ObjectivePatient involvement is used to describe the inclusion of patients as active participants in healthcare decision-making and research. This study aimed to investigate incoming year 1 medical (MBChB) students’ attitudes and opinions regarding patient involvement in this context.MethodsWe established a staff–student partnership to formulate the design of an online research survey, which included Likert scale questions and three short vignette scenarios designed to probe student attitudes towards patient involvement linked to existing legal precedent. Incoming year 1 medical students (n=333) were (...) invited to participate in the survey before formal teaching commenced.ResultsSurvey data (49 participants) indicate that students were broadly familiar with, and supportive of, patient involvement in medical treatment. There was least support for patient involvement in conducting (23.9%), contributing to (37.0%) or communicating research (32.6%), whereas there was unanimous support for patients choosing treatment from a selection of options (100%).ConclusionIncoming members of the medical profession demonstrate awareness of the need to actively involve patients in healthcare decision-making but are unfamiliar with the utility and value of such involvement in research. Further empirical studies are required to examine attitudes to patient involvement in healthcare. (shrink)

Existential phenomenology, explains Anna Westin, is the study of what we engage with normally … [g]iving particular critical intention to the ordinary encounters we experience as humans … [it] situ...

Governments are widely viewed by academics and practitioners as the key societal actors who are capable of compelling businesses to practice corporate social responsibility. Arguably, such government involvement could be seen as a technocratic device for encouraging ethical business behaviour. In this paper, we offer a more politicised interpretation of government engagement with CSR where “CSR” is not a desired form of business conduct but an element of discourse that governments can deploy in structuring their relationships with other social actors. (...) We build our argument through a historical analysis of government CSR discourse in the Russian Federation. Laclau and Mouffe's social theory of hegemony underpins our research. We find that “CSR” in the Russian government’s discourse served to legitimise its power over large businesses. Using this case, we contribute to wider academic debates by providing fresh empirical evidence that allows the development of critical evaluation tools in relation to governments’ engagement with “CSR”. We find that governments are capable of hijacking CSR for their own self-interested gain. We close the paper by reflecting on the merit of exploring the case of the Russian Federation. As a “non-core”, non-western exemplar, it provides a useful “mirror” with which to reflect on the more widely used test-bed of Western industrial democracies when scrutinising CSR. Based on our findings, we invite other scholars to adopt a more critical, politicised stance when researching the role of governments in relation to CSR in other parts of the world. (shrink)

"Grande fut au XIXe siècle la confusion des termes et l'incertitude des objectifs dans les théories morales concurrentes. En réaction, naquit une discipline nouvelle, la métaéthique, requérant qu'on commençât par soumettre la réflexion morale à des contraintes épistémologiquement plus rigoureuses. Ainsi émergèrent des travaux portant sur la signification des énoncés moraux et sur leurs conditions de vérité, sur les éléments constitutifs de l'éthique, sur la tension entre ce qu'on peut connaître et décrire et ce qu'on peut plutôt sentir et exprimer (...) dans la sphère morale. Le présent volume réunit des textes qui ont marqué leur époque et qui sont devenus des références essentielles dans le paysage métaéthique contemporain. La première partie du volume présente l'effort qui fut fait de saisir dans un cadre réaliste les notions fondamentales de l'éthique, la deuxième oppose à cette entreprise qui se veut scientifique la critique parfois sceptique, la troisième met en cause certains présupposés actifs dans les deux partis, et propose de nouvelles lectures du réalisme moral."--Page 4 de la couverture. (shrink)

The patterns of physical growth (stature, BMI, subscapular and arm fat-fold thickness, upper and lower extremity length, chest circumference, arm, and hip breadth, and age at menarche) were studied in 857 of Maya and Mestizo girls and 1314 of Creole girls aged 6-18 years. Data were collected between 1998-2001 in primary, secondary, and high schools of Merida, Capital City of the Yucatan State, Mexico. The ethnicity of girls was defined using their two surnames (from the father and mother side). The (...) results show that Creoles are taller, have more abundant fat tissue, and greater BMI, especially at the age of 11 years, which means that they are better prepared to start pubertal spurt. Maya girls have relatively longer upper extremities to lower ones, greater biacromial breadth, and chest circumference to stature than Creoles, which shows their more stocky body build. The adolescent (pubertal) spurt in height starts earlier in Creoles (9-10 years) and its rate is greater (max. = 7.48 cm/ year) than in Maya and Mestizos girls (10-11 years; max. = 6.25 cm/year). In Mayas and Mestizos, there is only a slight difference between the rate of changes before and during the pubertal spurt. There are no significant differences in age at menarche between girls from both ethnic groups (11.96 in Mayas and Mestizos and 12.04 in Creoles), but there are statistically significant differences between age at menarche of studied girls and their mothers (12.4 for both groups) in each ethnic group. There is evidence that the onset of pubertal spurt in height and its rate may depend on ethnicity. Creoles may lead to a more “westernized” style of life than the Maya and Mestizos girls. (shrink)

The extended mind view and the embodied-grounded view of cognition and language are typically considered as rather independent perspectives. In this paper we propose a possible integration of the two views and support it proposing the idea of “Words As social Tools” (WAT). In this respect, we will propose that words, also due to their social and public character, can be conceived as quasi-external devices that extend our cognition. Moreover, words function like tools in that they enlarge the bodily space (...) of action thus modifying our sense of body. To support our proposal, we review the relevant literature on tool-use and on words as tools and report recent evidence indicating that word use leads to an extension of space close to the body. In addition, we outline a model of the neural processes that may underpin bodily space extension via word use and may reflect possible effects on cognition of the use of words as external means. We also discuss how reconciling the two perspectives can help to overcome the limitations they encounter if considered independently. (shrink)

In recent years, critiques of “carceral feminism” have proliferated, objecting to feminist support for punitive policies against sexual and gendered violence that have contributed to mass incarceration. While the convergence of feminist and antiprison efforts is important, this essay argues that critiques of carceral feminism are limited insofar as they present a binary choice between the criminal legal system and informal community justice practices. First, this binary allows critics to overlook rather than engage feminist disagreements about the state and sexual (...) harm. Second, the narrow focus on alternative solutions to harm obscures the plural and contested nature of prison abolition, which may include efforts to seize the state and to problematize carceral logics. Drawing on Michel Foucault, alongside Angela Davis and other contemporary prison abolitionists, I suggest that feminist prison abolition is better served by envisioning a spectrum of decarceration. (shrink)

Lest we take Zhu Xi merely as a grand synthesizer who, in the words of Wing-tsit Chan, made "Neo-Confucianism truly Confucian" by countering and assimilating Buddhist and Daoist influences, this volume urges us to regard him as a profound philosopher who brought metaphysical and cosmological insights to bear on ethical cultivation and social praxis. The twelve essays assembled in Returning to Zhu Xi: Emerging Patterns within the Supreme Polarity, edited by David Jones and Jinli He, examine the manifold aspects of (...) Zhu's philosophy, including its contemporary resonance. The anthology functions on the whole as a general but thoroughly scholarly reference to the wide-ranging thought of Zhu Xi. What distinguishes the... (shrink)

This essay takes issue with a common interpretation of Book II of Plato’s Republic as anticipating the modern theory of division of labour, first promoted by Adam Smith. It is argued that, far from anticipating Adam Smith, Plato developed original reflections which, though naturally shaped by the economic reality of his time, reveal a concern for fundamental issues of economic thought: the value of labour, the nature of economic interdependence in a political association, the relation between economic behaviour and justice. (...) However, despite having recognized some of the fundamental forces behind human economic behaviour, Plato ends up with an envisioned ideal state in which those forces are given no scope, for he makes no room for economic competitiveness and technological advancement. (shrink)

Bernard Bolzano (1781–1848) is commonly thought to have attempted to develop a theory of size for infinite collections that follows the so-called part–whole principle, according to which the whole is always greater than any of its proper parts. In this paper, we develop a novel interpretation of Bolzano’s mature theory of the infinite and show that, contrary to mainstream interpretations, it is best understood as a theory of infinite sums. Our formal results show that Bolzano’s infinite sums can be equipped (...) with the rich and original structure of a non-commutative ordered ring, and that Bolzano’s views on the mathematical infinite are, after all, consistent. (shrink)

The debate on animal rights has been influenced by changes in science, philosophy, nature, and social life over the last 40 years. These include (1) increased moral sensibility that gradually embraces creatures which are more and more distant from those closest to us; (2) environmental threats and their connection with people’s attitude towards animals; (3) scientific discoveries in the field of ethology and animal emotionality, which indicate evolutionary roots of morality; (4) new philosophical concepts (embodied, embedded, enactive and extended mind, (...) and posthumanism) and revision of the concept of subjectivity; (5) exposing the vagueness of the notion of rights and how it is related to the concepts of duty and need. These changes suggest that the point of departure in discussions of the relations between humans and non-human animals has shifted from the traditional human perspective to a more inclusive approach that relies on the developments in science and the inclusion of environmental concerns. (shrink)

Methodological nationalism is a cognitive bias that construes states as the natural and necessary form of contemporary social organisation. This gives rise to a state-centred view which naturalises national communities, exaggerates the differences between citizens and migrants, and exceptionalises international migration. In this paper, I argue that methodological nationalism is not only empirically inaccurate, but also normatively problematic, because its assumptions prevent migration ethicists from properly theorising about discrimination. I begin by briefly presenting methodological nationalism and clarifying some misconceptions. I (...) also identify some features that would make a policy discriminatory and show that many contemporary migration policies are discriminatory. Looking at three variants of methodological nationalism (naturalisation, territorialisation, and ignorance), I argue that methodological nationalism marginalises concerns about discrimination in migration ethics and prevents migration ethicists from developing accounts that would be able to counter xenophobic arguments. Last, I consider the implications of my argument for migration ethics. (shrink)

There are an increasing number of ways to enhance human abilities, characteristics, and performance. In recent years, the ethical debate on enhancement has focused mainly on the ethical evaluation of new enhancement technologies. Yet, the search for an adequate and shared understanding of enhancement has always remained an important part of the debate. It was initially undertaken with the intention of defining the ethical boundaries of enhancement, often by attempting to distinguish enhancements from medical treatments. One of the more recent (...) approaches comes from Julian Savulescu, Anders Sandberg, and Guy Kahane. With their welfarist account, they define enhancement in terms of its contribution to individual well-being: as any state of a person that increases the chances of living a good life in the given set of circumstances. The account aims to contribute both to a shared and clear understanding of enhancement and to answering the question of whether we should enhance in certain ways or not. I will argue that it cannot live up to either claim, in particular because of its inherent normativity and its failure to adequately define well-being. Nevertheless, it can make a valuable contribution to an ethics of enhancement. As I will show, the welfarist account refocuses the debate on a central value in health care: well-being, which can be a relevant aspect in assessing the permissibility of biomedical interventions – especially against the background of new bioethical challenges. To fulfil this function, however, a more differentiated understanding of well-being is needed. (shrink)

Climate change threatens the well-being of all life on our planet, human and non-human, individual and systemic, current and future. It disrupts the social-ecological systems in which human communi...

Research related to indigenous peoples in Sweden and elsewhere has a history marked by discriminatory practice and unequal research processes. Sweden has still not been very visible in terms of openly debating, developing and implementing ethical strategies specifically suited for indigenous research. The present study explores how research ethics is discussed among scholars within the Sami research field in contemporary Sweden. Fifty-six research proposals deriving from eight different research institutions and 160 individual researchers are analyzed, discovering how scholars relate to (...) research ethics when planning for new research projects related to the indigenous Sami. The results demonstrate that ethical guidelines for research are often referred to, but that a common view on what guidelines to use is lacking, leading to a notable variety between different researchers. Ethical discussions are present in the vast majority of the proposals, however there are notable differences between the theories around how to proceed in a culturally safe, ethical manner, and the proposed methods that are to be used to implement theory in practice. In conclusion, there exists a great uncertainty among scholars on where to seek ethical guidance, how to relate to current legislation around research ethics and at the same time act ethically in a culturally appropriate manner. This uncertainty leads to questioning whether discussions of ethics are relevant in the first place, what they are supposed to include, how they are meant to be undertaken and what consequences can be expected from the presence or absence of ethics in indigenous research. (shrink)

My goal in this paper is to argue that some cases of autobiographical remembering can be, and sometimes are, experienced aesthetically. Building on a Deweyan approach to the nature of aesthetic experiences, I show how Dewey conceived of aesthetic experiences as having a cumulative and progressive structure—I call experiences with such structure Deweyan experiences—and how that structure is replicated in some cases of autobiographical remembering in virtue of their having narrative structure. I also discuss the relationship between remembering and other (...) forms of narrative thinking and argue that not only it is easier for remembering to be experienced aesthetically, but also that only remembering can have the cumulative and progressive structure that characterizes Deweyan experiences. I conclude by showing how the Deweyan approach allows us to conceive of the aesthetic value of remembering in terms of the pleasurable or hedonic character of Deweyan experiences. (shrink)

Whatever societies accept as "knowledge" is embedded in specific epistemological, political and economic power relations. How is knowledge produced and functionalized? What is the difference between knowledge and the sciences? Can there be science without universal truth claims? Questions like these, all of them highly relevant, are discussed in twelve essays from the perspective of Sociology, Law, Cultural Studies and the Humanities.

This commentary argues that the question of metalanguage is a key issue in emotion research. Izard (2010) ignores this issue (and all the earlier literature relating to it, including the debate in Emotion Review, 2009, 1[1]), and thus falls into the old traps of circularity, obscurity, and ethnocentrism. This commentary rejects Izard’s claim that “emotion” defies definition, and it offers a viable definition of “emotion” formulated in simple and universal human concepts, using the English version of the universal conceptual lingua (...) franca called Natural Semantic Metalanguage (NSM). Once again, this commentary draws attention to the centrality of the question of language in emotion research. (shrink)

This article is the first to bring into scientific discussion and to provide a historico-philosophical analysis of a manuscript “Neoplatonic Philosophy from the archive of Pamfil Danylovych Yurkevych. The reviewed manuscript belongs to P. D. Yurkevych’s handwritten nachlass stored in the funds of the Institute of Manuscript of V. I. Vernadsky National Library of Ukraine in the city of Kyiv. Additional archival materials are involved to answer several research questions. The author of this article provides arguments in favor of proving (...) that the manuscript is to be attributed to P. D. Yurkevych’s own handwriting, to be dated circa 1856, and that the purposing of its content is to be qualified as didactic. As it is established in the article, textual content of the manuscript in question is an original concise description and analysis of neoplatonic philosophy, which belongs to the set of materials created by P. D. Yurkevych in preparation for teaching the course on Ancient Philosophy in Kyiv Theological Academy during Kyivan period of his work. Turning to the inner critique of the manuscript, author of this article emphasizes an analysis that P. D. Yurkevych conducts concerning Plotinus’s ideas of the process of emanation of the world from the One and the role that philosophy has in true cognition. While comparing the manuscript “Neoplatonic Philosophy” with one of P. D. Yurkevych’s substantial philosophical works “Idea”, additional light is shed upon the prosess of genesis and development of Christian-Platonic worldview of the thinker. Furthermore, it is established that the manuscript in question played a major role in P. D. Yurkevych’s own schooling, particulary concerning his view on the philosophy of Plotinus, and his general reception of the Platonic tradition. (shrink)