Although an important feature of firms’ corporate social responsibility, the strategic pressures behind firms’ corporate philanthropy are not well researched or understood. This research note argues that firms’ CP and firms’ corporate political activity may share common strategic antecedents; forces in firms’ political environment may shape both CP and CPA. Using S&P 500 data in a longitudinal analysis, the authors find evidence suggesting that industry-level political uncertainty increases firm propensity for engaging in both CP and CPA, above and beyond the (...) propensity to engage in either as a stand-alone strategy. The authors use this preliminary evidence to explore political marketplace contingencies for the relationship between CP and CPA. CSR literature indicates that CP can benefit firms by creating and enhancing their relational wealth and institutional legitimacy. Such benefits may also serve firm interactions with government policy makers—a dynamic largely ignored until recently. The authors’ findings may indicate that, due to its institutional signaling ability and impact on firms’ reputations, CP may allow firms to differentiate themselves or stand out from others when faced with political uncertainty, and that these outcomes should be considered when firms engage in CP. (shrink)

This essay aims to broaden the understanding of the nature of the physician–patient relationship. To do so, the concept of medical philia that Pedro Laín Entralgo proposes is analysed and is considered taking into consideration the relational trait of the human being and the structure of human action as a story of the permanent tension that exists between freedom and truth, where the ontological foundation of the hermeneutic of the "Gift" and the analogy of “Love” as the central dynamic (...) of this action, helps explain the nature of the doctor-patient relationship as a "friendship relationship". This understanding offers a perspective differing from just the utilitarian considerations of current "patient-centred" approaches and proposed the redirection of the teaching of medicine to more humanistic approaches. The dynamic of the doctor-patient relationship proposed here in its most genuine essence is effectively expressed in physician concrete attitudes that the patient usually captures and relates as the “the doctor’s way of being”. Goya's painting, Self-portrait with Dr Arrieta (1820), can be taken as an outstanding artistic representation of this expanded dimension of the medical act, capturing the “medical friendship” in action. (shrink)

AbtractTechnologies both new and old provide us with a wide range of cognitive artifacts that change the structure of our cognitive tasks. After a brief analysis of past classifications of these artifacts, I shall elaborate a new way of classifying them developed by focusing on an aspect that has been previously overlooked, namely the possible relationships between these objects and the cognitive processes they involve. Cognitive artifacts are often considered as objects that simply complement our cognitive capabilities, but this “ (...) class='Hi'>complementary view” seems to be an oversimplification. Assuming an “interaction-centered approach”, this article identifies three essential ways in which cognitive artifacts carry out their function: complementing, constituting and substituting our cognitive processes, and builds a taxonomy of these objects that is grounded on these relations. In so doing, it also addresses the chaotic set of different micro-functions carried out by cognitive artifacts, which have not thus far been dealt with, sorting these functions into three corresponding categories. The second part of the article analyzes in greater detail how cognitive artifacts work in our cognitive life, identifying a new kind of functions, called semi-proper functions, and providing a new definition of cognitive artifact based on the previous analysis of these objects. (shrink)

In recent years so-called Complementary and Alternative Medicine practices have made significant political and professional advances particularly in the United Kingdom : osteopathy and chiropractic were granted statutory self-regulation in the 1990s effectively giving them more professional autonomy and independence than health care professions supplementary to medicine ; the practice of acupuncture is widespread within the National Health Service for pain control; and homoeopathy is offered to patients by a few General Practitioners alongside conventional treatments. These developments have had (...) a number of consequences: one is that both CAM and Conventional and Orthodox Medical professions have had to reappraise their professional identity. In manual therapy for example, questions have been asked about the differences between physiotherapy, osteopathy and chiropractic, and what the justification is for having separate professions. A wider question concerns the relationship between CAM and COM; are CAM distinct professions or should they, as has happened to a limited extent in the UK, be absorbed into the broader field of ‘ Medicine ’ or ‘Health Care’ as adjunctive therapies. CAM professions have also had to develop, implement and enforce codes of practice for practitioners and clarify the scope of practice within a profession. At the heart of these issues lies the need to identify and clarify professional values. A key claim of CAM professions is that their practice is distinct and the outcome of treatment at least as effective and in many cases more effective than with conventional therapies. In addition, what counts as effective outcome is often different from conventional medical understanding, involving more subtle humanitarian considerations, for example. Three values are identified as being commonly held across CAM professions. These are: offering ‘natural’ treatment; being patient rather than disease focussed; and being holistic. However, these may not be as distinctive of CAM as is claimed either because the meaning is unclear or because COM professions claim similar values. The paper argues that the values that inform ‘good practice’ and ‘effective outcome’ should be seen as distinct components of professional competence. This has implications for establishing professional identity and codes of practice. (shrink)

Establishing healthy dietary habits in childhood is crucial in preventing long-term repercussions, as a lack of dietary variety in childhood leads to enduring impacts on both physical and cognitive health. Poor conceptual knowledge about food has recently been shown to be a driving factor of food rejection. The majority of studies that have investigated the development of food knowledge along with food rejection have mainly focused on one subtype of conceptual knowledge about food, namely taxonomic categories (e.g., vegetables or meat). (...) However, taxonomic categorization is not the only way to understand the food domain. We also heavily rely on other conceptual structures, namely thematic associations, in which objects are grouped because they share spatial-temporal properties or exhibit a complementary relationship (e.g., soft-boiled egg and soldiers). We rely on such thematic associations between food items, which may not fall into the same taxon, to determine the acceptability of food combinations. However, the development of children's ability to master these relations has not been systematically investigated, nor alongside the phenomenon of food rejection. The present research aims to fill this gap by investigating (i) the development of conceptual food knowledge (both taxonomic and thematic) and (ii) the putative relationship between children's food rejection (as measured by the Child Food Rejection Scale) and both thematic and taxonomic food knowledge. A proportional (A:B::C:?) analogy task, with a choice between taxonomic (i.e., bread and pasta) and thematic (i.e., bread and butter) food associates, was conducted on children between 3 and 7-years-old (n= 85). The children were systematically presented with either a thematic or taxonomic food base pair (A:B) and then asked to extend the example type of relation to select the respective thematic or taxonomic match to the target (C:?). Our results revealed, for the first time, that increased levels of food rejection were significantly predictive of poorer food identification and decreased thematic understanding. These findings entitle us to hypothesize that knowledge-based food education programs to foster dietary variety in young children, should not only aim to improve taxonomic understanding of food, but also thematic relations. (shrink)

A convention with regard to geometry, accepting nonholonomic aether motion and coordinate-dependent units, is always valid as an alternative to Einstein's convention. Choosing flat spacetime, Newtonian gravitation is extended, step by step, until equations closely analogous to those of Einstein's theory are obtained. The first step, demanded by considerations of inertia, is the introduction of a vector potential. Treating the electromagnetic and gravitational fields as real and imaginary components of a complex field (gravitational mass being treated as imaginary charge), the (...) Maxwell stress-momentum-energy tensor for the complex field is then used as the source for both fields. The spherically symmetric solution of these unified field equations describes the electron. Third, effects arising from motion of aether fluid with respect to the artificial reference systems of flat spacetime are included. On the grounds that attraction between likes and repulsion between likes are, a priori, equally possible, it is suggested that gravitational and electromagnetic phenomena should enjoy equal status. This can be achieved on the scale of an infinite cosmos by introducing a hierarchy of isolated systems, each of which is a universe when viewed internally and an elementary particle when viewed externally. A universe (defined by the Hubble radius), an electron, and a neutrino are three consecutive isolated systems of the hierarchy. Implied is the existence of antiuniverses where gravitational mass has opposite sign and antimatter predominates. Remarkable relationships between physical constants emerge. (shrink)

Relationships are central to enacting person‐centred care of the older person with cognitive impairment. A fuller understanding of relationships and the role they play facilitating wellness and preserving personhood is critical if we are to unleash the productive potential of nursing research and person‐centred care. In this article, we target the acute care setting because much of the work about relationships and older people with cognitive impairment has tended to focus on relationships in long‐term care. The acute care setting is (...) characterized by archetypal constraints which differentiate it from long‐term care, in terms of acuity and haste, task‐orientated work patterns and influence from “the rule of medicine,” all of which can privilege particular types of relating. In this article, we drew on existing conceptualizations of relationships from theory and practice by tapping in to the intellectual resources provided by nurse researchers, the philosophy of Martin Buber and ANT scholars. This involved recounting two examples of dyadic and networked relationships which were re‐interpreted using two complementary theoretical approaches to provide deeper and more comprehensive conceptualizations of these relationships. By re‐presenting key tenets from the work of key scholars on the topic relationships, we hope to hasten socialization of these ideas into nursing into the acute care setting. First, by enabling nurses to reflect on how they might work toward cultivating relationships that are more salutogenic and consistent with the preservation of personhood. Second, by stimulating two distinct but related lines of research enquiry which focus on dyadic and networked relationships with the older person with cognitive impairment in the acute care setting. We also hope to reconcile the schism that has emerged in the literature between preferred approaches to care of the older person with cognitive impairment, that is person‐centred care versus relationship‐centred care by arguing that these are complementary rather than mutually exclusive and can be brought together in one theoretical framework acknowledging personhood as relational in essence. (shrink)

Complementary and alternative medicines (CAM) have become increasingly popular over recent decades. Within bioethics CAM has so far mostly stimulated discussions around their level of scientific evidence, or along the standard concerns of bioethics. To gain an understanding as to why CAM is so successful and what the CAM success means for health care ethics, this paper explores empirical research studies on users of CAM and the reasons for their choice. It emerges that there is a close connection to (...) fundamental principles of medical ethics. The studies also highlight that CAM’s holistic ontology of health and illness has an empowering effect on people in caring for their health, and on an even deeper level, safeguards against biomedicine’s reducing image of oneself as biological body-machine. The question is raised what lessons bioethics should draw from this emancipatory social movement for its own relationship with biomedicine. (shrink)

‘인간’이라는 전체 개념은 인간 외에 수많은 개념들을 전제한다. 인간을 이해하기 위해서는 전체 개념이 다른 개념들과 구성적 동일성 속에 고려돼야 한다. 그러한 조건 하에 우리는 ‘건강한 인간’, ‘아픈 인간’, ‘자기생성을 유지하는 인간’, ‘생물학적으로 주변환경과 물질교환 활동을 통해 개체화하는 인간’, ‘상호주관적으로 다른 사람들과 자기형성을 이끌어가는 사회적 인간’ 등으로 다양하게 설명하고 분석할 수 있다. 그러는 한, 건강과 질병은 두 개념만 떼어놓고 볼 수 있는 단편적 개념이 아니다. 병은 이분법적인 시각에서 이해될 수 있는 건강의 부정적 개념이거나 그 반대가 아니다. 자기구성의 논리적 동일성에 의거할때, ‘건강’과 (...) ‘아픈’의 개념은 다른 개념들과 함께 상호보완적 위치에 놓여 있다. 생성 유지에 포함된 모든 과정 중에 건강과 질병은 논리적으로 이미 함의되어 있다. (shrink)

Cross-cultural studies have revealed broad quantitative associations between subsistence practice and demographic parameters for preindustrial populations. One explanation is that variationin the availability of suitable weaning foods influenced the frequency and duration of breastfeeding and thus the length of interbirth intervals and the probability of child survival (the “weaning food availability” hypothesis). We examine the available data on weaning age variation in preindustrial populations and report results of a cross-cultural test of the predictions that weaning occurred earlier in agricultural and (...) pastoral populations because dairy and cereal production increased the availability of easily digestible, nutrientrich foods appropriate for weaning. We found that, contrary to predictions, supplementation with liquid foods other than breast milk was delayed in agricultural populations relative to less agriculturally dependent ones and complementary feeding with solid foods was delayed in pastoral populations relative to those less dependent on herding. Although the duration of breastfeeding was longer in populations dependent on hunting, there was no qualitative evidence that such populations lacked foods appropriate for weaning. The patterns observed suggest that the relationships between demography and subsistence observed among preindustrial societies cannot be explained by the “weaning food availability” hypothesis. We discuss the implications for understanding the mechanisms underlying prehistoric human demography, subsistence shifts, allocation to parenting and mating effort, and the evolutionary implications of tradeoffs between diet and disease. (shrink)

The generative grammar approach to language seeks a fully explicit account of the modular systems of knowledge (competence) that underlies the human language capacity. Similarly, the relevance-theoretic approach to pragmatics attempts an explicit characterisation of the sub-personal systems involved in utterance interpretation. As an on-line performance system, however, it is subject to certain additional constraints; this is demonstrated by the way in which matters of computational (processing effort) economy are currently employed in the two types of theory. A sub-module of (...) “discourse competence” is shown to be compatible with and complementary to the wider system of pragmatic processes. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Bioethics and Natural Law: The Relationship in Catholic TeachingJ. Bryan Hehir (bio)In the discipline of Catholic moral theology, bioethics (traditionally described as medical ethics) has held a major place. The systematic development of bioethics has drawn principally upon a natural law ethic, supported by broader religious arguments. The purpose of this essay is to examine the status and role of natural law in Catholic teaching as it bears (...) upon bioethics.Natural Law and Catholic TheologyThe role of natural law in Catholic theology is rooted in a prior conviction about the complementary relationship of faith and reason. The conviction finds initial expression in patristic authors, then preeminently in Thomas Aquinas and consistently in modern papal teaching of the twentieth century. Flowing from this conviction, as a premise of Catholic theology and teaching, is the [End Page 333] notion that a second source of moral wisdom exists along side the revealed wisdom of the Hebrew and Christian scriptures. This second source of wisdom is the product of rational reflection upon human nature and experience. In the tradition of natural law ethics (expressed in a plurality of versions), such reflection affirms an objective moral order, accessible to reason and based upon a conception of the person as both spiritual and social. The spiritual nature, expressed in the capacity for reflection and free choice, is the foundation of the natural law ethic, providing the human person a unique status in the created order. The social nature of the person locates each human being in a framework of social relationships, articulated in a complex of rights and duties and finding expression in three basic communities: the family, civil society, and the human community.The fully developed framework of a natural law ethic has five dimensions. It yields a theory of society, a doctrine of the state, a charter of duties and rights, a jurisprudence, and an applied ethic. At each level of this framework, the natural law ethic is contested by other contemporary philosophical positions. In this article, space demands that stress must be placed on the natural law affirmations without trying to engage the critics.The centrality of the social nature of the person yields a theory of society that is organic in character, laying strong emphasis on the social fabric of existence. Hence the theory has traditionally emphasized both order and justice more strongly than claims of freedom. The doctrine of the state, in contemporary natural law arguments, supports a limited yet activist state, limited by constitutional restraints and human rights claims, yet activist in its conception of a broad range of social obligations, particularly to the poor. The charter of rights affirms a range of both political-civil and socio-economic rights; the traditional natural law emphasis on a structure of duties has been complemented in the twentieth century by its stress on the role of human rights. The jurisprudential theory of natural law has been its most prominent aspect; it affirms a moral grounding for civil law, but distinguishes precisely between the comprehensive nature of moral law and the more limited scope of civil law, restricted to the maintenance of public order in society. Finally, the natural law framework finds expression in Catholic teaching in three areas of applied ethics: social ethics (civil society and international relations), sexual ethics, and bioethics.History and StatusWhile a natural law ethic has been a staple of Catholic social and bioethical teaching, it has not held similar status in the wider arena of contemporary philosophical or theological ethics. Through the 1950s, therefore, one could find a strong consensus supporting natural law within the Catholic community and ongoing debates within the wider world of philosophy and bioethics. Since the 1960s, any description of the status and role of natural law must consider the debates within Roman Catholicism itself about the role and status of natural law. [End Page 334]It is possible to distinguish two stages of these internal arguments in the church. In the period from 1960 to 1990, three events in Catholicism directly influenced the standing of a natural law position: John XXIII’s encyclical Pacem In Terris (1963), Paul XI’s encyclical Humanae Vitae (1968), and the teaching of... (shrink)

The classical Western concept of place points in two directions: toward isolating things from one another and toward articulating their connections. Aristotle’s famous definition of a thing’s place as the limit of its surrounding body, which serves to isolate the thing from all but its immediate surroundings, sits side-by-side in the Physics with his theory of natural places, according to which things have places only in relation to each other.1 A thing’s natural place may be at the center—as the earth (...) is at the center of the cosmos in the classical theory—but the center exists only with respect to the periphery, and vice versa. Likewise, a thing can be below only in relation to something above it. The relationship... (shrink)

In this brief discussion, we explicate and evaluate Heyes and colleagues’ deflationary approach to interpreting apparent evidence of domain-specific processes for social percep- tion. We argue that the deflationary approach sheds important light on how functionally specific processes in social perception can be subserved at least in part by domain-general processes. On the other hand, we also argue that the fruitfulness of this approach has been unnecessarily hampered by a contrastive conception of the relationship between domain- general and domain-specific (...) processes. As an alternative, we propose a complementary conception: the identification of domain-general processes that are engaged in instances of social perception can play a positive, structuring role by adding additional constraints to be accounted for in modelling the domain-specific processes that are also involved in such instances. (shrink)

This paper explores the relationship between individual work values and unethical decision-making and actual behavior at work through two complementary studies. Specifically, we use a robust and comprehensive model of individual work values to predict unethical decision-making in a sample of working professionals and accounting students enrolled in ethics courses, and IT employees working in sales and customer service. Study 1 demonstrates that young professionals who rate power as a relatively important value are more likely to violate professional (...) conduct guidelines despite receiving training regarding ethical professional principles. Study 2, which examines a group of employees from an IT firm, demonstrates that those rating power as an important value are more likely to engage in non-work-related computing even when they are aware of a monitoring software that tracks their computer usage and an explicit policy prohibiting the use of these computers for personal reasons. (shrink)

The term biodiversity is constituted as an object of scientific investigations through complex social and, in particular, socio-economic processes. Taking all these processes together we can speak of the global regulation of biodiversity. Conversely, analysing this social construction of nature is at risk of ignoring the material properties of biodiversity. To grasp both aspects, the social construction of biodiversity as well as the elements non-identical to this social construction, the term societal relationships with nature from the so called Frankfurt School (...) of critical theory is introduced. Starting from this approach, the perspectives of natural and social sciences are not really complementary. The thesis first involves an analysis of the different processes in which biodiversity is generated and presented as an object of social purposes and scientific investigations. Starting from the scientific problems emerging from the introduction of the new term we can come to a better understanding of how scientific research is connected with tendencies of the global society as a whole. Therefore problems of interdisciplinary research are interpreted as elements of the conflicts regarding the shaping of the societal relationships with nature in social reality. (shrink)

The resting-state human electroencephalogram power spectrum is dominated by alpha and theta oscillations, and also includes non-oscillatory broadband activity inversely related to frequency. Gratton proposed that alpha and theta oscillations are both related to cognitive control function, though in a complementary manner. Alpha activity is hypothesized to facilitate the maintenance of representations, such as task sets in preparation for expected task conditions. In contrast, theta activity would facilitate changes in representations, such as the updating of task sets in response (...) to unpredicted task demands. Therefore, theta should be related to reactive control, while alpha may be more relevant to proactive control. Less is known about the possible relationship between 1/f activity and cognitive control, which was analyzed here in an exploratory fashion. To investigate these hypothesized relationships, we recorded eyes-open and eyes-closed resting-state EEG from younger and older adults and subsequently tested their performance on a cued flanker task, expected to elicit both proactive and reactive control processes. Results showed that alpha power and 1/f offset were smaller in older than younger adults, whereas theta power did not show age-related reductions. Resting alpha power and 1/f offset were associated with proactive control processes, whereas theta power was related to reactive control as measured by the cued flanker task. All associations were present over and above the effect of age, suggesting that these resting-state EEG correlates could be indicative of trait-like individual differences in cognitive control performance, which may be already evident in younger adults, and are still similarly present in healthy older adults. (shrink)

The relationship between love/care and justice was one of the key tensions from which care ethics originated; to this very day it is subject of debate between various streams of thought within care ethics. With some exceptions most approaches have in common the belief that care and justice are mutually exclusive concepts, or at least as so different that their application is situated on different levels. Hence, both are complementary, but distinct, so that there is no real interaction. (...) This paper aims to investigate whether, and if so, how, a deeper understanding of Ricoeur’s thoughts on this matter enriches the relationship between care and justice with respect to care ethics. This connection suggests itself from Ricoeur’s interpretation of the relationship as a dialectical one in which the logic of superabundance and the logic of equivalence meet. Care enables people to see the face and individuality of the one, ‘le chacun,’ within the anonymous structures of justice that tend to reduce all human beings to the anonymous each, ‘le on’; justice in its turn is the precondition for love to become incarnated and made real. What may this view—of care and justice standing in close connection, in which they correct and strengthen each other—add to the understanding of concrete practices of care? (shrink)

With the knowledge that team work is not always associated with high(er) performance, we draw from the Multi-Level Theory of Psychological Contracts, Person-Environment Fit Theory, and Optimal Distinctiveness Theory to study shared perceptions of psychological contract (PC) breach in relation to shared perceptions of complementary and supplementary fit to explain why some teams perform better than other teams. We collected three repeated survey measures in a sample of 128 respondents across 46 teams. After having made sure that we met (...) all statistical criteria, we aggregated our focal variables to the team-level and analysed our data by means of a longitudinal three-wave autoregressive moderated-mediation model in which each relationship was one-time lag apart. We found that shared perceptions of PC breach were directly negatively related to team output and negatively related to perceived team member effectiveness through a decrease in shared perceptions of supplementary fit. However, we also demonstrated a beneficial process in that shared perceptions of PC breach were positively related to shared perceptions of complementary fit, which in turn were positively related to team output. Moreover, best team output appeared in teams that could combine high shared perceptions of complementary fit with modest to high shared perceptions of supplementary fit. Overall, our findings seem to indicate that in terms of team output there may be a bright side to perceptions of PC breach and that perceived person-team fit may play an important role in this process. (shrink)

I defend an alternative to the two traditional accounts of the relationship between metacognition and social cognition: metacognition as primary versus social cognition as primary. These accounts have complementary explanatory vices and virtues. They also share a natural assumption: that interpretation in terms of mental states is “spectatorial”, aiming exclusively for an objective description of the mental facts about self and others. I argue that if one rejects this assumption in favor of the view that interpretation in terms (...) of mental states also plays important regulative roles with respect to minds and behavior, a new and superior conception of the relationship between metacognition and social cognition comes into view. On this conception, person-level metacognitive concepts are socio-cognitive tools that shape us into better cognitive agents and more predictable cognitive objects, thereby enhancing our abilities at social coordination. Mastery of these metacognitive concepts relies on subpersonal, non-conceptual, procedural metacognition. This reconceptualization of the relationship between metacognition and social cognition combines the complementary explanatory virtues of the two traditional conceptions, while avoiding their complementary explanatory vices. (shrink)

The term “dualism” is used in quite divergent connotations across religious studies, sociology, theology, anthropology, and other academic fields. This paper characterizes the differing usages of the term, and uses them to explore the sometimes-converging and sometimes-orthogonal relationship between academic fields, with a focus on religious studies and the sociology of religion. I argue that although the two fields have mutually benefited from insights originating on either side of their divide—and thus converged in important ways—substantive differences remain. Their differing (...) understandings of “dualism” represents important theoretical and analytic divergence, and the justified critique of certain forms of dualism has been used to reject all versions of the concept, including some—here termed “embodied dualism” or “experiential dualism”—that remain analytically crucial to the study of social life generally and religion particularly. (shrink)

The main aim of this study was to empirically analyze whether Institutional Quality moderates the relationship between corporate governance and stock liquidity through the light of agency and information asymmetry theory. To the best of our knowledge, this is the first finance study. The sample consists of 230 non-financial firms listed on the Pakistan stock exchange during the period of 2009–2019. We used an instrumental variable approach and our new Institutional Quality index composed of world governance indicators and a (...) corporate governance index, developed via principal component analysis, to demonstrate a relationship between corporate governance and stock liquidity and check the moderating role of Institutional Quality by following the resources complementary phenomenon. Our results show a significant, positive relationship between the corporate governance index and stock liquidity, suggesting that well-governed firms have high liquidity. The results show that the Institutional Quality index has a positive moderating impact on the relationship between corporate governance and stock liquidity, suggesting that corporate governance in Pakistan is weak. Our results are robust to a series of endogeneity checks using alternative proxies of stock liquidity. (shrink)

This article analyses domestic and foreign reactions to a 2008 report in the British Medical Journal on the complementary and, as argued, synergistic relationship between palliative care and euthanasia in Belgium. The earliest initiators of palliative care in Belgium in the late 1970s held the view that access to proper palliative care was a precondition for euthanasia to be acceptable and that euthanasia and palliative care could, and should, develop together. Advocates of euthanasia including author Jan Bernheim, independent (...) from but together with British expatriates, were among the founders of what was probably the first palliative care service in Europe outside of the United Kingdom. In what has become known as the Belgian model of integral end-of-life care, euthanasia is an available option, also at the end of a palliative care pathway. This approach became the majority view among the wider Belgian public, palliative care workers, other health professionals, and legislators. The legal regulation of euthanasia in 2002 was preceded and followed by a considerable expansion of palliative care services. It is argued that this synergistic development was made possible by public confidence in the health care system and widespread progressive social attitudes that gave rise to a high level of community support for both palliative care and euthanasia. The Belgian model of so-called integral end-of-life care is continuing to evolve, with constant scrutiny of practice and improvements to procedures. It still exhibits several imperfections, for which some solutions are being developed. This article analyses this model by way of answers to a series of questions posed by Journal of Bioethical Inquiry consulting editor Michael Ashby to the Belgian authors. (shrink)

In 1971, Wolfgang Müller-Lauter introduced his study of Nietzsche as an investigation into the history of modern nihilism in which “contradiction” forms the central thread of the argument. For Müller-Lauter, the interpretive task is not to demonstrate the overall coherence or incoherence of Nietzsche’s philosophy, but to examine Nietzsche’s “philosophy of contradiction.” Against those such as Karl Jaspers, Karl Löwith and Martin Heidegger, Müller-Lauter argued that contradiction is the foundation of Nietzsche’s thought, and not a problem to be corrected or (...) cast aside for exegetical or political purposes. For Müller-Lauter, contradiction qua incompatibility (not just mere opposition) holds a key to Nietzsche’s affective vision of philosophy. Beginning with the relationship between will to power and eternal recurrence, in this paper I examine aspects of Müller-Lauter’s account of Nietzsche’s philosophy of contradiction specifically in relation to the counter-interpretations offered by two other German commentators of Nietzsche, Leo Strauss and Karl Löwith, in order to confirm Müller-Lauter’s suggestion that contradiction is indeed an operative engine of Nietzsche’s thought. Indeed contradiction is a key Nietzschean theme and an important dynamic of becoming which enables the subject to be revealed as a “multiplicity” ( BGE §12) and as a “fiction” (KSA 12:9[91]). Following Müller-Lauter’s assertion that for Nietzsche the problem of nihilism is fundamentally synonymous with the struggle of contradiction experienced by will to power, this paper interprets Nietzsche’s philosophy of contradiction in terms of subjective, bodily life (rather than in terms of logical incoherences or ontological inconsistencies). Against the backdrop of nihilism, the “self” (and its related place holder the “subject”), I will argue, becomes the psycho-physiological battlespace for the struggle and articulation of “contradiction” in Nietzsche’s thought. (shrink)

Is materialism right to claim that the world of everyday-life experience – the phenomenal world – is nothing but an illusion produced in physical reality, notably in the brain? Or is Merleau-Ponty right when he defends the fundamental character of the phenomenal world while rejecting physical realism? I address these questions by exploring the nature of the body proper in Merleau-Ponty and Plessner, arguing that physical and phenomenal realism are not mutually exclusive but complementary. The argument includes a close (...) examination of the relationships between scientific and pre-scientific perspectives, between living and non-living things, and between humans and animals. (shrink)

In several avenues of contemporary research, much attention is devoted to the contrast between the real authority of institution and their formal power, in the analysis of institutional funtionings; also in the study of the relationships between institutions on the one hand, rules, principles or norms on the other hand. Such a contrast appears to be based on familiar observations: the capacity of institutions to get their preferred outcomes is sometimes loosely connected with the hierarchical prerogatives of the considered institutions. (...) More particularly, current studies of the „migration authority” bring out possible shitts in real authority while there is no changein the formal structure of power. This article will partly consist in the explanation of recent results of common reaserch in project „Delicom”, in which a formal treatment of the distinction has been put foward. This approach will be set against the background of recent contributions in political science or economics. The revelance of the problematic for the study of competence delegation among institutions will be stressed all along. (shrink)

A long-debated question in the philosophy of health, and contingent disciplines, is the extent to which wise clinical practice (“clinical wisdom”) is, or could be, compatible with empirically validated medicine (“evidence-based medicine”—EBM). Here we respond to Baum-Baicker and Sisti, who not only suggest that these two types of knowledge are divided due to their differing sources, but also that EBM can sometimes even hurt wise clinical practice. We argue that the distinction between EBM and clinical wisdom is poorly defined, unsupported (...) by the methodology employed, and ultimately incorrect; crucial differences exist, we argue, not in the source of a particular piece of clinical knowledge, but in its dependability. In light of this subtle but fundamental revision, we explain how clinical wisdom and EBM are—by necessity—complementary, rather than in conflict. We elaborate on how recognizing this relationship can have far-reaching implications for the domains of clinical practice, medical education, and health policy. (shrink)

Axon regeneration is a conserved process across the animal kingdom. Recent studies using the soil worm Caenorhabditis elegans as a model system revealed that machineries regulating engulfment of dying cells also control axon regeneration and axon debris removal. In this review, the relationships between the engulfment machinery and the biological processes triggered by axon injury and subsequent axon regeneration drawn from divergent views are examined. In one study, it is found that engulfing cells directly promote axon regeneration. In this context, (...) CED‐1 (Drosophila Draper/mouse MEGF10), an engulfment protein expressed on the surface of engulfing cells, functions as a receptor for axon debris removal and as an adhesion molecule for axon regeneration. In other studies, it is shown that those engulfment genes, previously known to function within the engulfing cells for cell corpse removal, can have a cell‐autonomous “non‐engulfing cell” role in axon regeneration. Together, these findings suggest that engulfment genes are repurposed for neuronal regeneration by acting in both engulfing cells and regenerating neurons. (shrink)

The present longitudinal study used the traditional cross-lagged panel model and autoregressive latent trajectory model with structured residuals to examine the relationships between perceived interparental conflict, negative thinking, and depression symptoms in Chinese children. Changes in these three variables over time were also examined, as well as the trait and state aspects of the relationships between them. A sample of 516 third-grade primary students completed questionnaires about IPC, NT, and depression three times over a period of 1 year, at 6-month (...) intervals. The CLPM findings indicated that, assuming that stability of each variable across time was controlled, Chinese children’s perception of IPC significantly affected their level of depression through the mediating path of NT. After taking trait factors into account, among all the significant autoregressive and cross-lagged paths originally found in the CLPM, only one third remained significant in the ALT-SR model. More specifically, the ALT-SR model, revealed a driving effect of children’s NT on perceived IPC and depression symptoms. The CLPM model although elucidated the interplay among three variables, the ALT-SR model showed little evidence of their interrelated growth across time. Taken together, these results indicate that children’s perceived IPC in the long term are a stable trait, with few state-level fluctuations, and is not a significant within-person predictor of subsequent children’s internalization problems. These perceptions appear to contribute more to children’s general psychological tendency than do changes over time. The research is the first to test the reciprocal relationships between Chinese children’s perceived IPC, NT, and depression symptoms. The findings demonstrate that previously proposed theories about the bidirectional relation between IPC and children’s social adjustment, to some extent, may reflect a correlation at a trait level. Put another way, it is IPC’s central tendency to be sensitive in the long term as a stable trait that is associated with their children’s general tendency to show well adjustment. The study contributes to our understanding of that extend previous results and have implications for complementary theoretical and practical interventions. The complementary techniques of CLPM and ALT-SR models offer different insights into children’s internalization problems, and hold promise for supporting the building of more comprehensive children’s developmental theories that acknowledge the interconnectedness of different domains of mental health. (shrink)

The paper introduces and utilizes a few new concepts: “nonstandard Peano arithmetic”, “complementary Peano arithmetic”, “Hilbert arithmetic”. They identify the foundations of both mathematics and physics demonstrating the equivalence of the newly introduced Hilbert arithmetic and the separable complex Hilbert space of quantum mechanics in turn underlying physics and all the world. That new both mathematical and physical ground can be recognized as information complemented and generalized by quantum information. A few fundamental mathematical problems of the present such as (...) Fermat’s last theorem, four-color theorem as well as its new-formulated generalization as “four-letter theorem”, Poincaré’s conjecture, “P vs NP” are considered over again, from and within the new-founding conceptual reference frame of information, as illustrations. Simple or crucially simplifying solutions and proofs are demonstrated. The link between the consistent completeness of the system mathematics-physics on the ground of information and all the great mathematical problems of the present (rather than the enumerated ones) is suggested. (shrink)

About one-third of Australians use the services of complementary and alternative medicine (CAM); but debate about the role of CAM in public healthcare is vociferous. Despite this, the mechanisms driving CAM healthcare choices are not well understood, especially in rural Australia. From 2016 to 2018, 2,679 persons from the Goulburn Valley, northern Victoria, were surveyed, 28% (755) of whom reporting visiting CAM practitioners. A Generalized Linear Mixed Model was used to assess associations between various socio-demographic variables and the use (...) of CAM services. The strongest significant inverse (p < 0.05) association with CAM use overall was being unemployed, with markedly lower odds of using CAM than those employed full-time (OR 0.22 [0.12, 0.41]). The next strongest inverse relationship was being retired (OR 0.44 [0.30, 0.65]). The strongest positive associations were with English spoken at home (OR 2.38 [1.34, 4.24]), private health insurance (hospital cover) (1.57 [1.28, 1.91]), being Australian born (OR 1.61 [1.14, 2.28]), and female sex (1.25 [1.02, 1.52])). Females had significantly higher odds of using osteopathy than males (OR 1.98 [1.33, 2.96]) but there were no significant sex differences for chiropractic or massage. This is the first such study conducted solely for a rural Australian population. The drivers of CAM use differed from previous nation-wide studies and they varied across modalities. The factors identified here as being associated with CAM use could be used by CAM practitioners in developing person-centred services. Similarly, the findings are relevant to primary-care services in understanding what sectors of society might eschew conventional health care for CAM in rural regions, where health services are often limited. (shrink)

This chapter explores an alternative proposal for the linguistic impact of Wari expansion: that it could in fact have been two-fold, dispersing both Quechua and Aymara simultaneously. To this end, it invokes the distinctive Andean institutions of ‘complementary asymmetric dualism’, to explore whether they might not have linguistic correlates too. Specifically, it looks to the wari–llaqwash dyadism between mid-altitude, maize-cultivating wari, hypothesized as speaking Quechua, and higher-altitude, camelid-herding llaqwash speaking Aymara.

Decision makers addressing the ecological crisis face the challenge of considering complex ecosystems in their socioeconomic decisions. Complementary to ecological sciences, other scientific frameworks, grouped under the umbrella term environmental sciences, offer decision makers the opportunity to pursue sustainable paths. Because the environmental sciences are drawn from different branches of science, environmental ethics must go beyond the legacy of ecology and the life sciences to describe the contribution of scientific knowledge to addressing the ecological crisis. In this regard, I (...) analyze and compare three environmental sciences based on their seminal articles: Conservation Biology, Sustainability Science, and Sustainability Economics. My analysis shows that conservation biology and sustainability economics share strong similarities despite their different disciplinary backgrounds (life _versus_ social sciences). Both seek to contrast a biocentric and an anthropocentric perspective. The goal of sustainability is therefore understood as a balance that must be found between these two perspectives. If the issue of balancing human and non-human interests is still relevant to sustainable science, it is more likely to take place in an ecocentric perspective based on alternative ontological and normative prescriptions. Based on this analysis, I distinguish between ‘proscriptive value-based’ scientific work that cannot be used for policy advice but is flexible to different value systems, and ‘prescriptive value-based’ scientific work that can be used for policy advice but is fixed within a given value system. Conflicting recommendations from environmental scientists therefore result from the coexistence of multiple ‘prescriptive value-based’ scientific approaches based on different conceptions of the relationship between humans and nature. (shrink)

By considering the nature of the relationship between patient and healer, The Healing Bond explores the responsibilities of both, with a special emphasis on the therapeutic responsibility. The editors and contributors examine both orthodox and unorthodox forms of healing practice and apply a variety of professional and analytic perspectives to the medical profession as a whole. They look at specific areas of health such as midwifery, psychoanalysis, naturopathy, the relations between medicine and state, and the appeal of "quacks." Particular (...) issues of current concern are also discussed, including medical litigation, codes of ethics among complementary practitioners and cooperation between orthodox and complementary medicine practitioners. Contributors: Mary Douglas, Calliope Farsides, David Peters, Roy Porter, Richenda Power, Margaret Stacey, Robert Sumerling, and Gillian Vanhegan. (shrink)

The paper provides an analysis of the relationship between the concepts of justice and solidarity. The point of departure of the analysis is Ruud ter Meulen’s claim that these concepts are different but mutually complementary, i.e. are two sides of the same coin. In the paper two alternative accounts of the relationship are proposed. According to the first one, solidarity can be defined in terms of justice, i.e. is a special variety of liberal justice, viz. social liberal (...) justice, which, apart from the value of liberty, also stresses the importance of the value of equality. An example of such a theory is Rawls’s theory of justice, within which the value of equality is ‘encoded’ in the principle of fair equality of opportunity and in the difference principle. According to the second account, solidarity is an expression of a special type of social relationships – the so-called ‘thick relationships’, which are non-superficial, positive, their paradigmatic examples being family and friendship; in other words, the rules of solidarity are rules that are built into ‘thick relationships’. On the first account, justice and solidarity are not different, while on the second account they are different but mutually exclusive rather than mutually complementary. In the last part of the paper some remarks on the social causes of solidarity are made. (shrink)

A case of conflict in pediatric end-of-life decision making is presented to compare the complementary roles of clinical ethics consultants and palliative care specialists. The progression of the case illustrates the differing structures, goals, and methods of the majority of such teams. The strengths of each of consultation are emphasized. Particularly in centers where palliative care services are not available, it can be important for careproviders and clinical ethics consultants to focus on alliance-building and a longitudinal relationship with (...) patients and families. (shrink)

This article tries to analyze the meaning and relevance of the concept of solidarity as compared to the concept of justice. While ‘justice’ refers to rights and duties , the concept of solidarity refers to relations of personal commitment and recognition . The article wants to answer the question whether solidarity and liberal justice should be seen as mutually exclusive or whether both approaches should be regarded as complementary to each other. The paper starts with an analysis of liberal (...) theories of justice which are followed by an analysis of the descriptive and a moral understanding of the concept of solidarity. The importance of solidarity lies in its relational aspects, particularly its emphasis on cooperation and commonality. The paper argues that while solidarity is more fundamental than justice, both concepts are important for the arrangement of health care practices. The paper gives special attention to the concept of decent care, reflective solidarity and humanitarian solidarity which is seen as fundamental for all health care policies and care practices. (shrink)

Social representations of addiction and the resulting stigmatization have been widely described and studied in the literature, but their effects are no less problematic. These representations, which also occur in care settings, generate a climate of distrust which damages the therapeutic relationship, and its ethical quality. This article, combining clinical experience and an ethical stance, offers an original, innovating approach to the existence of distrust in care relationships in the area of addiction. Pragmatic approaches deriving from the human sciences (...) and analytical philosophy provide an invitation to escape from the demanding climate of mistrust, and to take the gamble on trust so as to improve the quality of interactions between protagonists in care. In complementary fashion, a sociology of action can combat the disquiet generated by distrust through a new commitment to innovating forms of action. This “poetic” mode of action is legitimized by the reflection that backs it up, and by its presentation to peers qualified to approve it. Finally, continental moral philosophy underlines the importance of a carefully weighed commitment on the part of caregivers and addicted patients towards promises aiming to support a sincere care relationship, without damaging the therapeutic dynamic or the ethical quality by providing too many safety nets. This reflection is intended to achieve better identification of the clinical and ethical issues raised by mistrust, and inclusion of these aspects in the training of personnel and in care provision planning. (shrink)

The residency years comprise the last period of a physician’s formal training. It is at this stage that trainees consolidate the clinical skills required for independent practice and achieve a level of ethical development essential to their work as physicians, a process known as professional identity formation (PIF). Ethics education is thought to contribute to ethical development and to that end the Royal College of Physicians and Surgeons of Canada (RCPSC) requires that formal ethics education be integrated within all postgraduate (...) specialty training programs. However, a formal ethics curriculum can operate in parallel with informal and hidden ethics curricula, the latter being more subtle, pervasive, and influential in shaping learner attitudes and behavior. This paper reports on a study of the formal, informal, and hidden ethics curricula at two postgraduate psychiatry programs in Canada. Based on the analysis of data sources, we relate the divergences between the formal, informal, and hidden ethics curricula to two aspects of professional identity formation (PIF) during psychiatry residency training. The first is the idea of group membership. Adherence to the hidden curriculum in certain circumstances determines whether residents become part of an in-group or demonstrate a sense of belonging to that group. The second aspect of PIF we explore is the ambiguous role of the resident as a student and a practitioner. In ethically challenging situations, adherence to the messages of the hidden curriculum is influenced by and influences whether residents act as students, practitioners, or both. This paper describes the hidden curriculum in action and in interaction with PIF. Our analysis offers a complementary, empirical perspective to the theoretical literature concerning PIF in medical education. This literature tends to position sound ethical decision-making as the end result of PIF. Our analysis points out that the mechanism works in both directions: how residents respond to hidden curriculum in ethics can be a driver of professional identity formation. (shrink)

Chinese traditions of Confucianism, Daoism, and Buddhism have a profoundly philosophical dimension. The three traditions are frequently referred to as three paths of moral teachings. In this book, Mou provides a clear account of the textual corpus that emerges to define each of these traditions and how this canonical axis was augmented by a continuing commentarial tradition as each generation reauthorized the written core for their own time and place. In his careful exegesis, Mou lays out the differences between the (...) more religious reading of these traditions with their defining practices that punctuate the human journey through life, and the more intellectual and philosophical treatment of the texts that has and continues to produce a first-order culture of annotation that become integral to the traditions themselves. At the center of the alternative religious experience reflected throughout the teachings of Confucianism, Daoism, and Buddhism is the project of personal cultivation as it comes to be expressed as robust growth in family and communal relations. For Mou, these three highly distinctive and yet complementary ways of thinking and living constitute a kind of moral ecology, wherein each of them complements the others as they stand in service to a different dimension of the human need for an educated spirituality. (shrink)

John Locke (1632 – 1704) is one of the thinkers of Enlightenment philosophy. His moral views are a reflection of the natural understanding of religion formed by the Enlightenment philosophy. The purpose of natural religion is to build a religion that is separate from the traditional view and historical religious understanding. Advocates of this view necessarily base the existence of God and adopt a deist view. Locke advocated a similar idea, and because he was an empiricist thinker, he wanted to (...) base his understanding of morality and God, which he emphasized in nature. He thinks there is a law in nature. This law of nature can be discovered with the light of nature, man can live ethically by reaching this law and reach the existence of God. But Locke cannot explain and obscure what he means here with the light of nature in his Essays on the Law of Nature. This natural light is sometimes an innate ability, sometimes mind, and sometimes sensory data. Sometimes he thinks of these three as complementary elements. After all, the combination of these three is known as the law of nature, and people have to comply with the moral principles that are necessarily caused by the knowledge of the law of nature. In this sense, Locke, who also restricts human liberty, reaches a deterministic understanding of morality, human and existence depending on nature. Emile Boutroux (d. 1921) criticized this determinist view. (shrink)

In Peter Singer’s article “The Challenge of Brain Death for the Sanctity of Life Ethic”, he articulates that ethics has always played an important role in defining death. He claims that the demand for redefining death spreads rather from new ethical challenges than from a new, scientifically improved understanding of the nature of death. As thorough as his plea for dismissal of the brain-death definition is, he does not avoid the depiction of the complementary relationship between science and (...) ethics. Quite the opposite, he tends to formulate a stronger, philosophically more consistent argument to help science and medical practitioners to define life, death, and the quality of life. In my commentary, I would like to focus on two issues presented in Singer’s study. Firstly, I will critically analyze the relationship between science and ethics. Secondly, I will follow on from Singer’s arguments differentiating between end of life as an organism and end of life as a person. The latter case is necessarily linked with man’s participation in her/his life, setting life goals, and fulfilling her/his idea of good life. Through the consequential definition of the dignity in ethics of social consequences, I will try to support Singer’s idea. (shrink)

Rendell and Whitehead note the necessary, complementary relationship between field and laboratory studies in other species, but conclude their article by de-emphasizing the role of laboratory findings in cetacean research. The ambiguity in field studies of cetaceans should argue for greater reliance on the laboratory, which has provided much of the available research supporting the hypothesis of cetacean culture.

The intention of Atomic Order is to encourage and contribute to the dialogue between philosophers and scientists by discussing a concrete example of scientific discovery according to a method acceptable and understandable to both sides. This discussion takes simultaneously into account the scientific and philosophical methodologies and mentalities. By regarding "pure" science or "pure" philosophy as limiting cases, it becomes evident that basic questions are best posed and answered by emphasiz ing the deeply embedded complementary relationship between the (...) two. The example chosen is atomic physics, and a systematic method is developed to illuminate the philosophical structure of this science--and science generally--from within.The book consists of two parts. The first part is devoted to the problem of atomic order as discovered and verified by physics, from the speculations of Dalton to the consequences of modern quantum mechanics. These chapters will afford a telescopic, historical review to the scientific reader and a reliable, understandable account of the physical discoveries and theories to the nonscientist. The second part analyzes the presuppositions, guiding principles, and implications that made possible the development of atomic physics and that impart a humanistic meaning to it. In separate chapters are discussed the epistemological structure of atomic physics, the new conception of matter implicit in the quantum theory, and the ontological implications of atomic order. It is seen that, in this area, science and philosophy are inextricably interpenetrated. A philosophic problematic is immanent in creative atomic science, as is evidenced by the numerous reflections and speculations of scientists that are quoted in the book. Conversely, an interest in scientific research is indispensable for a modern philosopher, and the philosopher may well be surprised and encouraged on recognizing the role already being played by philosophy in the supposedly pragmatic world of science.Dr. Cantore brings an ecumenical cast Lof mind to the healing of the bjcultural split between the humanists and the scientists. The recipient of a doctorate in physics and another in philosophy, he has drawn from both fields in a book dedicated to "making the educated public more aware of the need and method for a new synthesis between the two cultures.". (shrink)

In this paper I provide an epistemological context for Artificial Life projects. Later on, the insights which such projects will exhibit may be used as a general direction for further Artificial Life implementations. The purpose of such a model is to demonstrate by way of simulation how higher cognitive structures may emerge from building invariants by simple sensorimotor beings. By using the bottom-up methodology of Artificial Life, it is hoped to overcome problems that arise from dealing with complex systems, such (...) as the phenomenon of cognition. The research will lead to both epistemological and technical implications. The proposed ALife model is intended to point out the usefulness of an interdisciplinary approach including methodological approaches from disciplines such as Artificial Intelligence, Cognitive Science, Theoretical Biology, and Artificial Life. I try to put them in one single context. The epistemological background which is necessary for this purpose comes from the ideas developed in both epistemological and psychological Constructivism. The model differs from other ALife approaches— and is somewhat radical in this sense—as it tries to start on the lowest possible level, i.e. avoids several a priori assumptions and anthropocentric ascriptions. Due to this characterization, the project may be alternatively viewed as testing the complementary relationship between epistemology and methodology. (shrink)

The aim of this paper is to restore the interdependent or complementary relationship between self and others against the universalistic one (as I call it) that Kant, for example, once insisted on, by reexamining the concept of so-called private language. I shall consider some views in speech act theory and pragmatics, since there has often been discussion about such a private occurrence as the speaker's sincerity. For example, Jürgen Habermas situates it in the speaker's internal nature as will (...) be seen later. In my opinion, alter ego is an ego because we can empathize (einfühlen) with it, and yet it is alter ego because it has some private experiences which we cannot perfectly comprehend. (shrink)

Heidegger’s geophilosophy In Heidegger’s ‘Black Notebooks’, his geophilosophy, the fact that he attributes a crucial importance to different places, becomes more evident than in his other works. The effect of this geophilosophy is that ontological difference – the key point of Heidegger’s thinking – is mixed up with, or replaced by, ontic differences. If in Being and Time Dasein’s ‘ground’ is an openness to Being, later this word often refers to Germany as a specific country. In 1939, just before the (...) start of World War II, Hölderlin’s view of the relationship between ‘the own’ and ‘the foreign’ inspires Heidegger to see the possibility of a complementary relationship between the German and the Russian people. During and after World War II, Heidegger’s criticism of ‘Western’ metaphysics is strongly colored by his hostility to England, France and the U.S.A. In response to metaphysical universalism he relates different types of it to specific regions on earth. Remarkably, his criticism of metaphysics brings him to both support and criticize the notion of race. (shrink)

This paper examines neuroethics as a discipline in which ongoing formation and development in both ethics and medicine are shedding new light on the care of patients diagnosed as being in a vegetative state. From the perspective of the Catholic moral tradition, the author proposes that ethics and recent developments in functional neuroimaging form a complementary relationship that gives rise to an ethical imperative: because we can care for patients in a vegetative state, we should do so. This (...) imperative for care finds a particular expression in the ethical debate in light of the 2004 statement of Pope John Paul II that assisted nutrition and hydration for patients in a vegetative state should be considered, in principle, ordinary care. What do neurology and developments in scientific research teach us about patients in a vegetative state? Neuroethics is providing a unique opportunity for both medicine and ethics to discover more completely not only who we are as human beings but also how we should act. National Catholic Bioethics Quarterly 12.3 (Autumn 2012): 477–488. (shrink)

Extant studies on private regulation have not reached a sufficient understanding about the interplay between private and public regulations, due to underdeveloped theoretical framework and the lack of large-sample empirical investigations. Leveraging ISO 14001 adoption among Chinese firms as the research context, the current research draws on the institutional theory to examine how firm’s adoption of ISO 14001 standard, as a specific form of private regulation, affects the incidence of public environmental inspections. To test our arguments, we conduct two empirical (...) studies. Study 1 uses the first-hand data of a corporate social responsibility survey on Chinese manufacturing firms, whereas Study 2 deploys the second-hand longitudinal archival data of the government environmental inspections on Chinese listed firms. Both of the two studies reveal consistent findings that ISO 14001 adoption decreases the incidence of government environmental inspections, and that the effect of ISO 14001 adoption becomes stronger in state-owned enterprises and firms with top management team’s political ties. Our findings are suggestive of a complementary relationship between private and public regulations, in a sense that private regulations can compensate for the weaknesses of public regulations by offering faster, more flexible and cost-efficient means of enforcement, which allows the public authorities to economize on the deployment of public resources to monitor the rest non-compliant firms. (shrink)