Historical continuities and constraints in the professionalization of nursingThe support of medicine and the state may be crucial to nursing's current professional aspirations for legitimation and implementation of nursing reforms and for new roles for nurses in health care. As such, medicine and the state are in the invidious position of influencing nursing's occupational future. This situation is not new. An historical analysis of the establishment of nursing at Prince Alfred Hospital, Sydney, Australia, at the end of the nineteenth century (...) reveals that the State Government of NSW and the medical profession supported nursing's occupational development, yet set the framework within which this could occur. For instance, the state provided patronage to nursing through recommendations of the 1873 Royal Commission and because it financially backed Prince Alfred Hospital, while the medical profession defined nursing knowledge and practice through its control of the nursing curriculum. Membership of the hospital board provided both medicine and the state with powerful positions over hospital policies that affected nursing. While nursing became established as a distinct occupation for women with the aid of State and medical support, its subordinate position in health care was, and continues to be, constrained by these traditional supporters. This relationship between nursing, medicine and the state has implications for nursing's current professionalization strategies and aspirations. (shrink)

Defining relationships and limiting power: two leaders of Australian nursing, 1868–1904 This paper analyses aspects of the relationship between nursing and medicine during 1868–1904, in terms of power, gender and authority. A biographical approach is used with a focus on two leading nurses in Australia and their relationship with two leading medical practitioners. The first nurse is Lucy Osburn, the figurehead of the first generation of Nightingale nursing in Australia. The second nurse represents the second generation when Nightingale nursing had (...) largely won acceptance and was firmly established in Australian hospitals: she is Susan McGahey. Their main medical antagonists were Dr Alfred Roberts and Dr Anderson Stuart. A struggle over the control of nursing is evident in these relationships. The outcome transcended personalities, greatly influenced the structure of modern nursing, and marked the rising tide of medical domination in Australia. (shrink)

Ethics position theory (EPT) maintains that individuals’ personal moral philosophies influence their judgments, actions, and emotions in ethically intense situations. The theory, when describing these moral viewpoints, stresses two dimensions: idealism (concern for benign outcomes) and relativism (skepticism with regards to inviolate moral principles). Variations in idealism and relativism across countries were examined via a meta-analysis of studies that assessed these two aspects of moral thought using the ethics position questionnaire (EPQ; Forsyth, Journal of Personality and Social Psychology39, 175–184, (...) 1980). This review identified 139 samples drawn from 29 different countries, for a total sample of 30,230 respondents, and concluded that (a) levels of idealism and relativism vary across regions of the world in predictable ways; (b) an exceptionist ethic is more common in Western countries, subjectivism and situationism in Eastern countries, and absolutism and situationism in Middle Eastern countries; and (c) a nation’s ethics position predicted that country’s location on previously documented cultural dimensions, such as individualism and avoidance of uncertainty (Hofstede, Culture’s Consequences: International Differences in Work-Related Values, 1980). Limitations in these methods and concerns about the validity of these cross-cultural conclusions are noted, as are suggestions for further research using the EPQ. (shrink)

Individuals'' moral judgments of certain business practices and their decisions to engage in those practices are influenced by their personal moral philosophies: (a) situationists advocate striving for the best consequences possible irrespective of moral maxims; (b) subjectivists reject moral guidelines and base judgments on personal values and practical concerns; (c) absolutists assume that actions are moral, provided they yield positive consequences and conform to moral rules; (d) exceptionists prefer to follow moral dictates but allow for exceptions for practical reasons. These (...) variations, which are based on two fundamental dimensions (concern for principles and concern for promoting human welfare) influence a variety of moral processes and have implications for ethical debates over business practices. (shrink)

Although technology is often viewed as value-free, an anthropological perspective suggests that technological tools embody values and assumptions of their builders. Drawing upon extended field research, this article investigates the construction of work in the expert systems community of artificial intelligence. Describing systematic deletions in practitioners' representations of their own work, the article relates these to both the selectivity of conventional knowledge acquisition procedures and the tendency of expert systems to "fall off the knowledge cliff." Although system builders see the (...) latter problem as purely technical, this article suggests that it is also the result of nontechnical factors, including the system builders' own tacit assump tions. This article supports the view that technology has a cultural dimension. (shrink)

This paper presents a case study carried out at Sofia University in Bulgaria, describing the relationship between two developments, firstly an expanding involvement with online learning and e-assessment, and secondly the development of institutional approaches to academic integrity. The two developments interact, the widening use of e-learning and e-assessment raising new issues for academic integrity, and the technology providing new tools to support academic integrity, with the involvement in technological developments acting as a catalyst for changes in approaches to academic (...) integrity. The aim of this study is to describe in what ways the integration of technologies for student authentication and authorship checking in this university has begun to influence teachers’ approach to academic integrity, and has also helped to identify specific issues that need to be resolved for the future of academic integrity in the university. Data collected during the implementation of pilots for the project TeSLA - An adaptive trust-based e-assessment system - enabled an examination of the perspectives of administrators, teachers and students on approaches to cheating and plagiarism, and on possible future directions. The data suggests that the piloting of the TeSLA system has triggered a deepening consideration of approaches to academic integrity, and has also helped to identify important issues for future developments. (shrink)

Health industries attempt to influence the public through the news media and through their relationships with expert academics and opinion leaders. This study reports journalists' perceptions of their professional roles and responsibilities regarding the relationships between industry and academia and research results. Journalists believe that responsibility for the scientific validity of their reports rests with academics and systems of peer review. However, this approach fails to account for the extent of industry-academy interactions and the flaws of peer review. Health journalists' (...) retention of a critical stance regarding industry-academia relationships will include advocacy for and adoption of mandatory reporting of these relationships. (shrink)

This paper appraises the role of critical-feminist figurations within the environmental humanities, focusing on the capacity of figures to produce situated environmental knowledges and pose site-specific ethical obligations. We turn to four environments—the home, the skies, the seas and the microscopic—to examine the work that various figures do in these contexts. We elucidate how diverse figures—ranging from companion animals to birds, undersea creatures and bugs—reflect productive traffic between longstanding concerns in feminist theory and the environmental humanities, and generate new insights (...) related to situated knowledges, feminist care-ethics and the politics of everyday sensory encounters. We also argue, however, that certain figures have tested the limits of theoretical approaches which have emerged as the product of dialogue between feminist theory and environmental studies. In particular, we explore how particular figures have complicated ethical questions of how to intervene in broad environmental threats borne of anthropogenic activities, and of who or what to include in relational ethical frameworks. (shrink)

This paper evaluates and critiques a recent restructuring initiative for a college at a Midwestern university in the United States in which three academic departments were reduced down to two departments. The case study presents the experiences and perspectives of three faculty members– one from each of those departments–who participated in the restructuring process. The paper first introduces the current challenges and complexities in Institutions of Higher Education (IHEs) which initiate and influence restructuring efforts After laying out the context of (...) our case study, we examine faculty perceptions of the purpose, the plan, and the process of restructuring through an interpretive phenomenological case study analysis using Putnam and Nicotera’s ( 2009 ) Communicative Constitution of Organization (CCO) as a theoretical framework. The findings are presented as three integrated themes including the importance of a clear and purposeful rationale, maintenance of consistent communication and organization, and an ethical commitment to faculty voice and choice. The ethical implications for each theme are discussed and recommendations for restructuring initiatives are offered. The results of this study will help inform restructuring initiatives in colleges and universities with a particular emphasis on characteristics of effective, ethical leadership and the value of strong communicative elements when engaging in restructuring. (shrink)

Background Flourishing and belonging are key concepts for the wellbeing of staff and the success of a profession. Alienation and anomie are distinct types of psycho-social ills which inhibit flourishing and belonging. A better understanding of these may offer hope in preventing many negative work endpoints, including burnout and intention to leave. Objectives To systematically review and narratively synthesise alienation and/or anomie in pharmacists across the globe, reviewing all types of methodological designs, published in peer-reviewed journals. Methods We identified published (...) peer-reviewed research through searching eight electronic databases (MEDLINE, Embase, PsycINFO, CINAHL, Cochrane Library, Web of Science – Core Collection, Scopus, and Google Scholar) and extensive hand/citation searching. Two independent reviewers identified and critiqued eligible studies, extracted data, and synthesised the findings. The synthesis evaluated the focuses, causes, associated factors, and/or consequences of alienation and/or anomie and aligned these to six deductive themes from alienation theory: care; values; meaning; recognition; autonomy; and shared responsibility. Results Searches identified 886 papers, with 47 included in the final results. From the synthesis, ten key causes of alienation and/or anomie were identified; 1) Changing Professional Identity, 2) Reimbursement Models & Corporatisation, 3) Focus on Medicines Rather than People, 4) Misunderstanding & Deprofessionalisation, 5) Environments & Culture, 6) Suboptimal Societal Mandate, 7) Roles Misaligned with Aspirations, 8) Systematic Underutilisation, 9) Lack of Professional Agency, and 10) Value Conflict. From the evidence, there was high confidence that inhibitions of care, values, recognition, and/or autonomy (four of the six deductive themes) were associated with alienation and/or anomie. Conclusion Alienation and/or anomie are present across many countries and regions. This paper helps us understand the aetiology of this complex psycho-social syndrome, a necessary first step in creating an inclusive profession where all pharmacists can flourish. Future research needs to trial new interventions targeted at correcting this professional malady. (shrink)

ICRC has coordinated relief for victims who are ignored by the world, in more places than all the UN agencies combined. When law is silent, as often during war time it is, human rights policies must be built on ethical choice.

The heroes and villains of the Dune universe live in a world where violent conflict is an inevitable and necessary part of life. In the brutal worlds of the galactic Imperium and the Arrakeen desert wilderness, inquiry, perception, and logic are no longer tools of scientific truth‐seeking, but have become weapons in a war between minds as sharp as the cutting edge of a crysknife. The inquiries of Dune's characters don't follow the logic of scientific discovery but instead the wartime (...) logic of advantage. The conflict between House Atreides and House Harkonnen stretches back to the earliest days of the empire. In most cases, accurate information would still be preferred, but in this case rapidly formed beliefs that enable a timely decision are ultimately more useful than carefully verified knowledge. The grim necessities of kanly force Dune's characters to value the utility of knowledge over its truthfulness. (shrink)

Les premiers Irlandais aimaient les jeux de société. Cela ressort clairement du matériel de jeu découvert et des nombreuses références aux jeux de société dans la littérature vernaculaire. Bien qu’une grande partie de la littérature séculaire présente des récits se déroulant dans un passé imaginaire, les textes peuvent néanmoins être étudiés pour donner un aperçu des attitudes à l’égard du jeu, tant pour les hommes que pour les femmes. Avant les échecs, le jeu le plus important était le fidchell local, (...) un jeu de stratégie pure dérivé du ludus latrunculorum romain. Une sélection de références au fidchell dans la prose et la poésie, principalement de l’ancien et du moyen irlandais (viie‑xiiie s.), permet d’explorer le rôle des femmes en tant que joueuses entre elles et contre les hommes, en se concentrant sur les thèmes suivants : le statut, le contexte social et physique des jeux, la matérialité des équipements de jeu des femmes, la relation entre jeux et alcool, le jeu, l’érotisme et son absence, et les attitudes envers les compétences intellectuelles féminines. (shrink)

Paradise Lost can be read on various levels, some of which challenge or even contradict others. The main, explicit narrative from Genesis chapters 2 and 3 is shadowed by many other related stories. Some of these buried tales question or subvert the values made explicit in the dominant narrative. An attentive reader needs to be alert to the ways in which such references introduce teasing complexities. The approach of Satan to Eve in the ninth book of Paradise Lost is loaded (...) in just that way with allusion to the literature of Greece and Rome. The poem recovers for this long and intricately constructed passage the weight of classical reference, especially in similes, that it had during the first Satanic books. Gardens, both classical and biblical, disguised or transformed serpents, and the weight of allusions that Eve is required to bear, all threaten to undermine the meanings of the overt narrative. The narrator has difficulty rescuing Eve from the allusions she attracts, or the many stories told about her. (shrink)

It has recently been argued by C. W. MacLeod that Catullus 116 not only has a poetic meaning, but also has a significant position in the Catullan corpus. MacLeod in fact views this poem as a programmatic piece, whose position at the end of the Catullan corpus is purposeful and part of the poet's own design. Since poem 116 has been one of the most neglected of the Catullan epigrams, MacLeod's suggestions are very welcome and serve to reopen the questions (...) surroundingthis poem. (shrink)

This paper uses the concept of causal stories to explore how death, sickness and misfortune lead to accusations of sorcery or witchcraft. Based on empirical research in Papua New Guinea, we propose a new analytical framework that shows how negative events may trigger particular narratives about the use of the supernatural by individuals and groups. These narratives then direct considerations about the cause of the misfortune, the agent who can heal it, and the appropriate response from those affected by the (...) misfortune. We also categorise the factors that attract people towards magical causal narratives or towards competing non-magical causal narratives. We situate our analysis within a context of worldview pluralism, where individuals possess multiple worldviews, such as a magical worldview or a scientific worldview. We argue that causal stories operate to activate the dominance of one worldview or a combination of worldviews in given circumstances. Our theoretical contribution may be extended to discrimination and violence against those suffering from health-related stigma, as this too gives rise to competing causal stories that either take hold or are ignored depending upon diverse factors. (shrink)

Open peer commentary on the article “Cybernetics, Reflexivity and Second-Order Science” by Louis H. Kauffman. Upshot: I demonstrate how Kauffman’s cogently argued article requires an act of imagination. I distinguish the act of perception, and its transformation as conception, as imagining. It is how we distinguish both the creation and exploration of our experience in context since, when we make a distinction, we also define the context, and this cannot be accomplished without circularity.

Does joining groups trigger a cascade of psychological processes that can result in a loss of individuality and lead to such outcomes as social loafing and poor decision-making? Rather than privileging the self comprising primarily individual qualities as the “true self,” a multilevel, multicomponent approach suggests that, in most cases, personal and collective identities are integrated and mutually sustaining.

The article takes seriously the etymology of the hero's name in Milton's Lycidas, suggesting that the wolfish presence, also denounced in the course of the poem, complicates the praise for Milton's dead friend.

This fascinating new book examines diversity in moral judgements, drawing on recent work in social, personality, and evolutionary psychology, reviewing the factors that influence the moral judgments people make. Why do reasonable people so often disagree when drawing distinctions between what is morally right and wrong? Even when individuals agree in their moral pronouncements, they may employ different standards, different comparative processes, or entirely disparate criteria in their judgments. Examining the sources of this variety, the author expertly explores morality using (...) ethics position theory, alongside other theoretical perspectives in moral psychology, and shows how it can relate to contemporary social issues from abortion to premarital sex to human rights. Also featuring a chapter on applied contexts, using the theory of ethics positions to gain insights into the moral choices and actions of individuals, groups, and organizations in educational, research, political, medical, and business settings, the book offers answers that apply across individuals, communities, and cultures. Investigating the relationship between people⁰́₉s personal moral philosophies and their ethical thoughts, emotions, and actions, this is fascinating reading for students and academics from psychology and philosophy and anyone interested in morality and ethics. (shrink)

Why Revisit Classics Like Antigone? Sophocles’ dramatic depiction of the myth of Antigone has undergone a range of theatrical reincarnations over the centuries, from the tellingly entitled Antigone ou le piete by Robert Garnier to versions and free translations by Vittorio Alfieri , Friedrich Hölderin , Johann Wolfgang Goethe , Walter Hasenclaver , Jean Coc- teau , Jean Anouilh , Bertolt Brecht , Tom Paulin , Athol Fugard , Miro Gavran and Seamus Heaney – to name just a few. It (...) is the contention of this analysis that dramatic reinterpretations of Sophocles’ Antigone have fallen into two very distinct phases; firstly those comprising predominantly reverential appropriations of the ancient classic which tap into the source text’s cultural cachet to bolster the cultural, religious and political aims of the society in which it was currently being performed; and secondly, the post 1945 appropriations. It is the sec- ond phase that will provide the particular focus for this discussion. (shrink)

This volume is an unprecedented compilation of research papers from esteemed Russian psychophysiologists, cognitive scientists, and neuroscientists. It also provides a detailed exposition of Russian advances in neuropsychology and cognitive science from the late nineteenth century to the present.

Dogmen are individuals who fight their pit bulls in matches against other pit bulls. This paper uses neutralization theory to examine the rationalizations of dogmen as they attempt to counter stigma and criminal identity in a world that is becoming increasingly intolerant of dogfighting. To maintain their rationalizations, the dogmen use four recurring techniques : denial of injury; condemnation of the condemners; appeal to higher loyalties; and a defense that says dogmen are good people. The authors conducted interviews with 31 (...) individuals who fight and breed pit bulls and with significant others in the dogfighting enterprise, including Society for the Prevention of Cruelty to Animals officials, veterinarians, and local law enforcement officers. The research also examined newspaper accounts of dogfighting. This article provides some insights into the social construction of reality of individuals who engage in an activity that most of us find reprehensible. As with any criminal/deviant behavior, understanding and subsequent solving of the problem begin with knowledge of the offender's perspective. (shrink)