Background: A fair distribution of healthcare services for older patients is an important challenge, but qualitative research exploring clinicians’ consideration in daily clinical prioritisation in healthcare services for the aged is scarce.Objectives: To explore what kind of criteria, values, and other relevant considerations are important in clinical prioritisations in healthcare services for older patients.Design: A semi-structured interview-guide was used to interview 45 clinicians working with older patients. The interviews were analysed qualitatively using hermeneutical content analysis and template organising style.Participants: 20 (...) physicians and 25 nurses working in public hospitals and nursing homes in different parts of Norway.Results and interpretations: Important dilemmas relate to under-provision of community care and comprehensive approaches, and over-utilisation of certain specialised services. Overt ageism is generally not reported, but the healthcare services for the aged seem to be inadequate due to more subtle processes, for example, dominating considerations and ideals and operating conditions that do not pay sufficient attention to older patients’ needs and considerations of justice. Clinical prioritisations are described as being dominated by adapting traditional biomedical approaches to the operating conditions. Many of the clinicians indicate that there is a potential for improving end of life decisions and for reducing exaggerated use of life-prolonging treatment and hospitalisations.Conclusion: The interviews in this study indicate that considerations of justice and patients’ perspectives should be given more attention to strike a balance between specialised medical approaches and more general and comprehensive approaches in healthcare services for older patients. (shrink)

Background: Although fair distribution of healthcare services for older patients is an important challenge, qualitative research exploring clinicians’ considerations in clinical prioritisation within this field is scarce. Objectives: To explore how clinicians understand their professional role in clinical prioritisations in healthcare services for old patients. Design: A semi-structured interview-guide was employed to interview 45 clinicians working with older patients. The interviews were analysed qualitatively using hermeneutical content analysis. Participants: 20 physicians and 25 nurses working in public hospitals and nursing homes (...) in different parts of Norway. Results and interpretations: The clinicians struggle with not being able to attend to the comprehensive needs of older patients, and being unfaithful to professional ideals and expectations. There is a tendency towards lowering the standards and narrowing the role of the clinician. This is done in order to secure the vital needs of the patient, but is at the expense of good practice and holistic role modelling. Increased specialisation, advances and increase in medical interventions, economical incentives, organisational structures, and biomedical paradigms, may all contribute to a narrowing of the clinicians’ role. Conclusion: Distributing healthcare services in a fair way is generally not described as integral to the clinicians’ role in clinical prioritisations. If considerations of justice are not included in clinicians’ role, it is likely that others will shape major parts of their roles and responsibilities in clinical prioritisations. Fair distribution of healthcare services for older patients is possible only if clinicians accept responsibility in these questions. (shrink)

Study of rationalism in Urdu literature.

On Sikh ethics; includes brief biographies of Sikh religious leaders.

Successful applications of a conceptually novel setup of Quantum Field Theory, that accounts for all subtheories of the Standard Model (QED, Electroweak Interaction and Higgs, Yang–Mills and QCD) and beyond (Helicity 2), call for a perspective view in a broader conceptual context. The setting is “autonomous” in the sense of being intrinsically quantum. Its principles are: Hilbert space, Poincaré symmetry and causality. Its free quantum fields are obtained from Wigner’s unitary representations of the Poincaré group, with only physical and observable (...) degrees of freedom. A “quantization” of an “underlying” classical theory is not needed. It allows renormalizable perturbation theory with interactions whose detailed structure, and in some cases even the particle content, is predicted by internal consistency. The results confirm and extend observable predictions for the interactions of the Standard Model without assuming a “principle” of gauge invariance. (shrink)

On Sikh doctrines inunciated by Guru Nanak.

Context: The main problem is the rather marginal status of radical constructivism within its core domains of brain research, cognition and learning. Problem: The basic goal is to provide a short history of radical constructivism and its institutionalization processes. Additionally, the article specifies critical conditions that should be met in order for radical constructivism to become a mainstream endeavor. Method: The main methods used are those of comparative historical research. Results: The main results lie in the specification of missing elements (...) that have blocked radical constructivism becoming a mainstream endeavor. Implications: The paper might serve as a common reference for necessary steps to be taken over the following years in order to move radical constructivism out of its current weak position. (shrink)

The concept of experience has been central to European philosophy since Descartes. He was the first to use experience to distinguish between two kinds of substance, mental and material, on the basis of the fact that one kind of substance is extended but does not think, while the other kind thinks, doubts, wills, imagines and feels, but is not extended. Other philosophers, such as Hobbes, Locke and Hume, made the concept of experience the basis of their analysis of knowledge. These (...) ideas have become part of common sense, and provide the background for a range of philosophical problems from Descartes’ time to the present. While the concept of experience is important for philosophy, philosophers do not all have the same understanding of the nature of experience. (shrink)

Open peer commentary on the article “Observing Environments” by Hugo F. Alrøe & Egon Noe. Upshot: The following remarks elaborate on the basic concepts of observation and environment. Some extensions are suggested, mainly from the perspective of Luhmann’s theory of social systems. Especially, the concept of structural couplings is given more emphasis, not least because of its relevance to the sustainability debate.

Translation and interpretation of selected Hadith on Islamic ethics and coduct.

In the last few years there has been a revival of interest in F.H. Bradley and particularly the account of judgment contained in The Principles of Logic. Many of those who discuss Bradley’s theory of judgment mistakenly assume that it can best be seen as a linguistic account. They insist that what Bradley says can be understood as an account of the meaning and reference of words or sentences. In this paper I will argue that Bradley’s theory of judgment is (...) essentially a psychological theory. Judgment is the union of part of the content of an image or other mental particular with our immediate experience. There is no evidence for the linguisitc interpretation and its defenders cannot make sense of Bradley’s discussion of a number of technical points, particularly his criticism of the view that judgment is the synthesis of ideas, and his comments on the idea of “this.” I will also argue that Bradley’s account of judgment cannot be separated from his later metaphysics and is essentially Hegelian in character. To explain Bradley’s theory I will begin where he does, with an examination of the nature of ideas. (shrink)

This book uses the writings of Syed Alam Khundmiri to look at issues such as: Islamic traditionalism in the context of meodernization; Islamic theology and politics; and Western and Indian notions of secularism.

Purpose: The article pursues three aims. First, it intends to differentiate between two different approaches for knowledge studies, namely an empirical and a normative mode. In a second move, two different epistemologies in the work of Ernst von Glasersfeld will be introduced under the labels of “Epistemology I” and “Epistemology II.” Epistemology I relates to empirical research, Epistemology II is normative in nature. Third, the article makes the point that while Ernst von Glasersfeld’s Epistemology II has already been presented in (...) a finite and mature form, his empirical analysis of cognitive processes still provides a rich pool of tools and designs that should be further developed and advanced in the years and decades ahead. Method: The article is analytical in nature, identifying the different building blocks and relational networks of von Glasersfeld’s two epistemologies. By this, the article intends to contribute to a further advancement of von Glasersfeld’s Epistemology I. Results: The main finding lies in recognizing the radical and innovative elements of von Glasersfeld’s Epistemology I and on the still-challenging research designs of Epistemology I. (shrink)

Volume 2 is made up primarily of unpublished material from the Bradley Papers held at Merton College since Bradley’s death in 1924. The 587 pages of this volume are divided into eight sections with an Introduction by the editor and an Appendix: Introduction by Editor 1. MS Book α : a notebook on metaphysical and psychological topics with Bradley’s index. 2. MS BK T ): one notebook on mainly metaphysical topics with Bradley’s index. 3. Two untitled notebooks containing sketches of (...) chapters for Appearance and Reality. 4. MS BK Z one notebook on psychological topics with Bradley’s index. 5. Draft of a reply to Alfred Sidgwick’s article “Mr. Bradley and the Sceptics” in Mind, vol. 3 ns, July 1894 6. Manuscript of unpublished paper on Alexander Shand’s article “Attention and Will: A Study in Involuntary Action” in Mind, vol. 4 ns, October 1895. 7. Manuscript of unpublished paper on Bertrand Russell’s article “Is Position in Time and Space Absolute or Relative?” in Mind, vol. 10 ns, July 1901. 8. Selections of Bradley’s reading notes on works read from 1883–1902, taken from 5 separate notebooks. Appendix: What Bradley Read. This is a chronological list of works for which there is some positive evidence that Bradley read something from them. The evidence used to determine what he read includes “his correspondence, papers and/or publications”. An acknowledgement of receipt and a promise to read a work is not considered adequate evidence that he actually read the work in question. (shrink)

Context: The journal Constructivist Foundations celebrates ten years of publishing articles on constructivist approaches, in particular radical constructivism. Problem: In order to preserve the sustainability of radical constructivism and regain its appeal to new generations of researchers, we set up a new course of action for and with the radical constructivist community to study its innovative potential. This new avenue is “second-order science.” Method: We specify two motivations of second-order science, i.e., the inclusion of the observer, and self-reflexivity that allows (...) second-order science to operate on the products of normal or first-order science. Also, we present a short overview of the contributions that we have collected for this inaugural issue on second-order science. Results: These six initial contributions demonstrate the potential of the new set of approaches to second-order science across several disciplines. Implications: Second-order science is believed to be a cogent concept in the evolution of science, leading to a new wave of innovations, novel experiments and a much closer relationship with current research in the cognitive neurosciences in particular, and with evolutionary and complexity theories in general. (shrink)

Purpose: Several accounts like Ernst von Glasersfeld's Who Conceives of Society? (2008) locate empirical research in the social sciences and radical constructivism in almost parallel universes. The main purpose of this paper is to argue for more inter-active relations and to stress the importance of establishing weak, medium and strong ties between radical constructivism and empirical social research in general. Findings: The article shows that that weak, medium and strong ties between radical constructivism and empirical research in the social sciences (...) can be established. Moreover, these weak, medium and strong ties play a crucial role for increasing and maintaining the relevance of radical constructivism within the social sciences and for contributing to the viability of radical constructivism in the long run. Implications: The most important consequence for radical constructivism lies in a new research agenda. In the course of this article weak, medium and strong ties to empirical research have been specified specifically and exclusively for the social sciences. But these specific links cannot be simply generalized or transferred to other disciplinary fields outside the social sciences. Since interactive links between radical constructivism and empirical research are currently missing in practically all disciplines, these weak, medium and strong links, as a new RC-agenda, have to be developed separately for each major scientific research arena. (shrink)

Open peer commentary on the target article “Who Conceives of Society?” by Ernst von Glasersfeld. Excerpt: I will make the point that radical constructivism von Glasersfeld style unnecessarily plays only a passive or an inactive role. Quite obviously, I want to demonstrate that there is life for radical constructivism outside its seemingly irrelevant function in empirical social research and that it is possible to develop radical constructivism in designs with tangible consequences and effects for the cognitive routines in the social (...) sciences. In short, it is conceivable, despite “Who Conceives of Society?”, that radical constructivism matters. (shrink)

Alvin Plantinga, in the ninth chapter ofThe Nature of Necessity, sets out a defence of the Free Will Defence (FWD)2. In what follows, I shall set out, to begin with, a statement of the main line of his argument3. I shall, then, set out a number of minor criticisms of the ninth chapter. Finally, I shall set out a criticism of Plantinga’s argument.

Open peer commentary on the article “Luhmann and the Constructivist Heritage: A Critical Reflection” by Armin Scholl. Upshot: The comment starts with Buchinger’s assessment that Luhmann’s contribution to constructivism is original and inspiring, but raises more questions than answers. In three variations, the comment tries to show that Luhmann can indeed be viewed as a big question-generator and that his heritage for radical constructivism may lie in the original and inspiring effects these new and additional questions can produce.