BackgroundAssisted dying has wide support among the general population but there is evidence that those providing care for the dying may be less supportive. Senior doctors would be involved in implementing the proposed change in the law. We aimed to measure support for legalising physician assisted dying in a representative sample of senior doctors in England and Wales, and to assess any association between doctors' characteristics and level of support for a change in the law.MethodsWe conducted a postal survey of (...) 1000 consultants and general practitioners randomly selected from a commercially available database. The main outcome of interest was level of agreement with any change in the law to allow physician assisted suicide.ResultsThe corrected participation rate was 50%. We analysed 372 questionnaires. Respondents' views were divided: 39% were in favour of a change to the law to allow assisted suicide, 49% opposed a change and 12% neither agreed nor disagreed. Doctors who reported caring for the dying were less likely to support a change in the law. Religious belief was also associated with opposition. Gender, specialty and years in post had no significant effect.ConclusionMore senior doctors in England and Wales oppose any step towards the legalisation of assisted dying than support this. Doctors who care for the dying were more opposed. This has implications for the ease of implementation of recently proposed legislation. (shrink)

The application of artificial intelligence and machine learning technologies in healthcare have immense potential to improve the care of patients. While there are some emerging practices surro...

This article shares reflections from members of the community of philosophers of education in the United States and Canada who were invited to express their insights in response to the theme ‘Snaps...

Eric Rayner, a psychoanalyst in private practice, has written the first clear introduction to Matte-Blanco's key concepts for psychotherapists and psychoanalysts. While Matte-Blanco's theories on the structure of the unconscious and the way in which it operates are generally recognized to be the most original since those of Freud, many people find his use of terminology from mathematics and logic difficult to understand. In this book, Rayner sets out the central ideas and then shows, with examples, how they (...) relate to clinical practice. He also describes how the ideas are related to those of people in other disciplines--mathematics, logic, psychology (specifically Piaget), and anthropology, among others. Drawing on the work of a group of people who have been inspired by Matte-Blanco's thinking to extend their own ideas and test them out in the consulting room, this book reveals the significance of Matte-Blanco's thought for future research. (shrink)

Diagonal relationships in the periodic table were recognized by both Mendeléev and Newlands. More appropriately called isodiagonal relationships, the same three examples of lithium with magnesium, beryllium with aluminum, and boron with silicon, are commonly cited. Here, these three pairs of elements are discussed in detail, together with evidence of isodiagonal linkages elsewhere in the periodic table. General criteria for defining isodiagonality are proposed.

When applied in the health sector, AI-based applications raise not only ethical but legal and safety concerns, where algorithms trained on data from majority populations can generate less accurate or reliable results for minorities and other disadvantaged groups.

Case-based instruction is a stable feature of ethics education, however, little is known about the attributes of the cases that make them effective. Emotions are an inherent part of ethical decision-making and one source of information actively stored in case-based knowledge, making them an attribute of cases that likely facilitates case-based learning. Emotions also make cases more realistic, an essential component for effective case-based instruction. The purpose of this study was to investigate the influence of emotional case content, and complementary (...) socio-relational case content, on case-based knowledge acquisition and transfer on future ethical decision-making tasks. Study findings suggest that emotional case content stimulates retention of cases and facilitates transfer of ethical decision-making principles demonstrated in cases. (shrink)

Visual cortical prostheses (VCPs) have the potential to provide artificial vision for visually impaired persons. However, the nature and utility of this form of vision is not yet fully understood. Participants in the early feasibility trial for the Orion VCP were interviewed to gain insight into their experiences using artificial vision, their motivations for participation, as well as their expectations and assessments of risks and benefits. Analyzed using principles of grounded theory and an interpretive description approach, these interviews yielded six (...) themes, including: the irreducibility of benefit to device functionality, mixed expectations for short-term device functionality and long-term technological advancement of visual prostheses, and a broad range of risks, concerns, and fears related to trial participation. We argue that these narratives motivate a nuanced set of ethical considerations related to the complex relationship between functionality and benefit, the intersection of user experience with disability justice, and the import of expectations and indirect risks on consent. (shrink)

Despite Foucault’s claim in his final interview that his ‘whole philosophical development’ was determined by his reading of Heidegger, to date little has been published exploring the relationship between these thinkers. Undoubtedly, the primary reason for this silence is the seeming impossibility of reconciling Foucault and Heidegger’s work. Indeed, in key respects, we could hardly imagine two more different philosophers. Heidegger seeks to recover a primordial sense of being that he believes has been lost through the history of the West. (...) Foucault pursues an entirely contrary trajectory, calling into question both the primordial status of forms of thought and experience, and the transcendental closure of philosophical-historical narratives. Heidegger’s work is focused on a single question (the question of being), developing a single way into this question. (shrink)

The issues the commentators have raised and which we address, include: the debate over how attention is allocated during reading; our distinction between early and late stages of lexical processing; our assumptions about saccadic programming; the determinants of skipping and refixations; and the role that higher-level linguistic processing may play in influencing eye movements during reading. In addition, we provide a discussion of model development and principles for evaluating and comparing models. Although we acknowledge that E-Z Reader is incomplete, we (...) maintain that it provides a good framework for systematically trying to understand how the cognitive, perceptual, and motor systems influence the eyes during reading. (shrink)

This is a slightly edited version of a talk given by Mrs Claire Rayner, a journalist and broadcaster, to a conference on human sexuality held under the auspices of the London Medical Group in the spring of this year. Mrs Rayner's lively presentation conveys the problems and anxieties which people face in this area, even in this so-called `permissive' age.

Cognitive Science, Volume 46, Issue 6, June 2022.

Cases have been employed across multiple disciplines, including ethics education, as effective pedagogical tools. However, the benefit of case-based learning in the ethics domain varies across cases, suggesting that not all cases are equal in terms of pedagogical value. Indeed, case content appears to influence the extent to which cases promote learning and transfer. Consistent with this argument, the current study explored the influences of contextual and personal factors embedded in case content on ethical decision-making. Cases were manipulated to include (...) a clear description of the social context and the goals of the characters involved. Results indicated that social context, specifically the description of an autonomy-supportive environment, facilitated execution of sensemaking processes and resulted in greater decision ethicality. Implications for designing optimal cases and case-based training programs are discussed. (shrink)

This letter addresses the editorial decision to publish the article, “Research on group differences in intelligence: A defense of free inquiry” (Cofnas, 2020). Our letter points out several critical problems with Cofnas's article, which we believe should have either disqualified the manuscript upon submission or been addressed during the review process and resulted in substantial revisions.

Traditional health sciences (including nursing) paradigms, conceptual models, and theories have relied heavily upon notions of the ‘person’ or ‘patient’ that are deeply rooted in humanistic principles. Our intention here, as a collective academic assemblage, is to question taken‐for‐granted definitions and assumptions of the ‘person’ from a critical posthumanist perspective. To do so, the cinematic works of filmmaker David Cronenberg offer a radical perspective to revisit our understanding of the ‘person’ in nursing and beyond. Cronenberg's work explores bodily transformation and (...) mutation, with the body as a fragile and malleable vessel. Cronenberg's work allows us to interrogate the body in all its complexity, contingency, and hybridity and provides avenues of rupture within current understandings of ‘the person’. Reinventing the definition of what it means to be human, critical posthumanism offers opportunities to both critique humanist theories and build affirmative futurities. Also drawing on the work of Deleuze and Guattari, specifically, their concept of becoming, we propose a critical posthumanist alternative to the conceptualization of the person in the health sciences, that of the becoming‐mutant, so frequently explored in Cronenberg's films. Such a conceptualization permits the inclusion of various technological interventions of the contemporary subject: The postperson. This position offers the health science disciplines a radical reconceptualization of the conceptual and theoretical approaches, extending beyond those trapped within the quagmire of humanistic principles. (shrink)

Classroom discussion practices that can lead to reasoned participation by all students are presented and described by the authors. Their research emphasizes the careful orchestration of talk and tasks in academic learning. Parallels are drawn to the philosophical work on deliberative discourse and the fundamental goal of equipping all students to participate in academically productive talk. These practices, termed Accountable TalkSM, emphasize the forms and norms of discourse that support and promote equity and access to rigorous academic learning. They have (...) been shown to result in academic achievement for diverse populations of students. The authors outline Accountable Talk as encompassing three broad dimensions: one, accountability to the learning community, in which participants listen to and build their contributions in response to those of others; two, accountability to accepted standards of reasoning, talk that emphasizes logical connections and the drawing of reasonable conclusions; and, three, accountability to knowledge, talk that is based explicitly on facts, written texts, or other public information. With more than fifteen years research into Accountable Talk applications across a wide range of classrooms and grade levels, the authors detail the challenges and limitations of contexts in which discourse norms are not shared by all members of the classroom community. (shrink)

Journal Name: Cognitive Linguistics Issue: Ahead of print.

Development and targeting efforts by academic organizations to effectively promote research integrity can be enhanced if they are able to collect reliable data to benchmark baseline conditions, to assess areas needing improvement, and to subsequently assess the impact of specific initiatives. To date, no standardized and validated tool has existed to serve this need. A web- and mail-based survey was administered in the second half of 2009 to 2,837 randomly selected biomedical and social science faculty and postdoctoral fellows at 40 (...) academic health centers in top-tier research universities in the United States. Measures included the Survey of Organizational Research Climate (SORC) as well as measures of perceptions of organizational justice. Exploratory and confirmatory factor analyses yielded seven subscales of organizational research climate, all of which demonstrated acceptable internal consistency (Cronbach’s α ranging from 0.81 to 0.87) and adequate test–retest reliability (Pearson r ranging from 0.72 to 0.83). A broad range of correlations between the seven subscales and five measures of organizational justice (unadjusted regression coefficients ranging from 0.13 to 0.95) document both construct and discriminant validity of the instrument. The SORC demonstrates good internal (alpha) and external reliability (test–retest) as well as both construct and discriminant validity. (shrink)

Chinese readers' eye movements were simulated in the context of the E-Z Reader model, which was developed to account for the eye movements of readers of English. Despite obvious differences between English and Chinese, the model did a fairly good job of simulating the eye movements of Chinese readers. The successful simulation suggests that the control of eye movements in reading Chinese is similar to that in an alphabetic language such as English.

The effectiveness of case-based learning in ethics education varies widely regarding how cases are presented. Case process instruction may impact case-based ethics education to promote sensemaking processes, ethical sensemaking strategy use, and ethical decision making (EDM) quality. This study examined two teaching techniques, notes and review, and participants completed note-taking and review activities examining a case-based scenario during an ethics education course. Results suggest that providing case notes in outline form improves sensemaking processes, strategy use, and EDM quality. In addition, (...) combining processes of provided notes and passive review results in incremental, additive performance via certain ethical sensemaking strategies and EDM quality. (shrink)

Volume 20, Issue 7, July 2020, Page 77-80.

Background: Compassion fatigue is recognized as impacting the health and effectiveness of healthcare providers, and consequently, patient care. Compassion fatigue is distinct from “burnout.” Reliable measurement tools, such as the Professional Quality of Life scale, have been developed to measure the prevalence, and predict risk of compassion fatigue. This study reviews the prevalence of compassion fatigue among healthcare practitioners, and relationships to demographic variables. Methods: A systematic review was conducted using key words in MEDLINE, PubMed, and Ovid databases. Data were (...) extracted from a total of 71 articles meeting inclusion criteria, from studies measuring compassion fatigue in healthcare providers using a validated instrument. Quantitative and qualitative data were extracted and compiled by three independent reviewers into an evidence table that included basic study characteristics, study strength and quality determination, measurements of compassion fatigue, and general findings. Meta-analysis, where data allowed, was stratified by Professional Quality of Life version, heterogeneity was quantified, and pooled means were reported with 95% confidence interval. A table of major study characteristics and results was created. Ethical consideration: This paper contains no primary data obtained directly from research participants. Data obtained from previously published resources have been acknowledged within references. Psychological distress, particularly compassion fatigue, can be insidious, no health profession is immune, and may significantly impact the ability to provide care. Results: A total of 71 studies were included. Compassion fatigue was reported across all practitioner groups studied. Relationships to most demographic variables such as years of experience and specialty were either not statistically significant or unclear. Variability in reporting of Professional Quality of Life results was found. Interpretation: Compassion fatigue exists across diverse practitioner groups. Prevalence is highly variable, and its relationship with demographic, personal, and/or professional variables is inconsistent. Questions are raised about how to mitigate compassion fatigue. (shrink)

Corporate sustainability can be defined as organizations’ commitment to profitability, environment, and social well-being. This study uses a transactional culture analysis of CS reporting practices to explain why some Indian organizations conform to voluntary CS reporting guidelines and others do not. The literature contains two different perspectives on culture, defined broadly as a set of values that guide people’s behavior at a given time. Most past studies typically use national culture to explain differences in CS practices across nations. This concept (...) embeds corporate cultures within the larger national culture, neglecting intranation diversity. Conversely, according to the transactional culture approach used in this study, cultures are plural and independent of geoethnic boundaries, and emerge through social transactions. TCA encourages multilevel explorations of complex social phenomena. Since CS reporting preferences are the outcome of ongoing transactions among organizational stakeholders across different levels, TCA is more appropriate for this study. Since this application requires an understanding of social accountability, the authors use Mary Douglas’s Cultural Framework, a transactional framework of social accountability. A qualitative exploration of six Indian organizations using DCF reveals different dominant forms of social accountability in these organizations: either alone or as paired hybrids. Consequently, each organization prioritizes different stakeholders and reacts differently to voluntary CS reporting guidelines. Identifying the dominant form or forms of social accountability in their organizations and understanding their underlying reasons for resisting voluntary CS guidelines enables managers to secure better collaboration for their CS initiatives. (shrink)

This chapter contains sections titled: Heidegger and the History of Truth Foucault and the History of Truth: First Pass Foucault and the History of Truth: Second Pass References.

À partir d’une étude de cas portant sur le « scandale des fiches », qui mit en cause les pratiques de surveillance de la police politique suisse, nous montrons que, contrairement à ce qu’affirment nombre de travaux, l’ampleur du scandale ne peut-être déduite de celle de l’indignation pas plus que cette dernière ne peut être rapportée à la gravité supposée de transgressions. Un scandale n’émerge que si des acteurs, à partir de leur évaluation de la situation et de leurs perceptions (...) du possible, s’autorisent à exprimer publiquement une indignation, qu’elle soit feinte ou sincère, et parviennent à imposer une qualification déviante des pratiques concernées entraînant des mobilisations dans plusieurs espaces sociaux. En déplaçant la focale sur la dynamique émergente de mobilisations multisectorielles, nous plaidons pour une approche relationnelle et processuelle de la dimension émotionnelle du scandale, inséparable de sa dimension cognitive. (shrink)

À partir d’une étude de cas portant sur le « scandale des fiches », qui mit en cause les pratiques de surveillance de la police politique suisse, nous montrons que, contrairement à ce qu’affirment nombre de travaux, l’ampleur du scandale ne peut-être déduite de celle de l’indignation pas plus que cette dernière ne peut être rapportée à la gravité supposée de transgressions. Un scandale n’émerge que si des acteurs, à partir de leur évaluation de la situation et de leurs perceptions (...) du possible, s’autorisent à exprimer publiquement une indignation, qu’elle soit feinte ou sincère, et parviennent à imposer une qualification déviante des pratiques concernées entraînant des mobilisations dans plusieurs espaces sociaux. En déplaçant la focale sur la dynamique émergente de mobilisations multisectorielles, nous plaidons pour une approche relationnelle et processuelle de la dimension émotionnelle du scandale, inséparable de sa dimension cognitive. (shrink)