An increasing number of older patients have to decide on a treatment plan for advanced chronic kidney disease, involving dialysis or conservative care. Shared decision-making is recommended as the model for decision-making in such preference-sensitive decisions. The aim of SDM is to come to decisions that are consistent with the patient’s values and preferences and made by the patient and healthcare professional working together. In clinical practice, however, SDM appears to be not yet routine and needs further implementation. A shift (...) from a biomedical to a person-centered conception might help to make the process more shared. Shared should, therefore, be interpreted as two persons bringing two perspectives to the table, that both need to be explored during the decision-making process. Starting from the patient’s perspective will enable to determine the mutual goals of care first and, subsequently, determine the best way for achieving those goals. To perform such SDM, the healthcare professional needs to become a skilled companion, being part of the patient’s relational context, and start asking the right questions about what matters to the patient as person. In this article, we describe the need for a person-centered conception of SDM for the setting of older patients with advanced CKD. (shrink)

If climate change represents a severe threat to humankind, why then is response to it characterized by inaction at all levels? The authors argue there are two complementary explanations for the lack of motivation. First, our moral judgment system appears to be unable to identify climate change as an important moral problem and there are pervasive doubts about the agency of individuals. This explanation, however, is incomplete: Individual emitters can effectively be held morally responsible for their luxury emissions. Second, doubts (...) about individual agency have become overly emphasized and fail to convincingly exonerate individuals from responsibility. This book extends the second explanation for the motivational gap, namely that the arguments for the lack of individual agency do in fact correspond to mechanisms of moral disengagement. The use of these mechanisms enables consumption elites to maintain their consumptive lifestyles without having to accept moral responsibility for their luxury emissions. (shrink)

The Random Number Generation task has a long history in neuropsychology as an assessment procedure for executive functioning. In recent years, understanding of human behavior has gradually changed from reflecting a static to a dynamic process and this shift in thinking about behavior gives a new angle to interpret test results. However, this shift also asks for different methods to process random number sequences. The RNG task is suited for applying non-linear methods needed to uncover the underlying dynamics of random (...) number generation. In the current article we present RandseqR: an R-package that combines the calculation of classic randomization measures and Recurrence Quantification Analysis. RandseqR is an easy to use, flexible and fast way to process random number sequences and readies the RNG task for current scientific and clinical use. (shrink)

Psychological safety is important for the well-being and productivity of people in the workplace. Psychological safety becomes even more important and even more difficult to maintain in times of uncertainty. Previous research mainly focused on the influence of and on interpersonal relationships. This study applies an individual perspective by investigating what is needed on an individual level in order to build psychological safety. The expectation was that self-compassion induces an individual to experience higher positive affect, and this advances the development (...) of positive relations and social acceptance. Moreover, we assumed that the mediation of the relationship between self-compassion and positive relations and social acceptance by positive affect is moderated by the level of basic need satisfaction. Participants from the Netherlands and Belgium completed an online questionnaire about their level of self-compassion, basic need satisfaction, positive affect and positive relations and social acceptance. Using hierarchical regression analyses for moderated mediation analysis, results showed that self-compassion and positive affect had a significant positive effect on positive relations and social acceptance. Positive affect significantly mediated the relationship between self-compassion and positive relations and social acceptance, when basic need satisfaction was low, but not when basic need satisfaction was high. Our research showed that individuals need either their basic needs satisfied or self-compassion so they can build the high-quality relations needed to stimulate psychological safety. This finding shifts attention from the dyadic relationship to the individual and highlights important factors at the individual level which advance the development of high-quality relationships with others. (shrink)

Comenius (1592 - 1670) war ein großer Europäer, ein kreativer Metaphysiker und überzeugter, aber nicht indoktrinierender Theologe, ein Pädagoge, der zugleich ein begnadeter Praktiker war, ein Politiktheoretiker, ein Literat und Linguist auf hohem Niveau. Der Wunsch, Gewalt von den Dingen fernzuhalten, stammt von ihm. Er wird verständlich, wenn man sich klar macht, dass Comenius „pansophisch“ (allumfassend) gedacht hat: Die Gewalt gegen die Dinge spiegelt die Gewalt gegen die Menschen, und beides muss aufhören. Die vorliegende Publikation zeigt eine fremde Welt, die (...) doch in unserer Zeit angesichts der Globalisierung aller Lebensbereiche wieder von großer Aktualität ist. Comenius fostered pansophic, all-encompassing thinking in philosophy, theology, history, politics and education. That is why today, in an age of increased globalisation, his works are the subject of renewed interest. Twenty-nine authors from eight countries, dedicated to this task, develop the picture of a great European thinker. (shrink)

This paper argues for a reinterpretation of madness and mysticism through an apophatic lens. By using Wouter Kusters' theo-philosophical definition of madness, I argue for a re-evaluation of female mysticism which rethinks ecstatic and ascetic devotion as a form of agency. Focusing on The Book of Margery Kempe, I reconsider theological passion and ground Kempe’s madness within the historical tradition of affective piety, which expresses a desire to join with the humanity of Christ. Within modern readership, there has been (...) an impulse to label Kempe and other mystics with specific psychiatric diagnoses. In resisting this urge, I instead argue for a convergence of madness and mysticism which enables a paradoxical agency through negation of thought and language. This apophatic agency is precisely what imbues female mysticism with the potential for radical, queer social resistance. In extending this discussion to issues of fasting and abstinence, I then consider the role eucharistic devotion plays in enabling women control over the gastronomical and sexual parameters of their bodies. The denial of food and sex becomes integral to Kempe’s mysticism in asserting agency over the psychosexual self. Finally, I end with some reflections on how Kempe’s mysticism might influence contemporary discussions of mental health. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Scientia propter quid nobis—The Epistemic Independence of Metaphysics and Theology in the Quaestio de cognitione Dei attributed to Duns Scotus by Wouter GorisClaus A. AndersenGORIS, Wouter. Scientia propter quid nobis—The Epistemic Independence of Metaphysics and Theology in the Quaestio de cognitione Dei attributed to Duns Scotus. Münster: Aschendorff, 2022. viii + 296 pp. Paper, € 49.00The central claim of Wouter Goris's new book is that (...) the Quaestio de cognitione Dei traditionally (both in one late medieval manuscript and in some modern scholarship) attributed to John Duns Scotus not only is inauthentic but in fact represents an early reaction against Scotus's teaching on the scientific nature of metaphysics. The Quaestio in particular explores Scotus's distinction between a science "in itself" and one "for us" and, going beyond Scotus's own doctrine, shows how this distinction is applicable to metaphysics.The book is divided into three parts. Part 1 offers a critical edition of the Quaestio de cognitione Dei, which has hitherto been available in a plain transcription published by C. R. S. Harris in 1927. Harris's text was based on a single manuscript from the fifteenth century (Oxford, Merton College, Ms. 90); Goris bases his edition on a manuscript from the early fourteenth century (Assisi, Biblioteca Comunale, Ms. 172), one that does not attribute the text to Scotus. Goris highlights that the text has significant parallels in the prologue of John of Reading's Scriptum on the first book of the Sentences; there is presently not sufficient evidence for claiming that Reading is the author of the De cognitione Dei, but it does seem clear that either Reading or some other Franciscan friar relying on Reading's Scriptum authored the text between 1316 and 1325. The Quaestio itself consists of two articles. Two appendices to the edition document longer passages from Reading's Scriptum.Part 2 investigates the use of the distinction between a science in itself and one for us in Duns Scotus and some of the early Scotists. Scotus's doctrine developed over time. At Oxford Scotus taught that theology in se is about the divine essence in its particularity; theology for us is about the most perfect concept of God attainable for human beings by natural means, that is, the concept "infinite being." It falls to metaphysics to prove that there is such a kind of being. At Paris Scotus rather taught that both theology in se and theology for us are about the divine essence in its [End Page 549] particularity. The implication is that a strictly demonstrative science about God is possible for human beings in this present life, a knowledge of God that is completely independent of metaphysics. Goris argues that this shift in the view of theology explains the absence of Scotus's famous "twin doctrines" of the univocal concept of being and of being as the first adequate object of the intellect from his theological epistemology of the Parisian period. Not too surprisingly, in the wake of Scotus we find several authors grappling with the relationship between theology and metaphysics. The positions investigated by Goris vary considerably. Richard of Conington distinguishes between human metaphysical knowledge of being and God's own metaphysical knowledge of being; the latter represents a more perfect knowledge of both God himself and creatures as included under the concept of being. Francis of Marchia employs a distinction between a general metaphysics (about being as being) and a special metaphysics (about divine being), but on the level of science for us the special part of metaphysics is subordinated to the general one. Nicolas Bonetus, by contrast, advocates a sharp distinction between metaphysical knowledge of being and natural theology; he structures his metaphysics as a purely ontological discipline and treats natural theology as a separate science; Goris sees this reorganization as Bonetus's most decisive contribution to the history of metaphysics.Part 3 analyzes the fundamental doctrines defended in the Quaestio de cognitione Dei and compares them with those of Scotus and John of Reading. The first article of the Quaestio introduces two important distinctions, the first of which is between metaphysics in itself and metaphysics for us; these two... (shrink)

R. S. Woolhouse; IV*—Leibniz's Reaction to Cartesian Interaction, Proceedings of the Aristotelian Society, Volume 86, Issue 1, 1 June 1986, Pages 69–82, https:/.

We generalize two well-known model-theoretic characterization theorems from propositional modal logic to first-order modal logic. We first study FML-definable frames and give a version of the Goldblatt–Thomason theorem for this logic. The advantage of this result, compared with the original Goldblatt–Thomason theorem, is that it does not need the condition of ultrafilter reflection and uses only closure under bounded morphic images, generated subframes and disjoint unions. We then investigate Lindström type theorems for first-order modal logic. We show that FML has (...) the maximal expressive power among the logics extending FML which satisfy compactness, bisimulation invariance and the Tarski union property. (shrink)

It is shown that the Hilbert space formalism of quantum mechanics can be derived as a corrected form of probability theory. These constructions yield the Schrödinger equation for a particle in an electromagnetic field and exhibit a relationship of this equation to Markov processes. The operator formalism for expectation values is shown to be related to anL 2 representation of marginal distributions and a relationship of the commutation rules for canonically conjugate observables to a topological relationship of two manifolds is (...) indicated. (shrink)

Available on its own, or as part of the 9-volume reissue of the classic Political Thinkers series.

First Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

Upshot: Constructionism must return to its epistemological roots to make any lasting impact on education. Constructionism should be transformed from a framework of action into ways to conceptualize and record what people actually do in constructionist environments so that theories of knowledge-building acts can be tested and the designing of those environments can be made more effective.

The human person makes great demands on the physician and calls for unique attention. Hence the doctor-patient relationship calls for the highest ideals of kindness, patience, trustworthiness, generosity and skill. The Catholic physician brings to these demands a specific meaning: ministering to the sick is to see Christ in them and to show Him to them.

Summary One aim of this paper is to provide an assessment of the recent attempts to interpret the development of Galileo's theory of motion in the late Paduan period 1604?1610. In addition to this a new interpretation of this process of development is advanced. This interpretation is the first that proves able to provide a full account of all the features on folio 152r of volume 72 of the Galilean manuscripts which has been claimed to be of crucial significance. The (...) major feature of the interpretation is that it is the first to account for the relationship between Galileo's theoretical and experimental work in the period 1604?1610. (shrink)

The problems and the history of contacts between distant continents in bygone ages and long before the age of fast and easy travel, have always fascinated both professional scholars and the interested public. Was ancient history really nothing but the history of co-existing and isolated geographic, cultural and political “islands?” Already at school we learned too much about migrations of peoples, economic contacts, influences on art styles, conquests, and the rise, expansion and fall of empires to believe that. The (highly (...) improbable) theory that certain archaeological finds in America suggest, or even prove, Mediterranean influence (e.g., the arrival of Phoenician ships), or the alleged Viking discovery of America centuries before Columbus, or Thor Heyerdahl's adventurous journey to prove South American influence on remote Pacific islands did not fail to cause widespread interest and even excitement (although many scholars still feel that Heyerdahl's epic adventure, thrilling as it is, failed to prove what it set out to prove). The island of Madagascar is pretty close to the African continent, but its language exhibits more points of contact with Polynesian than with African tongues. And the blow-bellows used by Malagache smiths are similar to those used in Malaysia and unlike those known to African metalworkers. Clearly the Polynesians, those great ancient mariners, sailed further than originally seemed likely. Musicologists studying the cantillation of the Hebrew Bible in the liturgy of the ancient Jewish communities on the Malabar coast in India discovered to their surprise that it was similar to the cantillation not of the Babylonian but of the Yemenite Jews! This surprise was, of course, no surprise to those who knew anything about trade-winds and shipping routes between South Arabia and the Indian coast. Historians of religion, even more than general historians, studying the spread and expansion of religious ideas and movements have realised long ago that the beginning of all wisdom is a basic knowledge of economic geography. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:R. D. Ackerman BELIEVING IN A FICTION: WALLACE STEVENS AT THE LIMITS OF PHENOMENOLOGY The "ring of men" of "Sunday Morning" will chant their "devotion to the sun, / Not as a god, but as a god might be, / Naked among them, like a savage source" (CP, pp. 69-70).' Solar nakedness is deferred even as it is named. The problem for belief is the question of appearance and (...) representation. Things appear as and like.... The phenomenological return to things is also a turn to fiction, as Husserl understood: "If anyone loves a paradox, he can really say... that the element which makes up the life of phenomenology... is fiction. ' " The sun is divine, and it is not; it is both naked and clothed, savage and civilized, source (or end) and means. But such paradox is ultimately unsatisfying, and as we will see with Stevens, the need for belief—for an image or idea of totality—forces the issue of fiction and reality. The Stevens we will have in view is not the Stevens—as if there were such a creature. Our Stevens is the one most persuaded by promises such as those of phenomenology, the one most concerned with decreation (reduction) and fresh beginnings, with discovery and recognition, with imagination, the body, and the earth. This is the Stevens for whom the barrier of language presages at last not absence and difference but fictive recovery of presence and identity, the one for whom poetry represents a way of belief beyond mysticism even as it bodes mythic proximity. Finally, this is the Stevens who predominates throughout the prose (as well as in much of the poetry), who tries mightily to secure a belief while disencumbering himself of metaphysics—but alas, I think, with small success. Although Stevens's association of the problem of belief with the idea of fiction occurs in early poems such as "A High-Toned Old Christian 79 80Philosophy and Literature Woman" and "To the One of Fictive Music," his most intensive involvement with fiction as belief dates from the early 1940s and spans the period of his major essays and his last four volumes of poems. He recounts, for instance, a 1942 conversation with a student: "I said that I thought that we had reached a point at which we could no longer really believe in anything unless we recognized that it was a fiction. The student said that that was an impossibility, that there was no such thing as believing in something that one knew was not true. It is obvious, however, that we are doing that all the time" (L, p. 430). What does it mean to believe in a fiction? That is my main subject here, as we seek out the limits of the phenomenological Stevens. His letters of this period are preoccupied with the problem of fictive belief: "If one no longer believes in God (as truth), it is not possible merely to disbelieve; it becomes necessary to believe in something else.... A good deal of my poetry recently has concerned an identity for that thing.... In one of the short poems that I have just sent to the harvard advocate, I say that one's final belief must be in a fiction. I think that the history of belief will show that it has always been in a fiction" (L, p. 370). The poem referred to, "Asides on the Oboe," begins: The prologues are over. It is a question now, Of final belief. So, say that final belief Must be in a fiction. It is time to choose. (CP, p. 250) Acknowledging that "in the long run, poetry would be the supreme fiction" (L, pp. 430-31), Stevens nonetheless singles out the nominative function of poetry as the essence of its claim to supremacy: "Poetry means not the language of poetry but the thing itself.... The subject matter is what comes to mind when one says of the month of August... 'Thou art not August, unless I make thee so'" (L, p. 377). The quoted line (also from "Asides") underscores the paradox that for Stevens the essence of fiction (the nontrue) is its capacity to nominate the true or the real. This... (shrink)

Among Plato's later dialogues, the _Parmenides_ is one of the most significant. Not only a document of profound philosophical importance in its own right, it also contributes to the understanding of Platonic dialogues that followed it, and it exhibits the foundations of the physics and ontology that Aristotle offered in his _Physics_ and _Metaphysics _VII. In this book, R.E. Allen provides a superb translation of the _Parmenides_ along with a structural analysis that procedes on the assumption that formal elements, logical (...) and dramatic, are important to its interpretation and that the argument of the _Parmenides_ is aporetic, a statement of metaphysical perplexities. Allen's original translation of and commentary on the _Parmenides_ were published in 1983 to great acclaim and have now been revised by the author. (shrink)

Amongst the people who pester Peisthetaerus with unwanted help and advice in the latter part of the Birds is Meton, famous astronomer and mathematician, who produces and demonstrates with instruments a method of laying out the plan of the new town. Peisthetaerus makes no attempt to follow him and quickly bundles him out again without much ceremony. Commentators and readers with few exceptions treat him in a similar way. ʹΕπίτηδες δανόητα, δόλου νοηταίνε, παίζε—such are the comments of the scholiast, and (...) editors are mostly content with that. Van Leeuwen says, ‘Metonis haec verba intellegere velle, id est operam dare ut suo ioco frustretur cbtnicus.’ The passage is of course highly comical; to make it didactic and attribute to Aristophanes a serious excursion into geometry and town-planning would be perverse and pedantic; but in Aristophanes more than in most comic writers there is commonly a grain or two of truth among the chaff. These grains, though of little or no importance for the appreciation of the play as comedy, may still have some possible value in other ways, and should be carefully sifted. (shrink)

It is shown that the notion of the partition of a set can be used to describe in a uniform way the meaning of the expression the same, in its basic uses in transitive and ditransitive sentences. Some formal properties of the function denoted by the same, which follow from such a description are indicated. These properties indicate similarities and differences between functions denoted by the same and generalised quantifiers.