Our aim in this article is to define the difficulties that clinical ethics services encounter when they are asked to demonstrate the value a clinical ethics service (CES) could and should have for an institution and those it serves. The topic emerged out of numerous related presentations at the Un- Conference hosted by the Cleveland Clinic in August 2018 that identified challenges of articulating the value of clinical ethics work for hospital administrators. After a review these talks, it was apparent (...) that the field of clinical ethics may be at a crisis of sorts due to increased pressure to provide explicit measures to healthcare institutions to concretely demonstrate that CESs make a valuable difference in healthcare delivery. In this article, we grapple with how to satisfy the need for demonstrable value in a field in which metrics alone may not capture the scope of clinical ethics practice. We suggest that capturing the value of a CES has been difficult because the benefits of ethics consultation may be overt or attributable to the CES, but are often hidden due to the systems-level and process-oriented nature of clinical ethics work. Part of the difficulty in demonstrating the value of CESs is capturing and conveying all of the ways the integration of a CES throughout an institution positively affects patients, families, visitors, healthcare professionals, administrators, and the institution itself. Our aim is to (1) elucidate the multifaceted value added by a CES, including value that tends to be hidden and (2) suggest how to demonstrate value to others in a way that is not simplistic or reductionistic. (shrink)

Clinical ethics consultants (CECs) often face some of the most difficult communication and interpersonal challenges that occur in hospitals, involving stressed stakeholders who express, with strong emotions, their preferences and concerns in situations of personal crisis and loss. In this article we will give examples of how much of the important work that ethics consultants perform in addressing clinical ethics conflicts is incompletely conceived and explained in the American Society of Bioethics and Humanities Core Competencies for Healthcare Ethics Consultation and (...) the clinical ethics literature. The work to which we refer is best conceptualized as a specialized type of interviewing, in which the emotional barriers of patients and their families or surrogates can be identified and addressed in light of relevant ethical obligations and values within the context of ethics facilitation. (shrink)

In this paper we show that some standard topological constructions may be fruitfully used in the theory of closure spaces (see [5], [4]). These possibilities are exemplified by the classical theorem on the universality of the Alexandroff's cube for T 0-closure spaces. It turns out that the closure space of all filters in the lattice of all subsets forms a generalized Alexandroff's cube that is universal for T 0-closure spaces. By this theorem we obtain the following characterization of the consequence (...) operator of the classical logic: If is a countable set and C: P() P() is a closure operator on X, then C satisfies the compactness theorem iff the closure space ,C is homeomorphically embeddable in the closure space of the consequence operator of the classical logic.We also prove that for every closure space X with a countable base such that the cardinality of X is not greater than 2 there exists a subset X of irrationals and a subset X of the Cantor's set such that X is both a continuous image of X and a continuous image of X. (shrink)

Стаття містить результати аналізу рецепції конструктивізму у вітчизняній філософії та з'ясування праксеологічного спрямування виявлених інтерпретацій у теоретично-аксіологічному полі міждисциплінарних підходів у соціальній філософії, філософській антропології та філософії культури. Автор доходить висновку, що актуалізація теоретично-аксіологічної позиції конструктивізму сприяє осмисленню джерел соціальної спільності. Значення філософського дискурсу в розбудові соціальних конструктів засвідчує процес перетворення уявного в його формі символічного обміну на природне.

The main result of this paper is the following theorem: a closure space X has an , , Q-regular base of the power iff X is Q-embeddable in It is a generalization of the following theorems:(i) Stone representation theorem for distributive lattices ( = 0, = , Q = ), (ii) universality of the Alexandroff's cube for T 0-topological spaces ( = , = , Q = 0), (iii) universality of the closure space of filters in the lattice of all (...) subsets for , -closure spaces (Q = 0). By this theorem we obtain some characterizations of the closure space given by the consequence operator for the classical propositional calculus over a formalized language of the zero order with the set of propositional variables of the power . In particular we prove that a countable closure space X is embeddable with finite disjunctions preserved into F iff X is a consistent closure space satisfying the compactness theorem and X contains a 0, -base consisting of -prime sets. (shrink)

Religious/spiritual communities in the United States hold significant differences in the relative valuing of social order and progress toward social justice, and religious/spiritual leaders play an influential role in fostering those values. This recognition has prompted calls for theological education to revise the process of student formation, equipping them to address an increasingly diverse social world and the social disparities within their larger communities. Right-wing authoritarianism tends to be associated with a preference for social order and various forms of prejudice, (...) and negatively associated with prosocial attitudes and behaviors. However, there is a limited amount of research examining associations between right-wing authoritarianism and the prosocial constructs of social justice commitment and compassion. The present study explored the longitudinal associations between right-wing authoritarianism, social justice commitment, and compassion in a sample of graduate students from 18 Christian seminaries across North America over two and a half years of their education. Longitudinal data analysis indicated that right-wing authoritarianism exerted a negative influence on social justice commitment and compassion, during the initial time interval which then faded over time. Results also indicated a reciprocal process among right-wing authoritarianism and social justice commitment. Practical implications centered on the potential for interventions targeting the reduction of right-wing authoritarianism to increase social justice commitment and compassion, and interventions targeting greater social justice commitment to lower right-wing authoritarianism. (shrink)

This paper is closely related to investigations of abstract properties of basic logical notions expressible in terms of closure spaces as they were begun by A. Tarski (see [6]). We shall prove many properties of -conjunctive closure spaces (X is -conjunctive provided that for every two elements of X their conjunction in X exists). For example we prove the following theorems:1. For every closed and proper subset of an -conjunctive closure space its interior is empty (i.e. it is a boundary (...) set). 2. If X is an -conjunctive closure space which satisfies the -compactness theorem and [X] is a meet-distributive semilattice (see [3]), then the lattice of all closed subsets in X is a Heyting lattice. 3. A closure space is linear iff it is an -conjunctive and topological space. 4. Every continuous function preserves all conjunctions. (shrink)

This paper discusses the ethical issues related to hemicorporectomy surgery, a radical procedure that removes the lower half of the body in order to prolong life. The literature on hemicorporectomy (HC), also called translumbar amputation, has been nearly silent on the ethical considerations relevant to this rare procedure. We explore five aspects of the complex landscape of hemicorporectomy to illustrate the broader ethical questions related to this extraordinary procedure: benefits, risks, informed consent, resource allocation and justice, and loss and the (...) lived body. (shrink)

For a complete Heyting lattice , we define a category Etale (). We show that the category Etale () is equivalent to the category of the sheaves over , Sh(), hence also with -valued sets, see [2], [1]. The category Etale() is a generalization of the category Etale (X), see [1], where X is a topological space.

As clinical ethics consultants move toward professionalization, the process of certifying individual consultants or accrediting programs will be discussed and debated. With certification, some entity must be established or ordained to oversee the standards and procedures. If the process evolves like other professions, it seems plausible that it will eventually include a written examination to evaluate the core knowledge competencies that individual practitioners should possess to meet peer practice standards. The American Society for Bioethics and Humanities has published core knowledge (...) competencies for many years that are accepted by experts as the prevailing standard. Probably any written examination will be based upon the ASBH core knowledge competencies. However, much remains to be done before any examination may be offered. In particular, it seems likely that a recognized examining board must create and validate examination questions and structure the examination so as to establish meaningful, defensible parameters after dealing with such challenging questions as: Should the certifying examination be multiple choice or short-answer essay? How should the test be graded? What should the pass rate be? How may the examination be best administered? To advance the field of health care ethics consultation, thought leaders should start to focus on the written examination possibilities, to date unaddressed carefully in the literature. Examination models—both objective and written—must be explored as a viable strategy about how the field of health care ethics consultations can grow toward professionalization. (shrink)

The article presents the results of a study investigating the links between emotion regulation and identity. The aim of this study was to explore the relationship between the two variables. On the basis of neo-eriksonian theories, an attempt to specify the role of emotion regulation in the process of identity formation was made. The study involved 849 people aged 14-25. The participants attended six types of schools: lower secondary school, basic vocational school, technical upper secondary school, general upper secondary school, (...) post-secondary school, and university. The research was conducted with the use of two questionnaires: Difficulties in Emotion Regulation Scale and Dimensions of Identity Development Scale. The analysis of the results points to a partial confirmation of the assumed hypotheses about the differences between people with different identity statuses in respect of the six investigated dimensions of emotion regulation. Also, the hypotheses about the links between the dimensions of emotion regulation and dimensions of identity in the subgroups with different identity statuses were partially confirmed. (shrink)

Collaborative research practices in the field of plant genetic resources must follow the principles of fairness and equity as defined in the Convention on Biological Diversity (CBD) and in the International Treaty on Plant Genetic Resources for Food and Agriculture (ITPGRFA). In this context the concepts of fairness and equity generally refer to the substantive and procedural dimensions associated with sharing the benefits of this research. But neither term is clearly defined by these international treaties, and the meanings attributed to (...) the concepts vary among different societies. This paper looks at the question of how to account for the diversity among value systems when conducting research that implicates diverse stakeholders and respects the requirements of fairness and equity. We incorporated an auto-ethnography method developed as part of a multi-stakeholder network involved in research projects on plant genetic resources in West Africa. A theatrical device was used as a framework for testing the principles of fairness and equity, helping us to collectively identify feelings of injustice, and explore the conditions for making collaborative research practices more ethical in ways that respect the perspectives of different stakeholders. In an environment of extensive political and socio-cognitive inequality, this approach makes it possible to explain the criteria relating to interactional justice and expectations in terms of socio-political and socio-emotional benefits. It also invites us to consider the principles of fairness and equity in a framework of ethical competence that goes beyond international directives. (shrink)

This paper is a continuation of investigations on Galois connections from [1], [3], [10]. It is a continuation of [2]. We have shown many results that link properties of a given closure space with that of the dual space. For example: for every -disjunctive closure space X the dual closure space is topological iff the base of X generated by this dual space consists of the -prime sets in X (Theorem 2). Moreover the characterizations of the satisfiability relation for classical (...) logic are shown. Roughly speaking our main result here is the following: a satisfiability relation in a logic L with, a countable language is a fragment of the classical one iff the compactness theorem for L holds (Theorems 3–8). (shrink)

Essay delivered at 4th Embassy of Poland Annual Lecture, University of Ottawa, on November 6, 2002. It renders main studies on Janusz Korczak published in special issues of Dialogue and Universalism (nos. 9-10/1997, 9-10/2001), putting emphasis on the philosophical dimensions of Korczak’s vision of society.

During the Communist regime, after Poland was officially proclaimed the People’s Republic of Poland, the aim of the Polish Communist government was to control all aspects of society. Communist ideals were enforced in books and other publications; censorship was introduced on all published materials. This paper aims to present the situation of media in People’s Poland, as well as to provide a background and description of Polish censorship. Additionally, this paper will exposit and examine the socio-political role of Tygodnik Powszechny (...) in Polish society. As TP is a Catholic weekly, an outline of the unique socio-political role of the Polish Roman Catholic Church in communist Poland will accompany the above analysis. This paper is based on the research conducted by the author in partial fulfillment of the requirements for the Master of Arts degree written and defended at the Central European University in Budapest in 2012. (shrink)