Experiences of substitute decision-makers with requests for consent to non-therapeutic research participation during the dying process, including to what degree such requests are perceived as burdensome, have not been well described. In this study, we explored the lived experiences of family members who consented to non-therapeutic research participation on behalf of an imminently dying patient. We interviewed 33 family members involved in surrogate research consent decisions for dying patients in intensive care. Non-therapeutic research involved continuous physiological monitoring of dying patients (...) prior to and for 30 min following cessation of circulation. At some study centres participation involved installation of bedside computers. At one centre electroencephalogram monitoring was used with a subset of participants. Aside from additional monitoring, the research protocol did not involve deviations from usual end-of-life care. Thematic analysis of interviews suggests most family members did not perceive this minimal-risk, non-therapeutic study to affect their time with patients during the dying process, nor did they perceive research consent as an additional burden. In our analysis, consenting for participation in perimortem research offered families of the dying an opportunity to affirm the intrinsic value of patients’ lives and contributions. This opportunity may be particularly important for families of patients who consented to organ donation but did not proceed to organ retrieval. Our work supports concerns that traditional models of informed consent fail to account for possible benefits and harms of perimortem research to surviving families. Further research into consent models which integrate patient and family perspectives is needed. All data relevant to the study are included in the article. (shrink)

Moral distress has been well reviewed in the literature with established deleterious side effects for all healthcare professionals, including nurses, physicians, and others. Yet, little is known about the quality and effectiveness of interventions directed to address moral distress. The aim of this integrative review is to analyze published intervention studies to determine their efficacy and applicability across hospital settings. Of the initial 1373 articles discovered in October 2020, 18 were appraised as relevant, with 1 study added by hand search (...) and 2 after a repeated search was completed in January and then in May of 2021, for a total of 22 reviewed articles. This review revealed data mostly from nurses, with some studies making efforts to include other healthcare professions who have experienced moral distress. Education-based interventions showed the most success, though many reported limited power and few revealed statistically lowered moral distress post intervention. This may point to the difficulty in adequately addressing moral distress in real time without adequate support systems. Ultimately, these studies suggest potential frameworks which, when bolstered by organization-wide support, may aid in moral distress interventions making a measurable impact. (shrink)

Nietzsche coins the enigmatic term homo natura to capture his understanding of the human being as a creature of nature and tasks philosophy with the renaturalisation of humanity. Following Foucault's critique of the human sciences, Vanessa Lemm discusses the reception of Nietzsche's naturalism in philosophical anthropology, psychoanalysis and gender studies. She offers an original reading of homo natura that brings back the ancient Greek idea of nature and sexuality as creative chaos and of the philosophical life as outspoken and (...) embodied truth, perhaps best exemplified by the Cynics' embrace of social and cultural transformation. (shrink)

Veterinary oaths are public declarations sworn by veterinarians, usually when they enter the profession. As such, they may reflect professional and social concerns. Analysis of contemporary veterinary oaths may therefore reveal their ethical foundations. The objective of this article is to contextualize the ethical content of contemporary oaths, in terms of the origin and development of veterinary medicine and wider societal changes such as the intensification of farming and the rise of animal welfare. This informs a comparison of oaths from (...) the United States, Canada, the United Kingdom, and Brazil. This analysis suggests some ways in which the oaths might be developed to better reflect contemporary societal values. (shrink)

O artigo pretende pensar o aspecto afirmativo do pensamento de Nietzsche ao propor uma “transmutação” do niilismo. Transmutação está em destaque, pois para Nietzsche o niilismo faz parte da vontade de potência, ou seja, para superar o niilismo decadente da cultura europeia e ocidental é necessário saber direcionar o aspecto negativo, ou melhor, da crítica aos valores tradicionais, para afirmar a vida, o ‘sujeito criador’ e a finitude. Ao pensar no poder do aspecto niilista presente na transmutação da cultura, poder (...) esse que destrói os valores da cultura ocidental e faz nascer uma possibilidade de superação do niilismo, pensa-se também em Edmund Husserl como um representante da filosofia nietzschiana ao fazer implodir a noção de cultura ocidental através da crítica às ciências sejam elas positivas, do espírito (história, psicologia e sociologia), ou a própria filosofia através da crítica à metafísica e sua dicotomia realismo versus idealismo como causa e fundamento da crise cultural. Para aproximar Nietzsche e Husserl deve-se entender que Husserl efetivou o principal chamado de Nietzsche, o chamado pela afirmação da vida, afirmação do mundo fenomênico e afirmação da ‘subjetividade’ criadora, o que propiciou novos rumos ao pensar contemporâneo. Husserl faz da fenomenologia uma filosofia pensante da aproximação com o mundo e com as coisas mesmas, num ato de liberdade e criação de um campo relacional de sentido, aproximando-se ao si criador, ao além-do-homem nietzschiano. (shrink)

ABSTRACT This article invites us to consider the task of education as we face the end of the world as we have known it. The first part of the article gives an overview of global and educational challenges, drawing attention to how formal education has been complicit in the reproduction of historical and systemic violence, as well as unsustainability. This section also offers a distinction between educational approaches that focus on personal empowerment and the mastery of knowledge and skills, and (...) educational approaches that see the role of education in association with the non-coercive re-arrangement of desires and with responsibility before will. The second part of the paper presents a psychoanalytic experiment that attempts to create a space and the dispositions necessary for difficult conversations about the role of education in preparing us all to confront the potential for social and ecological collapse in our lifetime. (shrink)

The field of emotion understanding is replete with measures, yet lacks an integrated conceptual organizing structure. To identify and organize skills associated with the recognition and knowledge of emotions, and to highlight the focus of emotion understanding as localized in the self, in specific others, and in generalized others, we introduce the conceptual framework of Emotion Understanding in Recognition and Knowledge Abilities (EUReKA). We then categorize 56 existing methods of emotion understanding within this framework to highlight current gaps and future (...) opportunities in assessing emotion understanding across the lifespan. We hope the EUReKA model provides a systematic and integrated framework for conceptualizing and measuring emotion understanding for future research. (shrink)

Les relations entre philosophie morale et psychologie ont été marquées par une volonté d'autonomie réciproque souvent justifiée par deux arguments classiques fondamentaux en philosophie morale. Pourtant, le débat est loin d'être clos et l'étude de la morale comme n'importe quel objet naturel ou « naturalisation de la morale » se pose aujourd'hui à nouveaux frais. L'auteur propose une analyse critique des trois principaux arguments contemporains opposés à la naturalisation de la morale : la dénaturation de la morale ; la suffisance (...) de la science ; et le « rasoir de Kant ». Cet examen la conduit à proposer l'hypothèse d'un principe de redoublement permettant d'établir que la naturalisation de la morale repose sur un devoir moral. (shrink)

This article asks how ideas about nature in the 18th and 19th century Romantic movement have traveled in and been translated by the various religious groups that constitute contemporary Paganism. Drawing on the work of poets, philosophers, historians, social scientists, and contemporary Pagans themselves, the article argues that contemporary Paganism borrows freely from Romantic notions of inspiration and imagination to craft a vision of nature, that, for them, responds to the emotional and political needs of their own time and place. (...) At the center of this vision is what I describe as the Romantic hero, a figure in search of a more authentic existence in a broadly conceived "natural world.". (shrink)

Abstract It would be puzzling if the morally best agents were not so good after all. Yet one prominent account of the morally best agents ascribes to them the exact motivational defect that has famously been called a “fetish.” The supposed defect is a desire to do the right thing, where this is read de dicto . If the morally best agents really are driven by this de dicto desire, and if this de dicto desire is really a fetish, then (...) the morally best agents are moral fetishists. This is puzzling. I resolve the puzzle by showing that on a proper understanding of the interaction between de dicto and de re moral motivation, it is not only not fetishistic, but quite possibly desirable, to be motivated by a de dicto desire to do the right thing. My argument relies partly on an appeal to a non-buck-passing account of moral rightness, according to which rightness is itself an additional reason-giving property over and above the right-making properties of an action. If this account of moral rightness is correct, then we would expect the morally best agents to exhibit de dicto moral motivation. However, since their de dicto desire acts in concert with de re desires, there is no reason to consider it a fetish. Content Type Journal Article Pages 1-19 DOI 10.1007/s11098-011-9825-z Authors Vanessa Carbonell, Philosophy Department, University of Cincinnati, P.O. Box 210374, Cincinnati, OH 45221-0374, USA Journal Philosophical Studies Online ISSN 1573-0883 Print ISSN 0031-8116. (shrink)

This study tests how various kinds of trust impact attitudes toward euthanasia among the general public. The indication that trust might have an impact on euthanasia attitudes is based on the slippery slope argument, which asserts that allowing euthanasia might lead to abuses and involuntary deaths. Adopting this argument usually leads to less positive attitudes towards euthanasia. Tying in with this, it is assumed here that greater trust diminishes such slippery slope fears, and thereby increases euthanasia acceptance.

Many of today’s most disruptive challenges are the result of rare yet highly impactful events. Their characteristics are largely at odds with prevailing management research paradigms, thus stymieing efforts toward societally relevant guidance. New approaches are needed to ensure sustainable businesses and societies.

Emotional development is one of the largest and most productive areas of psychological research. For decades, researchers have been fascinated by how humans respond to, detect, and interpret emotional facial expressions. Much of the research in this area has relied on controlled stimulus sets of adults posing various facial expressions. Here we introduce a new stimulus set of emotional facial expressions into the domain of research on emotional development—The Child Affective Facial Expression set (CAFE). The CAFE set features photographs of (...) a racially and ethnically diverse group of 2- to 8-year-old children posing for six emotional facial expressions—angry, fearful, sad, happy, surprised, and disgusted—and a neutral face. In the current work, we describe the set and report validity and reliability data on the set from 100 untrained adult participants. (shrink)

The animal in Nietzsche's philosophy -- Culture and civilization -- Politics and promise -- Culture and economy -- Giving and forgiving -- Animality, creativity, and historicity -- Animality, language, and truth -- Biopolitics and the question of animal life.

Susan Wolf famously claimed that the life of the moral saint is unattractive from the “point of view of individual perfection.” I argue, however, that the unattractive moral saints in Wolf’s account are self-defeating on two levels, are motivated in the wrong way, and are called into question by real-life counter-examples. By appealing to a real-life case study, I argue that the best life from the moral point of view is not necessarily unattractive from the individual point of view.

We emerge from certain activities with an altered sense of self. Whether returning from a warzone or from an experience as common as caring for an aging parent, one might remark, “I’m not the same person I was.” I argue that such transformations are relevant to debates about what morality requires of us. To undergo an alteration in one’s self is to make a special kind of sacrifice, a sacrifice of self. Since projects can be more or less morally obligatory (...) to the extent that they require more or less sacrifice, we must incorporate these unique sacrifices into any accounting of the contours and limits of moral obligation. But sacrifices of self pose a special difficulty for any such accounting, precisely because of their transformative nature. Unlike most other sacrifices, they cannot be analyzed entirely in terms of wellbeing. Using real-world case studies and examples, I argue for the existence of two types of sacrifice of self, involving changes in identity and moral agency. I argue that sacrifices of self require particular attention because they may be extra difficult to compare with other costs and with moral gains. (shrink)

RESUMO O objetivo do artigo é proceder a uma análise da personagem Alison, esposa de Bath, na obra Os contos de Canterbury, de Geofrey Chaucer. Para isso, com base em Bakhtin (2010, 2018), em particular a partir da perspectiva da carnavalização, somada à teoria da performatividade de gênero de Butler (1988, 2017), pretendemos mostrar como a referida personagem subverte, carnavalizadamente, certos textos bíblicos referentes ao papel da mulher no matrimônio. Dessa forma, nesse estudo, para efeito de análise, tomamos da obra (...) chaucereana o prólogo da esposa de Bath visto que nele a personagem elabora, de modo mais evidente, sua relação tensa e, ao mesmo tempo cômica, com a Bíblia. Da análise feita, concluímos, assim, que a esposa de Bath, de maneira carnavalizada, performatiza o gênero feminino em pleno período medieval, mostrando-se subversiva aos estereótipos da época ao profanar certas orientações bíblicas, tanto do Velho como do Novo Testamento, relativamente ao que é ser mulher e esposa. (shrink)

Neste artigo analiso alguns aspectos dos conceitos de ação e narrativa no pensamento de Hannah Arendt. Enfatizo a metamorfose operada pela narrativa que, na retrospectiva e por meio da imaginação, transforma a ação em estórias. Em especial, busco compreender por que Arendt afirma que as estórias são posteriores à ação e que é um equívoco tentar inverter essa ordem, sob a pena de eliminar a liberdade da ação. Baseio-me no capítulo sobre ação na obra “A condição humana” de Arendt e (...) apresento alguns aspectos de seu texto sobre Karen Blixen, sob o pseudônimo de Isak Dinesen, publicado em “Homens em tempos sombrios”. Para aprofundar e ilustrar minha análise inicial, apresento e discuto, no final, o conto “A estória imortal”, de Karen Blixen, cujo enredo trata da tentativa pretensiosa de fabricar uma estória no mundo. (shrink)

Ion channels mediate ion flux across biological membranes and regulate important organellar and cellular tasks. A recent study revealed the presence of four new proteins, the MIM complex (composed by Mim1 and Mim2), Ayr1, OMC7, and OMC8, that are able to form ion‐conducting channels in the outer mitochondria membrane (OMM). These findings strongly indicate that the OMM is endowed with many solute‐specific channels, in addition to porins and known channels mediating protein import into mitochondria. These solute‐specific channels provide essential pathways (...) for the controlled transport of ions and metabolites and may thus add a further layer of specificity to the regulation of mitochondrial function at the organelle‐cytosol and/or inter‐organellar interface. Future studies will be required to fully understand the way(s) of regulation of these new channels and to integrate them into signaling pathways within the cells. (shrink)

Este artigo procura fazer uma leitura crítica da utilização da figura da condessa de Barral na biografia histórica e romanceada, intitulada Condessa de Barral, a paixão do imperador, assinada por Mary Del Priore e editada pela editora Objetiva, destacando as questões teóricas referentes às biografias, aos limites entre a literatura e História, à escrita epistolar como fonte histórica e a ética do historiador enquanto educador. This article attempts a critical reading of the use of Countess of Barral's figure in the (...) historical and novelized biography, titled Condessa do Barral, a paixão do imperador, authored by Mary Del Priore and published by Objetiva, highlighting the theoretical issues relating to biographies, the boundaries between Literature and History, epistolary writing as a historical source and the ethics of the historian as an educator. (shrink)

In the history of scholarly practice, Voltaire stands out among eighteenth‐century authors for his critical attitude towards erudite reading habits. His contempt for the “compilateurs” is a radical expression of the Enlightenment desire to write free of the traditions and burdens of the past. His famous interventions in Ancien Régime court cases are also emblematic of the action‐oriented philosophy of the period. This article investigates the role played in the case of the Chevalier de La Barre by documents that Voltaire (...) called “excerpts.” The case was the last Voltaire was involved in and concerned a young man, charged with blasphemy, who was eventually beheaded and burnt in 1766, Voltaire's Dictionnaire philosophique portatif (1764) nailed to his torso. With reference to two texts in particular—Relation de la mort du chevalier de La Barre (1766) and Le Cri du sang innocent (1775)—I focus on Voltaire's practice of excerpting from the court transcripts and on their specific role in his fight for the rehabilitation of the victims. (shrink)

Este artigo objetiva realizar uma revisão narrativa sobre a temática da branquitude, de modo a verificar suas definições presentes na literatura, assim como as maneiras como ela se expressa no cotidiano. As produções foram organizadas em um quadro segundo autor e data, discutindo os diferentes aspectos da raça, na realidade brasileira, em diferentes regiões e também da realidade de outros países. Os dados obtidos indicam que a branquitude, em suas diversas representações, configura-se um agente central na manutenção do racismo. Confirmaram-se (...) os problemas da não racialização e os prejuízos centenários dessa relação de poder. É um panorama diverso e complexo, que compreende pessoas com ou sem consciência de si, com variados níveis de privilégios, expressos territorialmente de maneira diferente. (shrink)

Após uma breve retomada da tese bergsoniana da inadequabilidade da linguagem para exprimir o real, a qual está presente ao longo de toda sua obra, este trabalho procura mostrar de que modo Matéria e Memória contempla uma reflexão mais profunda sobre esta temática ao apresentar a noção de “aparelho motor”, que permite vislumbrar o fundamento corporal dos hábitos da prática e aponta para o problema de transpô-los sem crítica ao âmbito do pensamento especulativo. Em linhas gerais, procuramos entender de que (...) modo a concepção de linguagem de Bergson – com base na definição da palavra como entidade de ordem motora ou mais explicitamente como aparelho motor – anuncia um acesso extralingüístico ao real. (shrink)

Abstract Kierkegaard and his pseudonym, Johannes Climacus, advance a ?theory? of indirect communication which designates it as the appropriate vehicle for ethico?religious discourse. This paper examines the justification for this claim, as it is elaborated in the Postscript, and traces the similarity between Climacus? account of indirect communication and his broader existential ethics. Both accounts locate the identity of the subject in the repeated renunciation of finitude. Just as the autonomy of the Kantian subject demands indifference to phenomenal incentives, so (...) too the ?infinite possibility? of the Climacean subject is assured only through its repeated renunciation of finite determinants. The paper argues that this project of self?determination underlies both the theory of indirect communication and the Postscript's existential ethics, and both are critiqued by Kierkegaard under the rubric of ?Religiousness A?. The theory of indirect communication and the existential ethics of which it is a part demand that the individual's freedom be literally ?thought at every moment? ? a requirement which is as divorced from the circumstances of actual existence as Hegel's much maligned ?System?. The paper closes by considering the significance of Climacus? ?Absolute Paradox? for the subject's predicament and for Kierkegaard's authorship: does the notion of the Absolute Paradox represent an alternative to the subject's self?assertion, or is it merely its pre?eminent expression? (shrink)

I argue for the existence of a ‘ratcheting-up effect’: the behavior of moral saints serves to increase the level of moral obligation the rest of us face. What we are morally obligated to do is constrained by what it would be reasonable for us to believe we are morally obligated to do. Moral saints provide us with a special kind of evidence that bears on what we can reasonably believe about our obligations. They do this by modeling the level of (...) sacrifice a person can realistically bear. Exposure to moral saints thus ‘ratchets-up’ our obligations by combating a type of ignorance that would otherwise defeat those obligations. (shrink)

Liberalism is a critically important topic in the contemporary world as liberal values and institutions are in retreat in countries where they seemed relatively secure. Lucidly written and accessible, this book offers an important yet neglected Russian aspect to the history of political liberalism. Vanessa Rampton examines Russian engagement with liberal ideas during Russia's long nineteenth century, focusing on the high point of Russian liberalism from 1900 to 1914. It was then that a self-consciously liberal movement took shape, followed (...) by the founding of the country's first liberal (Constitutional-Democratic or Kadet) party in 1905. For a brief, revelatory period, some Russians - an eclectic group of academics, politicians and public figures - drew on liberal ideas of Western origin to articulate a distinctively Russian liberal philosophy, shape their country's political landscape, and were themselves partly responsible for the tragic experience of 1905. (shrink)

Why do racist oppression and capitalist exploitation often seem so inescapable and intractable? To describe and explain adequately the persistence of racist ideology, to specify its role in the maintenance of racial capitalism, and to imagine the conditions of its abolition, we must understand racist ideology as a form of false consciousness. False consciousness gets things “right” at the level of appearance, but it mistakes that appearance for a “deep” or essential truth. This chapter articulates a novel, positive account of (...) first-order false consciousness, which occurs in the case of false beliefs about the world that are sustained and superficially justified by objective social arrangements, and of second-order false consciousness, which occurs in the case of false beliefs about how one has come to hold the beliefs that one does. To dismantle racist ideology requires political movements that craft theoretical interventions highlighting the inessentiality and contingency of despised racial groups’ oppressed status, as well as practical interventions aimed at directly undermining the oppressive conditions that are reflected in racist beliefs about the “naturalness” or “appropriateness” of these groups’ degraded status. (shrink)

Marxism is a materialist theory that centers economic life in its analysis of the human social world. This materialist orientation manifests in explanations that take economic class to play a fundamental causal role in determining the emergence, character, and development of race-and sex-based oppression—indeed, of all forms of identity-based oppression within class societies. To say that labor is mediated by class in a class-based society is to say that, in such societies, the class-based division of that activity which produces and (...) reproduces the human species is the definite form in which labor appears, and that the human life which is the product of that self-making activity bears its stamp. Marxism’s emphasis on economic factors as central in the constitution and development of human life has been seized upon as evidence of its alleged “class reductionism”—its supposed tendency to think of all aspects of human life as direct and simple expressions of a class relation. No such thing follows; quite the opposite, a correct understanding of the relationships among capitalism, racism, and sexism only further highlights how central the struggle against each is to the struggles against any of the others. (shrink)