Background: Advocacy is an important role of psychiatric nurses because their patients are ethically, socially, and legally vulnerable. This study of Japanese expert psychiatric nurses’ judgments of interventions for patient advocacy will show effective strategies for ethical nursing practice and their relationship with Japanese culture. Objectives: This article explores Japanese psychiatric nurses’ decision to intervene as a patient advocate and examine their ethical, cultural, and social implications. Research design: Using semi-structured interviews verbatim, themes of the problems that required interventions were (...) inductively summarized by a qualitative analysis and their contexts and nursing judgments were examined. Participants and research context: The participants were 21 nurses with 5 or more years of experience in psychiatric nursing. Ethical considerations: The research was approved by Institutional Review Board of research site and study facilities. The participants gave written informed consent. Findings: Analysis of 45 cases showed that nurses decided to intervene when (a) surrounding people’s opinions impeded patients’ safety, (b) healthcare professionals’ policies impeded patients’ decision-making, (c) own violent behaviors impeded treatment and welfare services for patients, (d) own or families’ low acceptance of illness impeded patients’ self-actualization, (e) inappropriate treatment or care impeded patients’ liberty, and (f) their families abused patients’ property. Discussion: To solve conflicts between patients and their surrounding people, the nurses sought reconciliation between them, which is in accordance with Japanese cultural norms respecting harmony. When necessary, however, they protected patients’ rights against cultural norms. Therefore, their judgments cannot be explained by cultural norms alone. Conclusion: The findings indicate that the nurses’ judgments were based on respect for patients’ rights apart from cultural norms, and they first sought solutions fitting the cultural norms before other solutions. This seems to be an ethical, effective strategy if advocates know the culture in depth. (shrink)

This article, reporting on selected data from a larger study, discusses some responses to end-of-life questions that elderly Japanese people who were living in small towns gave in a questionnaire survey. Japan is now the country with the largest number of elderly people in the world and confronts numerous social and economic questions concerning how best to cope with its older population. Although it is a highly urbanized society, Japan also has large semirural areas. The focus here is on the (...) questions in the survey that sought responses to ethical dimensions of end-of-life issues. The findings demonstrate the strength of traditional values that still exist throughout small towns in Japan. (shrink)

Informed consent, decision-making styles and the role of patient-physician relationships are imperative aspects of clinical medicine worldwide. We present the case of a 74-year-old woman afflicted with advanced liver cancer whose attending physician, per request of the family, did not inform her of her true diagnosis. In our analysis, we explore the differences in informed-consent styles between patients who hold an "independent" and "interdependent" construal of the self and then highlight the possible implications maintained by this position in the context (...) of international clinical ethics. Finally, we discuss the need to reassess informed-consent styles suitable to the needs of each patient regardless of whether he or she resides in the United States or in Japan. (shrink)

ポストモダン思想は教育学に何をもたらしたのか。戦後から現在に至る教育学の変遷と、ポストモダン以後の教育思想・教育哲学の新動向を描き出し、教育と教育学の未来を展望する。.

Le réseau Labornet a été créé en Californie en 1991 par des syndicalistes, pour donner un nouveau souffle au mouvement ouvrier. Il est aujourd'hui présent dans une dizaine de pays industrialisés, en Amérique du Nord, en Europe et en Asie. La branche japonaise, Labornet Japan, est née en 2001 avec l'aide des militants coréens. À travers une série d'événements annuels comme la Labor Fiesta ou la campagne Union, Yes !, la diffusion de vidéos sur Union-Tube, le réseau Labornet Japan a (...) su développer une nouvelle culture militante qui dépasse les vieux clivages politiques et syndicaux. En dépit de la multiplication des contrats précaires, il attire de nombreux jeunes vers l'action collective.LaborNet network was established in California in 1991 by trade unionists, to reinvigorate the labor movement. It is currently present in ten countries in North America, Europe and Asia. The Japanese branch, LaborNet Japan, was founded in 2001 with the help of Korean activists. Through a series of annual events like the Fiesta or the Labor Union campaign, Yes!, Dissemination of EU-Tube videos on the network LaborNet Japan has developed a new activist culture that goes beyond the old political divisions and labor. Despite the proliferation of precarious contracts, it attracts many young people to collective action. (shrink)

Stuttering is a neurodevelopmental speech disorder characterized by the symptoms of speech repetition, prolongation, and blocking. Stuttering-related dysfluency can be transiently alleviated by providing an external timing signal such as a metronome or the voice of another person. Therefore, the existence of a core motor timing deficit in stuttering has been speculated. If this is the case, then motoric behaviors other than speech should be disrupted in stuttering. This study examined motoric performance on four complex bimanual tasks in 37 adults (...) who stutter and 31 fluent controls. Two tasks utilized bimanual rotation to examine motor dexterity, and two tasks used the bimanual mirror and parallel tapping movements to examine timing control ability. Video-based analyses were conducted to determine performance accuracy and speed. The results showed that individuals who stutter performed worse than fluent speakers on tapping tasks but not on bimanual rotation tasks. These results suggest stuttering is associated with timing control for general motor behavior. (shrink)

of (from Journal of Ethics and Social Philosophy).

In the Shadow of Justice presents a powerful reconstruction of Anglophone political philosophy. Although the central focus of the book is on the origin and influence of John Rawls's theory of justice, it also uncovers the significance of British political theories in ways that contrast them with the Rawlsian liberal egalitarian idea. The book is, thus, a work of intellectual history that engages with the traditions of normative political theories.By referring extensively to the literature of philosophy, political science, economics, sociology, (...) and the archived materials of Rawls, Katrina Forrester puts forward two provocative theses. First is that the core idea of Rawls's... (shrink)