There is a need for person-centred approaches and empowerment of staff within the residential care for older people; a movement called ‘culture change’. There is however no single path for achieving culture change. With the aim of increasing understandings about cultural change processes and the promotion of cultural values and norms associated with person-centred practices, this article presents an action research project set on a unit in the Netherlands providing care for older people with dementia. The project is presented as (...) a case study. This study examines what has contributed to the improvement of participation of older people with dementia in daily occupational and leisure activities according to practitioners. Data was collected by participant observation, interviews and focus groups. The results show that simultaneous to the improvement of the older people’s involvement in daily activities a cultural transformation took place and that the care became more person-centred. Spontaneous interactions and responses rather than planned interventions, analysis and reflection contributed to this. Furthermore, it proved to be beneficial that the process of change and the facilitation of that process reflected the same values as those underlying the cultural change. It is concluded that changes arise from dynamic, interactive and non-linear processes which are complex in nature and difficult to predict and to control. Nevertheless, managers and facilitators can facilitate such change by generating movement through the introduction of small focused projects that meet the stakeholders’ needs, by creating conditions for interaction and sense making, and by promoting the new desired cultural values. (shrink)

_Resumen:_ Al interior de la tradición clásica del derecho natural, los teólogos escolásticos de los siglos xvi-xvii describen ese derecho como simplemente necesario, así como inmutable y universal. Lo describen, además, como un orden objetivo, independiente de la voluntad de Dios. Sin embargo, no todos los teólogos escolásticos entienden la inmutabilidad del derecho natural de la misma forma, ni llaman “derecho natural” exactamente a lo mismo: para unos este es el “derecho de la naturaleza”, mientras que para otros es el (...) “derecho de la razón natural”. El artículo, así, aborda las principales diferencias que existen en las teorías de estos escolásticos sobre el derecho natural. (shrink)

THE PLACE OF ANALYTIC PHILOSOPHY OF EDUCATION IN THE EDUCATION AND TRAINING OF SCHOOL TEACHERS That the question of the place of philosophy of education in ...

This study explored perceived benefits and risks of participation in HIV research among 33 female sex workers in Tecún Umán, Guatemala. Stigma associated with sex work and HIV was a critical barrier to research participation. Key benefits of participation included access to HIV/sti prevention and testing, as well as positive and trusting relationships between sex workers and research teams. Control exerted by managers had mixed influences on perceived research risks and benefits. Results underscore the critical need for HIV investigators to (...) develop population-tailored procedures to reduce stigma; engage managers; and reinforce trusting, reciprocal relationships between sex work communities and researchers. (shrink)

The production of genetically modified crops is growing around the world, and with it possible opportunities to combat food insecurity and hunger, as well as solutions to current problems facing conventional agriculture. In this regard the use of GMOs in food and agricultural applications has increased greatly over the past decade. However, the development of GM crops has been a matter of considerable interest and worldwide public controversy. This, in addition to skepticism, has stifled the use of this practice on (...) a large scale in many areas, including Iran. It stands to reason that a greater understanding of this practice could be formed after a review of the existing expert opinions surrounding GM crops. Therefore, the purpose of this study was to analyze the predictors that influence agricultural experts’ attitudes toward the development of and policies related to GM crops. Using a descriptive correlational research method, questionnaire data was collected from 65 experts from the Agricultural Organization in the Gotvand district in Southwest Iran. Results indicated that agricultural experts were aware of the environmental benefits and possible risks associated with GM crops. The majority of participants agreed that GM crops could improve food security and accelerate rural development, and were proponents of labeling practices for GM crops. Finally, there was a positive correlation between the perception of benefits and attitudes towards GM crops. (shrink)

Theories of embodied cognition hypothesize interdependencies between psychological well-being and physical posture. The purpose of this study was to assess the feasibility of objectively measuring posture, and to explore the relationship between posture and affect and other patient centered outcomes in breast cancer survivors with persistent postsurgical pain over a 12-week course of therapeutic Qigong mind-body training. Twenty-one BCS with PPSP attended group Qigong training. Clinical outcomes were pain, fatigue, self-esteem, anxiety, depression, stress and exercise self-efficacy. Posture outcomes were vertical (...) spine and vertical head angles in the sagittal plane, measured with a 3D motion capture system in three conditions: eyes open, eyes open relaxed and eyes closed. Assessments were made before and after the Qigong training. The association between categorical variables was measured by Cramer’s V. In the EO condition, most participants who improved in fatigue and anxiety scales also had better vertical head values. For the EOR condition, a moderate correlation was observed between changes in vertical head angle and changes in fatigue scale. In the EC condition, most of the participants who improved in measures of fatigue also improved vertical head angle. Additionally, pain severity decreased while vertical spine angle improved. These preliminary findings support that emotion and other patient centered outcomes should be considered within an embodied framework, and that Qigong may be a promising intervention for addressing biopsychosocially complex interventions such as PPSP in BCSs. (shrink)

The expansion of livestock production throughout the world has led to increased demand for high protein animal feed. This expansion has created economic benefits for livestock farmers and other actors in the chain, but also resulted in environmental and social side effects. This study aims to identify a set of sustainability issues that cover the environmental, economic and social dimensions of soymeal and beef production chains. The method applied combines the results of multiple studies, including a literature review and stakeholder (...) surveys. Stakeholder surveys were conducted for three different interest groups and two geographical regions . Our results reveal that the selection of issues in most sustainability assessment studies is a relatively arbitrary decision, while the literature also states that identifying issues is an important step in a sustainability assessment. Defining sustainability issues from a whole chain perspective is important, as issues of sustainability emerge at various stages along the production chain, and are found to vary across stakeholders’ interests. Business stakeholders, for example, perceived economic issues to be more important, whereas the majority of consumer stakeholders and other stakeholders perceived social and environmental issues, respectively, to be more important. Different education levels, knowledge, and living patterns in various geographical regions can affect the stakeholders’ perceptions. The combination of a heterogeneous group of stakeholders and the consideration of multiple chain stages constitutes a useful approach to identify sustainability issues along food chains. (shrink)

Automatized scalable healthcare support solutions allow real-time 24/7 health monitoring of patients, prioritizing medical treatment according to health conditions, reducing medical appointments in clinics and hospitals, and enabling easy exchange of information among healthcare professionals. With recent health safety guidelines due to the COVID-19 pandemic, protecting the elderly has become imperative. However, state-of-the-art health wearable device platforms present limitations in hardware, parameter estimation algorithms, and software architecture. This paper proposes a complete framework for health systems composed of multi-sensor wearable health (...) devices, high-resolution parameter estimation, and real-time monitoring applications. The framework is appropriate for real-time monitoring of elderly patients' health without physical contact with healthcare professionals, maintaining safety standards. The hardware includes sensors for monitoring steps, pulse oximetry, heart rate, and temperature using low-power wireless communication. In terms of parameter estimation, the embedded circuit uses high-resolution signal processing algorithms that result in an improved measure of the HR. The proposed high-resolution signal processing-based approach outperforms state-of-the-art HR estimation measurements using the photoplethysmography sensor. (shrink)

We hypothesise that the sarcolemma of an actively growing myofibre has different properties to the sarcolemma of a mature adult myofibre. Such fundamentally different properties have clinical consequences for the onset, and potential therapeutic targets, of various skeletal muscle diseases that first manifest either during childhood (e.g. Duchenne muscular dystrophy, DMD) or after cessation of the main growth phase (e.g. dysferlinopathies). These characteristics are also relevant to the selection of both tissue culture and in vivo models employed to study such (...) myopathies and the molecular regulation of adult myofibres. During growth, multinucleated myofibres increase enormously in size and volume with dramatic increases in length (up to ∼600 mm). This is in striking contrast with most mononucleated cells such as fibroblasts, that remain at a relatively small size (∼10–20 µm diameter). The consequences of a dynamic, expanding sarcolemma during growth, compared with that of an adult myofibre of a fixed length, are discussed with respect to various aspects of muscle biology. (shrink)

Parental burnout is a unique and context-specific syndrome resulting from a chronic imbalance of risks over resources in the parenting domain. The current research aims to evaluate the psychometric properties of the Spanish version of the Parental Burnout Assessment across Spanish-speaking countries with two consecutive studies. In Study 1, we analyzed the data through a bifactor model within an Exploratory Structural Equation Modeling on the pooled sample of participants obtaining good fit indices. We then attained measurement invariance across both gender (...) and countries in a set of nested models with gradually increasing parameter constraints. Latent means comparisons across countries showed that among the participants’ countries, Chile had the highest parental burnout score, likewise, comparisons across gender evidenced that mothers displayed higher scores than fathers, as shown in previous studies. Reliability coefficients were high. In Study 2, we tested the relations between parental burnout and three specific consequences, i.e., escape and suicidal ideations, parental neglect, and parental violence toward one’s children. The medium to large associations found provided support for the PBA’s predictive validity. Overall, we concluded that the Spanish version of the PBA has good psychometric properties. The results support its relevance for the assessment of parental burnout among Spanish-speaking parents, offering new opportunities for cross-cultural research in the parenting domain. (shrink)

IntroductionTranscranial magnetic stimulation is a consolidated procedure for the treatment of depression, with several meta-analyses demonstrating its efficacy. Theta-burst stimulation is a modification of TMS with similar efficacy and shorter session duration. The geriatric population has many comorbidities and a high prevalence of depression, but few clinical trials are conducted specifically for this age group. TBS could be an option in this population, offering the advantages of few side effects and no pharmacological interactions. Therefore, our aim is to investigate the (...) efficacy of TBS in geriatric depression.Clinical trial registration[https://clinicaltrials.gov/ct2/], identifier [NCT04842929]. (shrink)

Yarkoni argues that one solution is to abandon quantitative methods for qualitative ones. While we agree that qualitative methods are undervalued, we argue that both are necessary for thoroughgoing psychological research, complementing one another through the use of causal analysis. We illustrate how directed acyclic graphs can bridge qualitative and quantitative methods, thereby fostering understanding between different psychological methodologies.

Trata-se de uma reflexão sobre as ameaças aos direitos humanos, sobretudo à dignidade e à liberdade, e à essência humana geradas pelo avanço da biotecnologia. O foco de alerta e resgate da noção de cuidado de si perpassa a perspectiva de futuro de M. Foucault e usa como complemento e desfecho a noção de responsabilidade de H. Jonas para a manutenção da vida e para a realização do sentido do humano e das novas gerações – papel ético por excelência. O (...) texto divide-se em duas partes: a primeira é inspirada em Foucault e a segunda, em Jonas. O leitor é convidado a refletir dentro de uma dupla consideração do tema. PALAVRAS-CHAVE – Dignidade. Direitos humanos. Cuidado de si. Responsabilidade. Futuro. M. Foucault. H. Jonas. (shrink)

In this paper, I present the main traits of the phenomenological thinking of Abranches de Soveral. I start with the work of his master Miranda Barbosa explaining the criticisms he address to the Husserlian phenomenology. I show Soveral’s approach to phenomenology is framed by the conceptions of Barbosa and the problems that, for him, phenomenology cannot answer in an accurate way. In this context, I present the fundamental tenets of Soveral’s rejoinder to his master, showing how phenomenology can be (...) rearranged in order to formulate and to answer “the fundamental problem of knowledge”. (shrink)

Narrative ethics taps into an inherent human need to tell our own stories centred on our own moral values and to have those stories heard and acknowledged. However, not everyone’s words are afforded equal power. The use of narrative ethics in bioethical decision-making is problematized by a disparity in whose stories are told, whose stories are heard, and whose stories are believed. Here, I conduct an analysis of narrative ethics through a critical theory lens to show how entrenched patterns of (...) narrative neglect in medicine are harming not only our capacity to make use of narrative ethics but also our capacity to deliver effective healthcare. To illustrate this point, I use three examples where the patient’s gender affects how their stories unfold: autism, weight, and pain management. From these, I argue that the use of narrative ethics without the application of a critical theory lens risks the exacerbation of what Miranda Fricker refers to as “testimonial injustice,” the prima facie harm experienced by individuals whose credibility is undermined by others’ prejudices. Finally, I suggest that narrative ethics can be a powerful tool for mitigating oppressive practices in medicine if we couple it with critical analysis that enables us to understand the power dynamics at play in storytelling. (shrink)

Human beings as objects, and we are objects inter alia, offer information, even knowledge. And yet, in a society marked by pervasive identity prejudice, even objects do not offer neutral facts. Here, I argue that the harms imposed on those who suffer testimonial injustices cannot be sufficiently understood through the ethical lens of objectification. Such persons are not simply objectified, not simply treated as mere sources of information rather than as informants. Even as objects (not mere objects), they are often (...) unable to testify on their own behalf or testify to true facts of the matter. Rather than follow Miranda Fricker’s argument that testimonial injustices are acts of objectification, I argue that they are better understood as acts of what Ann Cahill calls derivatization. A re-examination of Fricker’s account of the wrong of testimonial injustice as derivatizing rather than objectifying clarifies the wrong of epistemic injustice, reinforces the mutuality of testimonial exchanges where both the speaker and listener are actively engaged and obligated to participate well to succeed, and opens up a discussion of how even when being treated as a source of information, informants can be mistreated. (shrink)

Mark Rowlands develops a novel account of remembering in which episodic memories survive in a mutated form after their content has been long forgotten. He dubs this account “Rilkean memories.” I draw from this account to argue that episodic memories of past epistemic harms resulting from Miranda Fricker’s account of testimonial injustice, can persist as embodied behavioral or bodily dispositions that have negative epistemic and practical consequences long after these episodic memories have been forgotten. The way that others judge (...) us as epistemic agents—as people with the capacity to know or the ability to contribute to the pool of knowledge—and following this judgment, treat or fail to treat us as epistemic agents can cause us to adopt attitudes or behaviors with consequences to our epistemic agency. When embodied as Rilkean memories, these attitudes or behaviors raise new difficulties and become quite difficult to eradicate. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Buddhist Goddesses of India, and: Goddesses and the Divine Feminine: A Western Religious HistoryRita M. GrossBuddhist Goddesses of India. By Miranda Shaw. Princeton, NJ: Princeton University Press, 2006. 571 pp.Goddesses and the Divine Feminine: A Western Religious History. By Rosemary Radford Ruether. Berkeley: University of California Press, 2005. 381 pp.These two very large books should be of obvious interest to those concerned with Buddhist-Christian interactions and comparative (...) studies. They are also especially timely and important, given how much goddesses and the divine feminine have been [End Page 175] overlooked and ignored by those involved in Buddhist-Christian interchange and comparative studies as well as by serious scholars of both traditions.These books will function mainly as goldmines of information about goddesses in Buddhist and Western religions rather than as theoretical and theological analyses about what is at stake in the presence or absence of goddesses and imagery of the divine feminine in either tradition. As is well known, imagery of the divine feminine is longstanding and of considerable importance in Buddhist traditions, even though it was not part of the earliest layers of Buddhist traditions, whereas the divine feminine is largely absent in more recent Western traditions, even though it was common in the ancient Near East. Thus, these two traditions are mirror images of each other’s historical development concerning the divine feminine. It would be fascinating to explore this difference between the traditions. Because neither book is comparative in any way, such questions are not entertained in these books, but at least both books provide a great deal of information that others may use in future explorations of such similarities and differences between the traditions.Most of Miranda Shaw’s analytical comments are found in her brief, thirteen-page introduction. The rest of the book is mainly descriptive. Most of this discussion concerns her choice of the term “goddess” to refer to the many nonhuman, divine females found in Buddhist art and literature. She notes that, while mention of Goddesses is widespread and long-term in works on Buddhist art and history, Buddhist studies in general has not paid much attention to goddesses, and the same basic information has been repeated over and over, with few advances in interpreting and understanding these figures. I would agree with this assessment. She also notes, correctly, that Buddhist goddesses have received scant attention in the recent spate of Western scholarly investigations of goddesses and the divine feminine. Nevertheless, as Shaw points out, various kinds of divine females occupy every niche of the divine hierarchy in Indian and Buddhist cosmology. Indeed, it would be impossible to look at any book about Indian Buddhist art without noticing many voluptuous, highly attractive female figures as well as some more fearsome figures.Shaw justifies her use of the term “goddess” by noting that this is the literal translation of the term routinely used for female divine figures in Indian Buddhist sources. This justification is pointed at several other scholars who have written about Buddhist “goddesses” from a Buddhist point of view but who have avoided the term “goddess” for various reasons, but mainly because of the complexity and explosiveness of that term in Western contexts. The term has also been avoided by Western Buddhist scholars because of possible misunderstandings or confusion that could be caused by the use of such a theistic term in the context of non-theistic Buddhism. Nevertheless, Shaw is correct that the common translation of the terms used in Buddhist texts would be “goddess.” In her discussion of the term “goddess,” Shaw also justifies this English terminology by arguing that the “deities,” especially of Vajrayana Buddhism, are not merely symbols created by human beings or projections of human experiences but have another, transhuman reality. The metaphysics of “deities” or “goddesses” in Buddhism is, however, an extremely complex and subtle matter that cannot be adequately discussed in the few pages Shaw devotes to this issue. [End Page 176]In the rest of her introduction, Shaw details her main emphases in her book, “the origins, iconography, and religious roles of each goddess and discussion of her place in Buddhist history and practice” (p. 4). She tells... (shrink)

Kierkegaard and the Challenges of Infinitude brings together a number of essays culminating the scientific events held during the duration of a project devoted to the translation and study of works by Søren Kierkegaard, which has been sponsored by the Fundação para a Ciência e a Tecnologia (PTDC/FIL/FIL/100.281/2008). The essays reunited here had their first versions delivered at an International Conference held in October 25-26th, 2012, under the auspices of the Centro de Filosofia da Universidade de Lisboa (Philosophy Centre of (...) the University of Lisbon, CFUL) and hosted by the Faculdade de Letras da Universidade de Lisboa (Faculty of Letters of the University of Lisbon). The conference was commissioned by José Miranda Justo and Eisabete M. de Sousa, who also co-edited the present volume, together with rené Rosfort, who was the recipient of a grant as resident scholar in the Kierkegaard project during the three last months of 2012. (shrink)

Epistemic injustice is defined by Miranda Fricker as injustice done to people specifically in their capacities as knowers. Fricker argues that this injustice can be either testimonial or hermeneutical in character. A hearer commits testimonial injustice against a speaker by assigning unfairly little credibility to the speaker’s testimony. Hermeneutical injustice exists in a society when the society lacks the concepts necessary for members of a group to understand their social experiences. We argue that epistemic injustice is necessary to permit (...) the functioning of race-based chattel slavery and that this necessity is illustrated in slave narratives. The testimonies of slave narratives like those of Frederick Douglass, Olaudah Equiano, Harriet Jacobs, and Mary Prince identify and transform a culture of race-based epistemic hermeneutic and testimonial injustice. Through telling their stories, these agents establish their capacity as knowers and thus resist the epistemic injustice that undergirds the oppressive system of race-based chattel slavery. The authors of slave narratives not only identify race-based epistemic injustice, but actively fight against it. (shrink)

The research field of epistemic justice in healthcare has gained traction in the last decade. However, the importation of Miranda Fricker’s original philosophical framework to medicine raises several interrelated issues that have largely escaped attention. Instead of pushing forward, crafting new concepts or exploring other medical conditions, we suggest that it is time to take stock, reconsider, and articulate some fundamental issues that confront the field of epistemic injustice in healthcare. This paper articulates such fundamental issues, which we divide (...) into scientific, conceptual, and theoretical issues. Scientifically, the research field is confronted by a lack of empirical evidence. It relies on cases, making generalizations impossible and the field vulnerable to bias. Conceptually, many of the claims advanced in the literature are presented as facts but are merely hypotheses to be tested. Moreover, a criterion for applying the concept of testimonial injustice in medicine is lacking, impeding the development of a construct to empirically measure said injustices. Theoretically, many of the cases discussed in the literature do not prima facie qualify as cases of testimonial injustice, since they lack necessary components of testimonial injustice in Fricker’s framework, i.e., being unintentional and caused by identity prejudices in the hearers. If epistemic injustice is as pervasive as it is claimed in this literature, it should be of concern to us all. Addressing the issues raised here may strengthen the conceptualization of epistemic injustice in healthcare and lead to development of constructs that finally can explore its empirical basis. (shrink)

In this paper, I offer an expansionist view of the Frickerian central case of testimonial injustice, citing examples from the South Asian context. To defend this expansionist position, I provide an argument in three parts. First, I argue that credibility deficit and credibility excess are entangled with each other in such a way that often, one produces the other. Secondly, I contend that we should not say that systematic testimonial injustice is a consequence of credibility deficit only because of the (...) entanglement between them. I also contend that for being the central case of testimonial injustice, identity prejudice should not be necessarily negative; it can be positive as well. Propounding a twofold condition of the status of a knower, the last part claims that testimonial injustice occurs when one of the two conditions remains unmet. (shrink)