Background A significant number of women experience childbirth as traumatic. These experiences are often characterised by a loss of control coupled with a perceived lack of support and inadequate communication with health care professionals. Little is known about the choices women make in subsequent pregnancy(s) and birth(s), or why they make these choices. This study aimed to understand these choices and explore the reasons behind them. Methods A longitudinal Grounded Theory Methods (GTM) study involving 9 women was conducted. Over half (...) of the participants had a formal diagnosis of PTSD and/or PND related to the previous birth. Interviews were carried out at 3 timepoints perinatally. These findings are from the first interviews at 12-20 weeks. Results From the first days of pregnancy, this cohort of women were focused on concerns that this birth would be a repeated traumatic experience. The women were deliberately searching out and analysing information about their choices in this pregnancy and birth, and making plans which had two aims; firstly to avoid a repeat of their previous birth experience, and secondly to avoid a loss of control to other people during the birth. The women considered a range of birth choices, from elective caesareans to freebirth. Some women felt well supported by those around them, including health care professionals, partners, friends and family. Others did not, and were anticipating conflict in trying to assert their birth choices. Many early relationships with health care professionals were characterised by fear and mistrust. Discussion Women who have previously experienced a traumatic birth become pregnant again, have a strong desire to avoid a repeat experience and to feel in control of their birth choices. Access to robust information appears to help reduce uncertainty and arm women in their discussions with professionals. Similarly making plans and seeking to have them agreed with health care professionals at an early stage is used a way to reduce the risk of having a further traumatic experience. Implications for practice include supporting women in formulating and confirming pregnancy and birth plans at an early stage to reduce uncertainty and foster a sense of control. (shrink)

This paper discusses a relational modeling of measurement which is complementary to the standard representational point of view: by focusing on the experimental character of the measurand-related comparison between objects, this modeling emphasizes the role of the measuring systems as the devices which operatively perform such a comparison. The non-idealities of the operation are formalized in terms of non-transitivity of the substitutability relation between measured objects, due to the uncertainty on the measurand value remaining after the measurement. The metrological structure (...) of traceability is shown to be an effective solution to cope with the problem of the general non-transitivity of measurement results. A preliminary theory is introduced as a possible formalization for the presented model. (shrink)

Author's note -- The posthumanist universal : between precarity and rebellion -- The bad habits of critical theory : on the rigid rituals of thought -- Why some things matter more than others : a lacanian explanation -- Rupture or resignation? : lacanian political theory vs. affect theory -- Socrates's mistake : lacanians on love, lacan on agálmata -- Is suffering an event? : badiou between nietzsche and freud -- Bibliography -- Index.

In his famous essay “Der moderne Denkmalkultus. Sein Wesen und seine Entstehung” from 1903, the Austrian historian and art theorist Alois Riegl pondered why it is that the modern observer is able to appreciate the monuments of the past. It seems an odd question. The nineteenth century was obsessed with history; its artists and architects were often accused of appreciating nothing but the past. Yet, Riegl’s question is prescient. If, as the historicists had long professed, there are no absolute or (...) eternal standards in art – if the value of art and architecture is relative, changing with time and circumstance – then logically, the past should be inaccessible to us. How come it is not? Riegl’s seemingly naïve question sums up historicism’s most pressing dilemmas and reveals the epochal determinism lurking in nineteenth-century Zeitgeist-thinking. This essay investigates Riegl’s attempted answers and their intellectual presuppositions. (shrink)

The aim of this longitudinal study was to investigate the temporal dynamics of ethical organisational culture and how it associates with well-being at work when potential changes in ethical culture are measured over an extended period of 6 years. We used a person-centred study design, which allowed us to detect both typical and atypical patterns of ethical culture stability as well as change among a sample of leaders. Based on latent profile analysis and hierarchical linear modelling we found longitudinal, concurrent (...) relations and cumulative gain and loss cycles between different ethical culture patterns and leaders’ well-being. Leaders in the strongest ethical culture pattern experienced the highest level of work engagement and a decreasing level of ethical dilemmas and stress. Leaders who gave the lowest ratings on ethical culture which also decreased over time reported the highest level of ethical dilemmas, stress, and burnout. They also showed a continuous increase in these negative outcomes over time. Thus, ethical culture has significant cumulative effects on well-being, and these longitudinal effects can be both negative and positive, depending on the experienced strength of the culture’s ethicality. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Rhetoric of Narrating Communal History in the Nineteenth-Century Finnish Historical NovelMari Hatavara (bio)Det var en mulen och dyster afton om våren 1718. Klockan knäppte fem minuter till sex i salen på den ståtliga herrgård, som tillhört den stolte Baronen Göran Boije, och som nu ägdes af hans enka, fru Catharina Boije. I detsamma hördes en klocka ringa gårdsfolket tillsamman för aftonbönen. I nedra ändan af salen samlades med (...) sakta steg allt gårdsfolket i tyst förbidan. Nu slog vägguret sex. […]It was a cloudy and dreary evening in the spring of 1718. The clock turned five to six in the great hall of the stately manor which once had belonged to the proud Baron Göran Boije, and which now was in the possession of his widow, Lady Catharina Boije. At the very moment, a bell was heard to summon all the folk together for an evening prayer. The servants gathered in the lower end of the hall with silent footsteps in a quiet waiting. The clock struck six now. […](All translations mine.)Finland's first historical novel, Fredrika Runeberg's Fru Catharina Boije och hennes döttrar (Lady Catharina Boije and Her Daughters) (1858),1 begins with this passage after a short frame narrative. The very first sentence provides the date where the story-world is set, and the lines following describe a setting suitable for that period of time. This is in accordance with the generic tradition of the historical novel. Even if the historical novel has very few characters whom theorists would agree upon, most theories of historical novel concur on the statement that the genre is "by definition referential, gesturing toward a world commonly understood to have existed" (Maxwell 545). This emphasis on the story-world has dominated the study of the historical novel. What I want to stress, however, are the specific ways in which a historical novel—to use Richard Maxwell's words—gestures toward this commonly comprehensible, preexistent world. How is the story-world made understandable to a reader and offered as the past? I want to demonstrate the importance of the literary means that help mediate between the past of the story-world and the present of the reader.The passage above begins with the retrospective view: the narrator refers to a date over two hundred years ago, and the passage is in the past tense. The text does, however, also apply expressions like "now." This indicates a point of view that is present in the story-world, at least in terms of temporality. The impression of a viewpoint present in the story-world is further emphasized by the frequent references to aural experience; the [End Page 21] sounds heard (the bell and the clock) and not heard (silent footsteps and quiet waiting) offer the reader an interpretative position that takes her into the story-world through experience. The origin of the experience, however, is not specified. Two questions arise that are crucial to my argument: Is the experiencing subject located temporally in the story-time or in the narrator's retrospective time? Is there a single experiencing subject? While the first question tackles the relationship between the past tense and the deictic markers indicating the present ("now"), the second question is concerned with features like the hearing of the sound of the bell in the passage: because the hearing is depicted in the passive mode, the hearer could be anybody or everybody.These two questions, the first about temporality and the second about the experiencing subject, intersect in the study of narrative identity. Alan Palmer suggests that in current research on narrative literature the individual consciousness has been emphasized at the expense of the social, and he stresses the importance of studying the latter (136). Still, individual and social modes of narrativizing one's past and present share common features, with the most important one perhaps being the need to mediate between different levels of time. Whereas self-narrations attempt to bridge the gap between the former, experiencing I, and the present, narrating I, historical narratives attempt to bridge the gap between characters experiencing the... (shrink)

This qualitative study explores how business leaders narrate their personal ways of recognizing, reasoning, and resolving moral conflicts and what these stories reveal about their moral identity processes within organizational contexts. Based on interviews with 25 business leaders, 4 moral identity statuses were identified: achievement, moratorium, foreclosure, and diffusion. The moral identity statuses were based on how leaders approached and interpreted moral conflicts and what the influence of the organizational context was in their moral decision-making processes. Some remained steadfast in (...) adhering to their previous value commitments, while others tried to avoid taking any clear moral standpoint. Still others experienced moral conflicts as disequilibrating events that triggered reflective processes and developmental cycles of moral identity change. These moral identity statuses hold implications for facilitating moral identity development among business leaders in the context of work. (shrink)

Some commentators have condemned Kant’s moral project from a feminist perspective based on Kant’s apparently dim view of women as being innately morally deficient. Here I will argue that although his remarks concerning women are unsettling at first glance, a more detailed and closer examination shows that Kant’s view of women is actually far more complex and less unsettling than that attributed to him by various feminist critics. My argument, then, undercuts the justification for the severe feminist critique of Kant’s (...) moral project. (shrink)

En el presente artículo se reflexionará entorno a la figura del justiciero y su posible encaje en las actuales sociedades democráticas. Se abordará la relación de incompatibilidad entre la idea del Estado legitimado para el uso de la violencia y la figura del justiciero. Cómo desde el mundo del cómic ha sido representado no como un defensor de la justicia sino como alguien que actúa al margen de la ley.

This article analyses the online communication of the Estonian extreme right that appears to be characterized by an echo-chamber effect as well as enclosed and hermetic meaning-making. The discussion mainly relies on the theoretical frameworks offered by semiotics of culture.One of the aims of the article is to widen the scope of understanding of autocommunicative processes that are usually related to learning, insight and innovation. The article shows the conditions in which autocommunicative processes result in closed interactions, based on reproducing (...) stereotypes and redundant content. We detect antithetical meaning-making, an orientation towards normative (“correct”) texts and the prevalence of phatic communication as the main dominants that guide closed autocommunication. Such communication leads to polarization of dissimilar views and hinders dialogue. Our case study focuses on the discussion that arose in the context of the European Refugee Crisis that started in spring 2015. (shrink)

This book examines contemporary structural social injustices from a feminist perspective. It asks: what makes oppression, discrimination, and domination wrongful? Is there a single wrongness-making feature of various social injustices that are due to social kind membership? Why is sexist oppression of women wrongful? What does the wrongfulness of patriarchal damage done to women consist in? In thinking about what normatively grounds social injustice, the book puts forward two related views. First, it argues for a paradigm shift in focus away (...) from feminist philosophy that is organized around the gender concept woman, and towards feminist philosophy that is humanist. This is against the following theoretical backdrop: Politically effective feminism requires ways to elucidate how and why patriarchy damages women, and to articulate and defend feminism's critical claims. In order to meet these normative demands an influential theoretical outlook has emerged: for emancipatory purposes feminist philosophers should articulate a thick conception of the gender concept woman around which feminist philosophical work is organized. However, Part I of the book argues that we should resist this move, and that feminist philosophers should reframe their analyses of injustice in humanist terms. Second, the book spells out a humanist alternative to the more prevalent gender-focus in feminist philosophy. This hinges on a notion of dehumanization, which Part II of the book develops. The argued for understanding of dehumanization is used to explicate the wrongness-making feature of social injustices, both in general and of those due to patriarchy. Dehumanization is not another form of injustice-rather, it is that which makes forms of social injustice unjust. The book's second part then provides a regimentation of social injustice from a feminist perspective in order to spell out the specifics of the proposed humanist feminism, and to demonstrate how it improves some non-feminist analyses of injustice too. (shrink)

The volume addresses a variety of issues on Stance and Inter/Subjectivity, and the expression of Identity in discourse. It focuses on the multifaceted nature of stance, and the use of resources of epistemicity, effectivity, and evaluation and metaphor, as well as other dimensions within the domain of stance, such as mirativity, emotion and attribution. In this way it provides a more in-depth and a wider perspective into the nature of stance. The contributions feature the use of stance resources in several (...) languages, and in various discourse domains and genres, such as oral discourse, political and newspaper discourse, and science popularization and medical research articles, as well as online fora on social issues, mental health and peer support platforms. (shrink)

This essay explores Johnstone's idea that "rhetoric is a wedge." In particular, it explores the place of this idea in Johnstone's philosophy of argument, the need to confront this idea with argument, and ways of confronting it with ad rem and ad hominem arguments.

In this book, readers will learn what perseverance is, how and why to show it, how to use mindfulness to better practice perseverance, and how to encourage it in others. Social and emotional learning (SEL) concepts support growth mindset throughout, while Grow with Goals and Mindfulness Exercise activities further reinforce the content. Vibrant, full-color photos and carefully leveled text engage young readers as they learn more about showing perseverance. Also includes sidebars, a table of contents, glossary, index, and tips for (...) educators and caregivers. (shrink)

Classical logic has proved inadequate in various areas of computer science, artificial intelligence, mathematics, philosopy and linguistics. This is an introduction to extensions of first-order logic, based on the principle that many-sorted logic (MSL) provides a unifying framework in which to place, for example, second-order logic, type theory, modal and dynamic logics and MSL itself. The aim is two fold: only one theorem-prover is needed; proofs of the metaproperties of the different existing calculi can be avoided by borrowing them from (...) MSL. To make the book accessible to readers from different disciplines, whilst maintaining precision, the author has supplied detailed step-by-step proofs, avoiding difficult arguments, and continually motivating the material with examples. Consequently this can be used as a reference, for self-teaching or for first-year graduate courses. (shrink)

This essay considers the divergent efforts of Judith Butler, Alain Badiou, and Slavoj Žižek to arrive at a postmetaphysical conception of ethics that would sidestep the pitfalls of traditional Western humanism yet still possess universal applicability. Butler approaches this task through her ethics of precarity, which posits vulnerability as a foundation for a generalizable ethics of relationality in the Levinasian vein. Badiou and Žižek, in turn, work from a more Lacanian perspective, attempting to leap directly from the singular to the (...) universal by bypassing the particular. After considering the strengths and weaknesses of both approaches, I propose that posthumanist theory needs to reconsider its resistance to a priori norms, for such norms do not need to be metaphysically grounded to be ethically compelling and politically useful. (shrink)

Feminism is the movement to end women’s oppression. One possible way to understand ‘woman’ in this claim is to take it as a sex term: ‘woman’ picks out human females and being a human female depends on various anatomical features (like genitalia). Historically many feminists have understood ‘woman’ differently: not as a sex term, but as a gender term that depends on social and cultural factors (like social position). In so doing, they distinguished sex (being female or male) from gender (...) (being a woman or a man), although most ordinary language users appear to treat the two interchangeably. More recently this distinction has come under sustained attack and many view it nowadays with (at least some) suspicion. This entry (around 12 000 words in length) outlines and discusses distinctly feminist debates on sex and gender. (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)

In philosophy, the problem is philosophy itself; moreover, in every instance this problem is stated according to the historical and personal situation in which the philosopher finds himself, and this situation is in turn determined in large measure ...