Background: Ethics and dignity in prehospital emergency care are important due to vulnerability and suffering. Patients can lose control of their body and encounter unfamiliar faces in an emergency situation. Objective: To describe what specialist ambulance nurse students experienced as preserved and humiliated dignity in prehospital emergency care. Research design: The study had a qualitative approach. Method: Data were collected by Flanagan’s critical incident technique. The participants were 26 specialist ambulance nurse students who described two critical incidents of preserved and (...) humiliated dignity, from prehospital emergency care. Data consist of 52 critical incidents and were analyzed with interpretive content analysis. Ethical considerations: The study followed the ethical principles in accordance with the Declaration of Helsinki. Findings: The result showed how human dignity in prehospital emergency care can be preserved by the ambulance nurse being there for the patient. The ambulance nurses meet the patient in the patient’s world and make professional decisions. The ambulance nurse respects the patient’s will and protects the patient’s body from the gaze of others. Humiliated dignity was described through the ambulance nurse abandoning the patient and by healthcare professionals failing, disrespecting, and ignoring the patient. Discussion: It is a unique situation when a nurse meets a patient face to face in a critical life or death moment. The discussion describes courage and the ethical vision to see another human. Conclusion: Dignity was preserved when the ambulance nurse showed respect and protected the patient in prehospital emergency care. The ambulance nurse students’ ethical obligation results in the courage to see when a patient’s dignity is in jeopardy of being humiliated. Humiliated dignity occurs when patients are ignored and left unprotected. This ethical dilemma affects the ambulance nurse students badly due to the fact that the morals and attitudes of ambulance nurses are reflected in their actions toward the patient. (shrink)

BackgroundAn increasing number of studies utilize intracranial electrophysiology in human subjects to advance basic neuroscience knowledge. However, the use of neurosurgical patients as human research subjects raises important ethical considerations, particularly regarding informed consent and undue influence, as well as subjects’ motivations for participation. Yet a thorough empirical examination of these issues in a participant population has been lacking. The present study therefore aimed to empirically investigate ethical concerns regarding informed consent and voluntariness in Parkinson’s disease patients undergoing deep brain (...) stimulator (DBS) placement who participated in an intraoperative neuroscience study.MethodsTwo semi-structured 30-minute interviews were conducted preoperatively and postoperatively via telephone. Interviews assessed participants’ motivations for participation in the parent intraoperative study, recall of information presented during the informed consent process, and participants’ postoperative reflections on the research study.ResultsTwenty-two participants (mean age = 60.9) completed preoperative interviews at a mean of 7.8 days following informed consent and a mean of 5.2 days prior to DBS surgery. Twenty participants completed postoperative interviews at a mean of 5 weeks following surgery. All participants cited altruism or advancing medical science as “very important” or “important” in their decision to participate in the study. Only 22.7% (n = 5) correctly recalled one of the two risks of the study. Correct recall of other aspects of the informed consent was poor (36.4% for study purpose; 50.0% for study protocol; 36.4% for study benefits). All correctly understood that the study would not confer a direct therapeutic benefit to them.ConclusionEven though research coordinators were properly trained and the informed consent was administered according to protocol, participants demonstrated poor retention of study information. While intraoperative studies that aim to advance neuroscience knowledge represent a unique opportunity to gain fundamental scientific knowledge, improved standards for the informed consent process can help facilitate their ethical implementation. (shrink)

The paper develops a philosophical account of emotions experienced and communicated on the internet, and, in particular, in the context of social media use. A growing body of research across disciplines has investigated the distinctive features of emotions in the digital age, and a key question in this regard concerns whether online emotions are the same kind of phenomena as those undergone offline. In this paper, I contribute to addressing this question by suggesting that the structure and characteristic features of (...) internet-mediated emotions can be accounted for within the perspective of Peter Goldie’s narrative theory of emotion. To do so, I first offer a reconstruction of Goldie’s conception of emotions as complex, dynamic, episodic and structured phenomena. I then move to show how the experience of emotions on social media like Facebook displays the characteristics which are at the core of Goldie’s account, proceeding to suggest that this enables us to better understand some of the features of emotions undergone on the internet. More specifically, I argue that the intensity, persistence and contagiousness of some online emotions can be better understood if we adopt Goldie’s framework. (shrink)

The paper presents different criteria of meaning formulated on the ground of contemporary empiricism, and shows their shortcomings. None of them respects all intuitions that empiricists have connected with the notion of meaning. The main thesis is that these intuitions can never be respected conjointly, for some of them exclude others. Consequently it is showed that the perfect empirical criterion of meaning does not exist.

This monograph examines the origins of modern and modernist moral confusion and the deterioration of the Judeo-Christian values and contemporary boundaries between Right and Wrong. It traces the ethical shift to the ideas of Hobbes and Bentham, the peculiar universe of Schopenhauer and Dostoevsky, the new religion of Tolstoy and the destroyed God of Nietzsche, ending with the psychoanalytical commandments of Freud and the mire of sexual identity of Foucault and Paglia.

Let us assume that the expression A is a segment of the expression B. Now, let us assume that we try to transform the expression B into the expression B', removing A from B or replacing A with another expression, say A'. When shall we say that A is irremovable or occurs in B essentially? We shall do it, if we can neither remove A from B nor replace A with A', not influencing upon important properties of B. On the (...) other hand, when shall we say that the occurrence A in B is essential? We shall do it, if we can transform B into B' changing no properties of B. Let us say it more precisely. Let us assume - as concerns expressions x, y, x' and y' - that: (a) x occurs in y; (b) the only structural difference between y and y' is that x does not occur in y', or x' occurs in y instead of x. Then: x occurs in y inessentially-with-respect-to-w of y, iff y' is the same as y with respect to p. Correspondingly: x occurs in y essentially-with-respect-to-w of y, iff y' is different as y with respect to p. The occurrence x in y may be essential or inessential with respect to syntactic, semantic or pragmatic properties of y. In my paper, I discuss a variety of detailed concepts of the (in)essential occurrence of expressions in another expressions with respect to semantic properties of these expressions, i.e. with respect to semantic category, logical value, denotation and connotation. I also discuss some philosophical and methodological implications of presented solutions of the problem. (shrink)

In this paper, I explore some of the ambivalent potential of Graham Harman’s post-humanist object-oriented ontology for thinking about human beings as objects, and for how to be with human beings as objects. In particular, I consider the work of feminist phenomenologists attuned to objectification as both having a tradition of object-orientation and as already contesting the idealism that Harman opposes. Objectified human beings inhabit a site of ontological duality, often knowing themselves as objects for others, who thus experience the (...) ontological and epistemological disruptions that can emerge from the human activity of objectification. Absence of these analyses in OOO constitutes an important oversight, since the analyses draw attention not only to object relations among human beings, but thereby also point to ways of understanding human concept relations with non-human objects. (shrink)

In late 2003, the Canadian media reported that the Islamic Institute of Civil Justice would start offering arbitration in family disputes in accordance with both Islamic legal principles and Ontario's Arbitration Act of 1991. A vociferous two-year debate ensued on the introduction of “Sharia law” in Ontario. This article analyzes representations of Muslim women's agency that came to the fore in this debate by examining reports in three Canadian newspapers. The debate demonstrated two notions of agency. The predominant perspective conceptualized (...) Muslim women's agency as their ability to resist domination, tying secularization to agency. A second strain of the debate portrayed agency as embedded in intersecting social forces of domination and subordination. The first perspective homogenized diverse Muslim communities, fostering the gendered racialization of these communities. Understanding agency as embedded, by contrast, enabled conceptualizations of Muslim women as agentic religious subjects. (shrink)

Those giving birth within modern maternity systems are recognised as facing a number of barriers to person-centred care. In this paper, I argue that in order to best facilitate the conditions for positive change, work needs to be done to provide a more granular articulation of the specific barriers. I then offer a nuanced and contextually aware articulation of one key component of the overall failure to ensure person-centred care: medical authority and the expectation of conformity. Articulating these barriers with (...) increased specificity is valuable, as it creates a stronger foundation from which to challenge existing problems which serve to constrain the autonomy of birthing individuals. The analysis offered in this paper also underscores the need for change at an institutional, rather than individual, level. (shrink)

The article tries to answer the following questions: Why did Lewis Carroll\'s ideas, expressed in the form of fairy tales, fascinate numerous analytical philosophers? What does Carroll\'s contribution to the contemporary logic and philosophy consist in? The basic thesis of the article is that Lewis Carroll - remaining in the Anglo-Saxon tradition of David Hume\'s and George Berkeley\'s philosophy - supplied material illustrating the problems connected with the use of language. He showed how improper use of language leads to formation (...) of philosophical problems. The article presents Carroll\'s output. He was one of the pioneers of symbolic logic that he developed in Boole\'s and De Morgan\'s tradition - in the field of the so-called recreation mathematics that he popularized in the form of riddles, puzzles, doublets and puns, compared by some logicians to a formal system. The article presents the essence of the theory of language developed by Carroll, in which language may be something hermetic with only one person having access to it (the case of Humpty Dumpty), but also something common, something social (Alice\'s conversation with the White King). Attention is paid to the fact that Carroll differentiated between what is nonsensical and what is absurd (the criterion being its relation to logic). It is pointed that Carroll\'s aim was first of all discovering the nonsense that is hidden behind the formulation of a metaphysical problem. In the article also the connections are studied between Carroll and Ludwig Wittgenstein, the relation between them being seen in the view that absurd introduced by means of humor is a kind of vaccine that is supposed to protect us from forming absurdity in philosophy. In conclusion it is stated that Carroll\'s ideas that are the most significant for analytic philosophers are concerned with the nature of language that is not a transparent medium for him, but something that offers resistance when we communicate with others, as well as something that may be flexible and adjusted to our will. By manipulating language Carroll shows in what way philosophy balances between sense and nonsense and how often philosophical questions arise from erroneous use of language and erroneous posing of problems. (shrink)