Theory Young children have an understanding of basic science concepts such as stability, yet their theoretical assumptions are often not concerned with stability. The literature on theory theory and theory-evidence coordination suggests that children construct intuitive theories about their environment which can be adjusted in the face of counterevidence that cannot be assimilated into the prior theory. With increasing age, children acquire a Center theory when balancing objects and try to balance every object at their middle, succeeding with symmetrical objects. (...) Later, they acquire the basic science concept of stability through learning that the weight distribution of an object is of importance. Thus, they acquire a Mass theory and succeed in balancing asymmetrical objects as well. Fluid and crystallized intelligence might contribute to children’s acquisition of Mass theory. Moreover, their Mass theory might be supported by implementing a playful intervention including (a) material scaffolds and (b) verbal scaffolds. Aims We investigated which theories children have about stability and whether these theories can be adjusted to Mass theory by implementing a playful intervention. Method A total of 183 5- to 6-year-old children took part in the study with a pre-post-follow-up intervention design. Children’s Mass theory was assessed with an interview in which children explained constructions’ stabilities. The children received a playful intervention with two differing degrees of scaffolding (material scaffolds or material + verbal scaffolds) or no scaffolding. Results At first few children used a Mass theory to explain their reasoning. However, after being confronted with counterevidence for the asymmetrical constructions, children changed their explanation and applied a Mass theory. More children in the play group with the highest degree of scaffolding, i.e., material + verbal scaffolds, acquired a Mass theory compared to the other groups. Fluid as well as crystallized intelligence contributed to children’s acquisition of a Mass theory. Discussion Counterevidence can support children in their acquisition of a Mass theory. A playful intervention with scaffolding supports children even more. (shrink)

The contribution of this research lies in its dual approach to the question of physical activity (PA) among adolescents, combining objective measurement of PA by teenagers and a comparison of psychological satisfaction through physical activities involving differing degrees of autonomy (i.e., organized or unstructured). Using the conceptual framework of Self-Determination Theory, the analysis also examines the relationship between levels of PA among adolescents and physical self-concept and satisfaction of basic psychological needs during exercise. The study surveyed 129 first-year higher secondary (...) education students from schools in the city of A Coruña. Satisfaction of basic psychological needs during organized and unstructured physical activities was measured using the Basic Psychological Needs in Exercise Scale. PA levels were assessed based on step count per day for a week as measured by an accelerometer. The results show that the daily step average recorded by students (7,400) is below the minimum recommended levels of PA for this age group, that students are more active on weekdays than at the weekend, and that there is no significant difference in PA levels between male and female subjects ( T = 0.23, p d = 0.04). Findings from the comparative analysis of the three basic psychological needs show greater satisfaction of the need for autonomy during unstructured activities ( T = 6.15, p d = 0.68), and greater satisfaction of the need for competence during organized activities ( T = −2.50, p d = 0.27). No variation in terms of sex was found in relation to satisfaction of the need for autonomy or relatedness from unstructured activities; however, girls showed notably lower satisfaction than boys in relation to the need for competence ( T = −2.62, p d = 0.49). Self-esteem was found to play an important mediating role and observed to be strongly related to sex ( T = −5.16, p d = 0.90). Organized PA was found to provide greater need satisfaction among boys than girls across all categories. The study showed no relationship between psychological variables and objectively measured PA (Pillai’s trace: F = 0.86, p > 0.05, η 2 = 0.08, observed power = 0.66). Basic psychological needs show significant positive interrelation between them and a significant positive relationship between them and physical self-concept, as expected based on previous literature. (shrink)

This paper looks to phenomenology and enactive cognition in order to shed light on the self and sense of self of patients with locked-in syndrome. It critically discusses the concept of the minimal self, both in its phenomenological and ontological dimension. Ontologically speaking, the self is considered to be equal to a person’s sensorimotor embodiment. This bodily self also grounds the minimal sense of self as being a distinct experiential subject. The view from the minimal bodily self presupposes that sociality (...) comes after the self, or that in other words, the essence of self remains independent of our social interactions and relations. In this paper, I rely on the idea of enactive autonomy and Heidegger’s and Merleau-Ponty’s views of human existence as primordially social, to argue for the contrary. The self is fundamentally relational and this is also reflected at the level of the subjective experience of being a self. I indicate how a strong relational view of selfhood can serve as a preliminary heuristic to make sense of the situation of the patient with LIS and conclude with some practical implications concerning patient autonomy, our ethical responsibility toward the patient, and the possibilities for improving the life of patients with LIS. (shrink)

The question of whether it is ever permissible to believe on insufficient evidence has once again become a live question. Greater attention is now being paid to practical dimensions of belief, namely issues related to epistemic virtue, doxastic responsibility, and voluntarism. In this book, McCormick argues that the standards used to evaluate beliefs are not isolated from other evaluative domains. The ultimate criteria for assessing beliefs are the same as those for assessing action because beliefs and actions are both products (...) of agency. Two important implications of this thesis, both of which deviate from the dominant view in contemporary philosophy, are 1) it can be permissible to believe for non-evidential reasons, and 2) we have a robust control over many of our beliefs, a control sufficient to ground attributions of responsibility for belief. (shrink)

Analogical reasoning by comparison is considered a special case of inductive reasoning, which is fundamental to the scientific method. By reasoning analogically, learners can abstract the underlying commonalities of several entities, thereby ignoring single objects’ superficial features. We tested whether different task environments designed to trigger analogical reasoning by comparison would support preschoolers’ induction of the concept of material kind to predict and explain objects’ floating or sinking as a central aspect of scientific reasoning. Specifically, in two experiments, we investigated (...) whether the number of presented objects (one versus two standards), consisting of a specific material and the labeling of objects with the respective material name, would benefit preschoolers’ material-based inferences. For each item set used in both experiments, we asked the children ( N = 59 in Experiment 1, N = 99 in Experiment 2) to predict an object’s floating or sinking by matching it to the standards and to verbally explain their selections. As expected, we found a significant effect for the number of standards in both experiments on the prediction task, suggesting that children successfully induced the relevance of material kind by comparison. However, labels did not increase the effect of the standards. In Experiment 2, we found that the children could transfer their conceptual knowledge on material kind but that transfer performance did not differ among the task environments. Our findings suggest that tasks inviting analogical reasoning by comparison with two standards are useful for promoting young children’s scientific reasoning. (shrink)

The number of children with chronic critical illness (CCI) is a growing population in the United States. A defining characteristic of this population is a prolonged hospital stay. Our study assessed the proportion of pediatric patients with chronic critical illness in U.S. hospitals at a specific point in time, and identified a subset of children whose hospital stay lasted for months to years. The potential harms of a prolonged hospitalization for children with CCI, which include over treatment, infection, disruption of (...) family life, and the intensive utilization of resources—combined with the moral distress experienced by the clinicians who care for the children, suggest the need for ethical analysis of this growing issue to identify actions that could be taken at the clinical and health systems levels to reduce the harms associated with prolonged hospital stay.In this article we present three real cases from our study that involved a very long hospital stay. We applied a framework developed by Mackenzie, Rogers, and Dodds to analyze inherent, situational, and pathogenic vulnerabilities to examine the ways that interventions intended to remedy one source of harm for the children in our cohort inadvertently created other harms. We examined the complex ways that children with protracted hospitalization are vulnerable to the choices made by their family and clinicians, as well as by healthcare systems and communities. Finally, we used this analysis to summarize actions and ethical responses to this growing patient population. Such an understanding is essential to making clinical and ethical decisions that arise for children who are at risk for a very long stay in the hospital. (shrink)

For this Clarendon Paperback, Dr Griffin has written a new Postscript to bring the original book fully up to date. She discusses further important and controversial questions of fact or interpretation in the light of the scholarship of the intervening years and provides additional argument where necessary. The connection between Seneca's prose works and his career as a first-century Roman statesman is problematic. Although he writes in the first person, he tells us little of his external life or of the (...) people and events that formed its setting. Miriam Griffin addresses the problem by first reconstructing Seneca's career using only outside sources and his de Clementia and Apocolocyntosis, whose political purposes are undisputed. In the second part of the book she studies Seneca's treatment of subjects of political significance, including his views on slavery, provincial policy, wealth, and suicide. On the whole, the word of the philosopher is found to illuminate the work of the statesman, but notable exceptions emerge, and the links that are revealed vary from theme to theme and rarely accord with traditional autobiographical interpretations of Seneca's works. (shrink)

Adolescent young carers (AYCs) are a sub-group of young carers who carry out significant or substantial caring tasks and assume a level of responsibility which would usually be associated with an adult. They are a potentially vulnerable group of minors because of the risk factors associated with their caring role. AYCs face a critical transition phase from adolescence to adulthood often with a lack of tailored support from service providers. The recently completed European funded ‘ME-WE’ project, which forms the focus (...) of this paper, aimed to change the ‘status quo’ by advancing the situation of AYCs in Europe, via responsive research and knowledge translation actions. This paper outlines the participatory, co-creation approach employed in the project to optimise AYC’s involvement. It describes the ethical framework adopted by the project consortium to ensure the wellbeing of AYCs within all project activities. Ethical issues that arose in the field study work in all six countries are presented, followed by a discussion of the level of success or otherwise of the consortium to address these issues. The paper concludes with lessons learned regarding ethically responsible research with and for AYCs that are likely transferable to other vulnerable research groups and pan-European projects. (shrink)

How is medical knowledge made? There have been radical changes in recent decades, through new methods such as consensus conferences, evidence-based medicine, translational medicine, and narrative medicine. Miriam Solomon explores their origins, aims, and epistemic strengths and weaknesses; and she offers a pluralistic approach for the future.

This essay brings the work of Isabelle Stengers into the fold of feminism to propose a feminist politics of the earth that disrupts the fantasy of human exceptionalism underpinning much Anthropocene discourse. I begin by situating Stengers’s political use of Gaia theory in current debates on the Anthropocene. Next, I show how Stengers’s reworking of Gaia helps in reconsidering the relations between two bodies of feminist theory—Deleuzian feminism and Marxist ecofeminism—that are rarely brought into conversation. On this basis, I explore (...) what a feminist politics of composition with the earth might look like. (shrink)

For the last forty years, two claims have been at the core of disputes about scientific change: that scientists reason rationally and that science is progressive. For most of this time discussions were polarized between philosophers, who defended traditional Enlightenment ideas about rationality and progress, and sociologists, who espoused relativism and constructivism. Recently, creative new ideas going beyond the polarized positions have come from the history of science, feminist criticism of science, psychology of science, and anthropology of science. Addressing the (...) traditional arguments as well as building on these new ideas, Miriam Solomon constructs a new epistemology of science. After discussions of the nature of empirical success and its relation to truth, Solomon offers a new, social account of scientific rationality. She shows that the pursuit of empirical success and truth can be consistent with both dissent and consensus, and that the distinction between dissent and consensus is of little epistemic significance. In building this social epistemology of science, she shows that scientific communities are not merely the locus of distributed expert knowledge and a resource for criticism but also the site of distributed decision making. Throughout, she illustrates her ideas with case studies from late-nineteenth- and twentieth-century physical and life sciences. Replacing the traditional focus on methods and heuristics to be applied by individual scientists, Solomon emphasizes science funding, administration, and policy. One of her goals is to have a positive influence on scientific decision making through practical social recommendations. (shrink)

This paper critically assesses Chapters 6 and 7 of On Taking Offence. Chapter 6 defends the idea that an inclination to take offence can be a ‘corrective civic virtue’ against threats to social equality. Chapter 7 argues that the practice of taking offence does not change much when we turn to analysing our lives online. With respect to Chapter 6, I argue that the instrumental vindication of offence-taking as a virtue is in tension with arguments earlier in the book, and (...) needs more empirical support. Earlier chapters of the book defend offence-taking as intrinsically apt and justified, regardless of its effects. What is more, if the case for offence-taking is grounded on its effects, then we need solid empirical backing; and an initial obstacle to that might be that the marginalised are probably less likely to be able to produce positive effects through their offence-taking. With regard to Chapter 7, I suggest that McTernan overlooks some potentially relevant differences between real-world and online interactions, which might make the adjustment of our norms to social media interaction more complex than she suggests. (shrink)

Embodied approaches in cognitive science hold that the body is crucial for cognition. What this claim amounts to, however, still remains unclear. This paper contributes to its clarification by confronting three ways of understanding embodiment—the sensorimotor approach, extended cognition and enactivism—with Locked-in syndrome. LIS is a case of severe global paralysis in which patients are unable to move and yet largely remain cognitively intact. We propose that LIS poses a challenge to embodied approaches to cognition requiring them to make explicit (...) the notion of embodiment they defend and its role for cognition. We argue that the sensorimotor and the extended functionalist approaches either fall short of accounting for cognition in LIS from an embodied perspective or do it too broadly by relegating the body only to a historical role. Enactivism conceives of the body as autonomous system and of cognition as sense-making. From this perspective embodiment is not equated with bodily movement but with forms of agency that do not disappear with body paralysis. Enactivism offers a clarifying perspective on embodiment and thus currently appears to be the framework in embodied cognition best suited to address the challenge posed by LIS. (shrink)

The belief in miracle, as a modality of spiritual/religious coping strategy in the face of stress and psychic suffering, has been discussed in psychological literature with regard to its positive or negative role on the health and well-being of patients and family members. In contemporary times, where pseudo-conflicts between religion and science should have been long overcome, there is still some tendency of interpreting belief in miracle – as the possibility of a cure granted by divine intervention, modifying the normal (...) course of events in a bleak medical diagnosis – as having unhealthy impacts in the care and treatment of health. This position seeks to find a base in the three characteristics of hoping in a miracle, frequently pointed out by psychological literature: it would imply a negation of reality instead of its confrontation; it would be a coping strategy focused on emotion instead of the problem; it would imply seeking to modify the supposed desire of God by extra-natural facts. In this study, we shall critically discuss this position and the dangers of its crystallization by the use of SRC scales in which the act of praying for a miracle is previously classified as a negative strategy. We revisit some tendencies in psychological literature about the subject, taking into consideration the various facets of miracle, sociocultural facts, elements of idiographic nature, and their profound outcomes in the lives of people especially in health contexts. We illustrate the dangers of a hasty generalization of the results of nomothetic studies about the role of belief in miracle with two examples of research in the Brazilian context: one carried out with pregnant women with fetal malformation and the other with family members caring for children and adolescents with cancer under chemotherapeutic treatment. In both studies, the results do not confirm the predominance of the negative aspects associated with the act of praying for a miracle, which we discuss and analyze in light of the phenomenological perspective. In this perspective, “pray for a miracle”, as experienced by patients and caregivers, can be recognized as an act of openness to life, bolstering hope, and the resignification of reality in the psyche. (shrink)

Should the EU be a federal union or an intergovernmental forum? Recently, demoicrats have been arguing that there exists a third alternative. The EU should be conceived as a demoicracy, namely a ‘Union of peoples who govern together, but not as one’. The demoi of Europe recognise that they affect one another’s democratic health, and hence establish a union to guarantee their freedom qua demoi – which most demoicrats cash out as non-domination. This is more than intergovernmentalism, because the demoi (...) govern together on these matters. However, if the union aims at protecting the freedom of the different European demoi, it cannot do so by replacing them with a ‘superdemos’, as federalists want. This paper argues that demoicracy does possess distinctive normative features; it claims, however, that an institutional choice between intergovernmentalism and federalism is necessary. Depending on how we interpret what the non-domination of demoi requires, demoicracy will either ground a specific way of practicing intergovernmentalism or a specific form of federalism. It cannot, however, ground an institutional model which is genuinely alternative to both. (shrink)

A new, social epistemology of science that addresses practical as well as theoretical concerns.

Avanzada la primera década del 2000 en efecto, va visualizándose la conformación de una zona narrativa que ligada a la inmediatez del presente de su enunciación (el conjunto de fuerzas sociales y discursivas en torno a cuestiones de género y diversidad) va tejiendo nudos entre los imaginarios de violencia patriarcal desplegados en los textos y el universo de hechos y relatos setentistas, entre perspectiva de género y terrorismo de estado. Recorremos aquí en algunas variantes de narrativas testimoniales (ficcionales y de (...) carácter autobiográfico) estos cruces y articulaciones que, ya presentes en Le viste la cara a Dios (2011) de Gabriela Cabezón Cámara, se replantean de otros modos en Aparecida (2015) de Marta Dillon y Chicas muertas (2014) de Selva Almada y pueden rastrearse también en las nuevas hablas del abuso representadas por Mandinga de amor (2016) de Luciana De Mello y Porqué volvías cada verano (2018) de Belén López Peiró. (shrink)

Trust in the practice of rational deliberation is widespread and largely unquestioned. This paper uses recent work from business contexts to challenge the view that rational deliberation in a group improves decisions. Pressure to reach consensus can, in fact, lead to phenomena such as groupthink and to suppression of relevant data. Aggregation of individual decisions, rather than deliberation to a consensus, surprisingly, can produce better decisions than those of either group deliberation or individual expert judgment. I argue that dissent is (...) epistemically valuable, not because of the discussion it can provoke (Mill's and Longino's view about the benefit of dissent), but because dissenting positions often are associated with particular data or insights that would be lost in consensus formation. Social epistemologists can usefully pay attention to various methods of aggregation of individual opinion for their effectiveness at realizing epistemic goals. (shrink)

Quine claims to be "working from within" our conceptual scheme and proceeding scientifically. This description makes his views of interest to those who are skeptical of traditional metaphysical projects and to those with confidence in science. This study examines whether Quine is in fact starting within ordinary language and proceeding scientifically and, if not, how his views are to be best understood. I proceed by exploring some central doctrines in Quine's writing, most notably indeterminacy of translation, but also his views (...) on underdetermination of scientific theory, truth, reality and the dispensability of theory, and the nature of scientific method. In examining Quine's arguments for these doctrines, I find that they do not all issue from what we would ordinarily or scientifically say on the topics concerned. Instead, I find that most arise from an underlying view of the nature of language and knowledge, which I call natural empiricism. I argue that natural empiricism involves assumptions and dynamics of reasoning characteristic of metaphysical points of view, rather than of an ordinary or scientific stance. This is a result with consequences for a critical evaluation of Quine's views. ;I show that natural empiricism leads not only to the central doctrines in Quine's writing that I examine, but also to his general claim to be "working from within" our conceptual scheme and proceeding scientifically. I argue that there is a tension between natural empiricism and "working from within" that is the major tension in Quine's views, leading him to reach different conclusions on the same topic. Quine's views are unusual in that this tension is internal to natural empiricism; most metaphysical views, while they may conflict with the ordinary, do not also endorse it. Natural empiricism is also an unusual point of view in its thoroughgoing empiricism: I claim that it is an empiricist overreaction to the vestiges of rationalism in twentieth century logical empiricism. It shares with the views to which it reacts the need to ground language and knowledge, in a metaphysical sense. Thus Quine's position is particularly valuable for showing up the differences and common motivations in the analytic tradition. (shrink)

Non-financial interests, and the conflicts of interest that may result from them, are frequently overlooked in biomedicine. This is partly due to the complex and varied nature of these interests, and the limited evidence available regarding their prevalence and impact on biomedical research and clinical practice. We suggest that there are no meaningful conceptual distinctions, and few practical differences, between financial and non-financial conflicts of interest, and accordingly, that both require careful consideration. Further, a better understanding of the complexities of (...) non-financial conflicts of interest, and their entanglement with financial conflicts of interest, may assist in the development of a more sophisticated approach to all forms of conflicts of interest. (shrink)

The paper discusses two recent approaches to schizophrenia, a phenomenological and a neuroscientific approach, illustrating how new directions in philosophy and cognitive science can elaborate accounts of psychopathologies of the self. It is argued that the notion of the minimal and bodily self underlying these approaches is still limited since it downplays the relevance of social interactions and relations for the formation of a coherent sense of self. These approaches also illustrate that we still lack an account of how 1st (...) and 3rd person observations can fruitfully go together in an embodied account of disorders of the self. Two concepts from enactive cognitive science are introduced, the notions of autonomy and sense-making. Based on these, a new proposal for an enactive approach to psychopathologies of the self is outlined that integrates 1st and 3rd person perspectives, while strongly emphasising the role of social interactions in the formation of self. It is shown how the enactive framework might serve as a basis for an alternative understanding of disorders of the self such as schizophrenia, as a particular form of socially constituted self-organisation. (shrink)

It is commonly held that (i) beliefs are revisable in the face of counter‐evidence and (ii) beliefs are connected to actions in reliable and predictable ways. Given such a view, many argue that if a mental state fails to respond to evidence or doesn't result in the kind of behavior typical or expected of belief, it is not a belief after all, but a different state. Yet, one finds seeming counter examples of resilient beliefs that fail to respond to evidence, (...) or that do not connect to action in the way that is expected. I offer a view of belief that does not force us to exclude states as realbeliefs that we pre‐reflectively think of as beliefs, and that does not require us to “outsource” the work belief seems to do to other mental states. I propose that we view belief as a type of emotion where emotions are understood a irreducibly blended states, containing representational, motivational and phenomenological elements. (shrink)

This article examines some current U.S. policies regarding the ethics of information control in scientific research, such as the requirements for “timely” publication and information sufficient for replication. The appropriateness of these policies is called into question by recent work in science studies, which suggest the importance of informal and nonlinguistic channels of information and the impossibility of exact replication of experiments. Policy change is recommended, but it needs to take into account considerations of privacy and enforceability.

This article summarizes a virtual live‐streamed panel event that occurred in August 2020 and was cosponsored by the International Philosophy of Nursing Society (IPONS) and the University of California, Irvine's Center for Nursing Philosophy. The event consisted of a series of three self‐contained panel discussions focusing on the past, present and future of IPONS and was moderated by the current Chair of IPONS, Catherine Green. The first panel discussion explored the history of IPONS and the journal Nursing Philosophy. The second (...) panel involved a reflection on the challenges of doing nursing philosophy in a research‐intensive context of a Canadian university and the history and current movements in nursing philosophy in the Nordic countries. The final panel involved presentations on the future potential for philosophy in/and for nursing, the critical connections between nursing philosophy and nursing theory, dismantling racism in nursing and the potential for process philosophy to help explore nursing's unique efficacy in creating possibilities for health. The panels were followed by a lively Q&A session with participants, of which there were 252 registrants from across the globe. The event underscored the wide and diverse interests of nurses in philosophical discussion and the need for more virtual events and other connective modalities bringing nurses together to discuss and analyze the value and potential of philosophy to better understand and advance nursing theory and practice. (shrink)

There is a tension in Hume’s theory of belief. He tells us that beliefs are ideas that, as a result of certain natural mechanisms of the mind, become particularly lively and vivacious. Such an account seems to allow us little control over which beliefs we acquire, maintain or eschew. It seems I could not avoid feeling the strength of such ideas any more than I could avoid feeling the strength of the sun when exposed to it. Yet much of Hume’s (...) writings on belief reveal that he thinks we do have quite a lot of control in the area of belief maintenance and that we can be blameworthy for holding some beliefs and not others. For example, he says that beliefs that are a result of prejudice, namely beliefs formed on the basis of “general rules contrary to present observation and experience,” are “errors.” It is similarly an error if I believe x rather than y simply because x occurred more recently and is thus conceived by my mind in a more lively manner. The man who trembles when looking at the precipice below him, despite the complete security afforded by the iron cage he is in, ought not to believe he is in danger. Hume says we “ought to regulate our judgment concerning causes and effect” with rules that are formed in the understanding. These rules teach us to “distinguish accidental circumstances from the effacacious causes”. In the first Enquiry, Hume says, “A wise man … proportions his belief to the evidence.”. (shrink)

Is the way that kindergarteners view their willpower – as a limited or as a non-limited resource – related to their motivation and behavioral self-regulation? This study is the first to examine the structure of beliefs about willpower in relation to behavioral self-regulation by interviewing 147 kindergarteners aged 5 to 7 years. A new instrument was developed to assess implicit theories about willpower for this specific age group. Results indicated that kindergarteners who think of their willpower as a non-limited resource (...) showed better behavioral self-regulation than children who adopted a more limited theory, even when controlling for age and gender. This relation was especially pronounced in low achieving children. Mediation and moderation analyses showed that this relation was partly mediated through the children’s willingness to invest effort to reach a learning goal. Findings suggest that fostering metacognitive beliefs in children, such as the belief that willpower is a non-limited resource, may increase behavioral self-regulation for successful adjustment to the demands of kindergarten and school. (shrink)

The publishing industry has a variety of gatekeepers that play a role in deciding which works become books. This article acknowledges the main gatekeepers as the agent and publishers, but also draws attention to the author, who is the first gatekeeper, and the reader, who is the last. The connections between gatekeepers highlight the role of power in these positions. Using Foucault’s theories of archaeology and genealogy, this article argues that positions within the industry provide space for the gatekeepers to (...) say what works deserve to be published. In doing so it highlights the dynamic flow of power, which rises from the bottom and provides a hierarchical structure within the industry. (shrink)

A physician recently asked how to respond in the case of an 87-year-old patient with advanced Alzheimer's disease, who was unable to swallow or tolerate a nasogastric tube, when the family insisted a gastrostomy tube be inserted but the physician believed the intervention futile. That question encompasses some of the crucial issues in the concept of futility of the treatment goals of physician, patient, and family; the rights of patients and families to demand care; physician judgment; family values; and, to (...) the degree that it represents many similar dilemmas, justice. What are professionals saying when they pronounce treatment futile? What are patients' rights if they or their surrogates disagree?The word “futile” implies a precision about outcome probability that we do not have, and it ignores the wide range of treatments for a given diagnosis. Is futile the same as useless or the opposite of hope? Futile for what? Cure? Restora tion of function? Prolongation of life? Relief from pain? Relief from anxiety? Com fort? Reassurance? To satisfy or placate the patient or the family? The word “futile” is so imprecise that, rather than clarifying, it confuses and clutters the discussion. (shrink)

My commentary focusses on the anecdote described by Elise v. Bernstorff in her research on transcultural education in rural Germany. I am interested in the potential intersections between v. Bernstorff’s findings and my own work on postcolonial literary theory and translation studies. On a methodological level, I am taking my cue from the ethical theory of the Caribbean philosopher Édouard Glissant on the one hand and postcolonial translation studies (Spivak, Tymoczko, Venuti) on the other.

The article looks at Novi ecclesiastico-scholastici Annales (…), a periodical which is a significant resource in book culture research. The authors focus mainly on book distribution and propagation in Protestant communities during the last decade of the 18th century.