public bar frequented by professional people. We found that, unlike women, men who possess mobile telephones more often publicly display them, and that these displays were related to the number of men in a social group, but not the number of women. This result was not due simply to a greater number of males who have telephones: we found an increase with male social group size in (...) the proportion of available telephones that were on display. Similarly, there was a positive relationship between the number of visible telephones and the ratio of males to females. Our results further show that the increased display of telephones in groups with more males is not due to the ostensive function of these devices (i.e., the making and receiving of calls), although single males tended to use their phones more. We interpret these results within the framework of male-male competition, with males in larger group sizes functioning in an increasingly competitive environment. This competitive environment is suggested to be akin to a lek mating system in which males aggregate and actively display their qualities to females who assess males on a number of dimensions. We suggest that mobile telephones might be used by males as an indicator of their status and wealth (sensu “cultural ornaments”). (shrink)

In recent years there has been increasing concern about the various forms of abuse faced by birthing patients during labour and childbirth. Common examples include being scolded, slapped, pinched, stabbed with scissors or struck with a ruler or other instruments. This mistreatment is collectively termed obstetric violence.A growing body of literature examines legal responses to obstetric violence including the potential use of the criminal law. The present article explores whether, in South Africa, common-law crimes or statutory offences could be used (...) to prosecute healthcare workers for the range of harms falling within the broad definition of obstetric violence. It does not question whether criminal law is an appropriate response in this instance.The article concludes that existing crimes are sufficient to address obstetric violence. It is clear that the common-law crimes of crimen iniuria, assault, assault with intention to commit grievous bodily harm and the statutory offence of involuntary sterilisation, could be used to address both physical and emotional forms of obstetric violence. It is submitted that they cater adequately for the broad range of conduct that potentially falls into the definition of obstetric violence. Further research is required in this area and it may mean that prosecutorial guidelines are needed. (shrink)

This book is available either individually, or as part of the specially-priced Arguments of the Philosphers Collection.

What are physical quantities, and in particular, what makes them quantitative? This book presents an original answer to this question through the novel position of substantival structuralism, arguing that quantitativeness is an irreducible feature of attributes, and quantitative attributes are best understood as substantival structured spaces.