Objectives To determine the frequencies and types of limitation of medical treatment performed by physician members of the German Society for Palliative Medicine and to analyse the findings with respect to clinical and ethical aspects of end-of-life practices. Design Cross-sectional postal survey. Setting Data collection via the secretary of the German Society for Palliative Medicine using the German language version of the EURELD survey instrument. Subjects All 1645 physician members of the German Society for Palliative Medicine. Main outcome measures Types (...) and frequencies of limitation of treatment and possible determinants. Results 901 physicians participated in the study (response rate 55.8%). Participants reported limitation of treatment in 69.1% of cases. These decisions most often affected artificial nutrition (19%), chemotherapy (14%), antibiotics (11%) and medication other than antibiotics (11%). In the majority of eligible cases, physicians estimated the life-shortening effect of limitation of treatment to be <7 days. However, estimations differ depending on the medical measures in question. Bivariate statistical analysis indicated that withholding of treatment was performed significantly more frequently for patients aged ≥65 years (p=0.019). In addition, there were significant associations between the incidence of limitation of treatment and the different diseases reported by respondents as the underlying cause of death. Conclusion The findings of this study provide information on the current state of an ethically and clinically challenging aspect of clinical practice and can serve as a starting point for further interdisciplinary research on normative and empirical aspects of treatment decision-making at the end of life. (shrink)

Deux préjugés ont grevé la réception de l'œuvre d'Arendt, en particulier en France. L'un : que l'étude des " origines du totalitarisme " et de sa nature (comme modèle politique portant bien au-delà du prototype nazi) ne définirait pas seulement le point de départ de ses questions, mais en bornerait les enjeux. L'autre : qu'à travers les étapes et les détours d'une pensée de la politique et de l'histoire contemporaines, elle n'aurait tendu qu'à rejoindre la tradition philosophique (la méditation sur (...) " la vie de l'esprit "). Convoquant tour à tour l'analyse des révolutions, la critique du travail et du mouvement ouvrier, le questionnement sur la publicité, la société du spectacle et la capacité de juger, le présent ouvrage entend restituer ce qui fait l'originalité de la réflexion d'Arendt sur l'histoire et la politique. Il la replace dans la lignée de Machiavel, de Montesquieu et de Tocqueville, dans la confrontation déterminante avec Marx, dans l'opposition constante à la philosophie politique. Justifiant la posture non-philosophique qu'elle n'a cessé de revendiquer. Démontrant par là même quel bénéfice réel la philosophie peut tirer d'une provocation qui l'expose à la puissance sauvage de l'événement, et à l'étonnement qu'il doit susciter. (shrink)

Publications of the series include the official proceedings of the ALWS-conferences and of their special workshops. The series is open also for other high-quality publications, especially on the philosophy of Ludwig Wittgenstein and its influence on contemporary analytic philosophy.

Pour les révolutionnaires américains, Montesquieu est d’abord une figure d’autorité dont on révère les « axiomes ». Mais durant le débat très virulent auquel donne lieu la Constitution fédérale, ce sont les « antifédéralistes » qui invoquent le plus souvent son autorité, pour refuser la possibilité d’une république étendue, revendiquer une stricte « séparation » des pouvoirs, déplorer l’effacement de la vertu, etc. Ils contraignent donc les fédéralistes à une réponse paradoxale. Il s’agit de lire Montesquieu plus finement et d’en (...) assimiler les leçons tout en récusant de plus en plus fermement son autorité, au nom de l’exorcisme de l’héritage historique (tout particulièrement anglais) et de la rumination de l’expérience propre. Montesquieu est d’autant plus présent qu’il est rejeté, ce qui engage un tout nouveau rapport à l’histoire et à la tradition. (shrink)

Intersectoral collaboration (IC) plays a significant role in the delivery of diabetes care and treatment of patients with type 2 diabetes (DM2), as the treatment and care of these patients take place in both primary care and specialist settings. The collaboration involves a large number of actors from primary and secondary healthcare sectors, who are expected to fulfil various roles when they engage in IC. We explored the actors' roles by applying the framework of positioning theory with the aim of (...) revealing seemingly embedded understandings of such roles. The empirical data consisted of individual and focus group interviews. Our results indicate that naturalised understandings of the roles of actors interact with the way in which health professionals, patients, managers and relatives strive to develop IC that aims to help and guide patients who live with DM2. (shrink)

The object of this article, which analyses Statesman 291a1-303d3, is to show how the good, the object of politics qua knowledge, makes the regime with which it is associated a utopia. The good cannot be actualized anywhere in the sensible realm, because no city can be governed without laws, and the laws define what is good most often for the greatest number. A government of the good, without laws, is a utopia, but the laws, to the extent that they aim (...) at the common interest, are in themselves the imprint of the good. I defend the thesis, at first sight paradoxical, that the true politicians are not those who know the good and imitate it, but those who recognise the utility of laws and agree to submit themselves to their authority. Thus Plato dismisses all existing regimes as sophistic regimes where power is exercised in the interest of the rulers and not of the ruled. Not every regime, however, bears the imprint of the good equally. By making politics a branch of knowledge, Plato imposes a numerical criterion on the classification of regimes; he crosses the criterion of number with that of law. I therefore argue for another paradox: the best possible regime is a monarchy in which the rulers obey the laws, the best existing regime is none other than democracy. (shrink)

The nature of freedom has been discussed extensively by Paul Ricoeur in his book Freedom and Nature. This article critically engages with this notion of freedom in the context of survivors of sex trafficking and their lack of experience of freedom. We indicate to what extent Ricoeur’s notion of freedom, as the reciprocal relationship between the voluntary and the involuntary, offers a relational and dynamic understanding of freedom which is highly relevant in the context of survivors of sex trafficking. A (...) mere bodily freedom, an escape from captivity, as often found in reductionist definitions of freedom, does not warrant freedom as volition for survivors of sex trafficking. The development of the full possibilities of freedom remains lacking in this context. This compels one to reconsider freedom as “voluntary-involuntary” freedom and to develop a much more complex, holistic and relational notion of freedom. Aspects like imagination, the affective, fear, desires and human dignity, should all be incorporated in the concept of freedom, which remains bodily, but does not exclude volition in the abstract or even idealistic sense. Such a comprehensive understanding of freedom is paramount for survivors of sex trafficking, but also for further philosophical considerations of freedom. (shrink)

This paper derives from an exploration of the ways in which the letters of Holocaust writer Etty Hillesum, which are seemingly resistant to many of the interests of current trauma theory, can be read in relation to contemporary writing on testimonial. In particular, the three theorists I shall discuss here, Derrida, Caruth and Irigaray, directly address Freud's Beyond the Pleasure Principle, a central text in the current refiguring of trauma. This paper traces the ways in which Hillesum's letters can be (...) read across the theoretical accounts. An interpretation of Hillesum's writing emerges in which the conventional emphasis on the mystical aspect of her texts is reinterpreted in terms of Caruth's emphasis on the life drive. Viewed as forging a creative language of departure, Hillesum's letters are situated in a central relation to the most recent developments in the theoretical discourse around testimony. (shrink)

Ce texte est originellement paru dans A. E. Sejten, Diderot ou le défi esthétique. Les écrits de jeunesse 1746-1751, Paris, Vrin, 1999, p. 190-197. Nous remercions chaleureusement Anne Elisabeth Sejten ainsi que les Éditions Vrin de nous avoir autorisé à le reproduire ici. Diderot a hâte d'introduire avec l'hiéroglyphe un signe dont le caractère dépasse celui du signe proprement linguistique. Nous avons déjà noté comment, durant le long débat sur les inversions, il s'enthousiasmait pour certains mots - XVIIIe siècle (...) – Nouvel article. (shrink)

Que ce soit à l’occasion d’un exercice académique obligé, dans les marges de l’activité théorique, ou bien qu’il s’agisse d’un exercice philosophique destiné à tester la cohérence et la solidité d’un « système », la philosophie produit du biographique, selon les modalités et les régimes discursifs les plus divers. Depuis l’Antiquité, des philosophes compilent discours et anecdotes, et font l’exégèse d’une doctrine dans une perspective tantôt apologétique, tantôt critique – que l’on songe, par...

The contemporary global language “extinction crisis” has been analyzed by several influential linguists using concepts from ecology. In this article we study different reaction-diffusion models to explain the dynamics of language competition. We are mainly interested in situations where one language has a status advantage compared with the other. We consider previous applications of competition models from ecology, with particular attention to the implications of the “carrying capacity” term in such models. We derive existence as well as stability conditions for (...) the equilibria of the models considered, and show that depending on environmental conditions both situations—coexistence of competing languages or extinction of the less advantageous language—are possible. (shrink)

Unter dem Vorzeichen der Frühaufklärung beschäftigt sich Friedrich der Große in seinen philosophischen Schriften mit der Rolle des Fürsten und der Staatsführung sowie mit Fragen der Moral, Humanität und des Fortschritts der Menschheit. Zugleich reflektiert er Probleme des neuen Denkens, das er insbesondere bei den französischen Aufklärungsphilosophen aufmerksam beobachtet und nicht selten vehement kritisiert.

A treasury of teachings, stories, and sayings in the words of the Buddha himself--now part of the Shambhala Pocket Library series. Here is the core of the Buddha's teaching in his own words, as it was memorized word-for-word by his disciples and written down two hundred years after his death. These selections from the Buddhist scriptures deal with the search for truth, the way of contemplation, life and death, living in community, and many other topics, serving as an excellent introduction (...) to the Buddha's teaching. Whether addressed to monks and nuns, householders, outcastes, or thieves, the Buddha's teachings are characterized by one main concern: conveying the reality of our bondage to suffering--and the supremely good news that liberation is possible. It is a concern as relevant for people today as it was for the people of north India more than 1,000 years ago. This book is part of the Shambhala Pocket Library series. The Shambhala Pocket Library is a collection of short, portable teachings from notable figures across religious traditions and classic texts.The covers in this series are rendered by Colorado artist Robert Spellman.The books in this collection distill the wisdom and heart of the work Shambhala Publications has published over 50 years into a compactformat that is collectible, reader-friendly, andapplicable to everyday life. (shrink)

This paper develops insights from Foucault and Lyotard to examine the Darfur crisis and the transformative potential of spaces of alterity. We show that Foucault’s quest for an aesthetics of existence is an attempt to found an alternative form of ethics based on wakefulness, sensibility, and suspicion on the part of the subject. In the final part of the paper we link this idea to Lyotard’s sensibility of the sublime. We show how aesthetic sensibility can be transformed in a political (...) sensibility which bears witness to political injustices that result from the incommensurability of different genres of discourse. We illustrate this point using aesthetic representations of Darfur. (shrink)

On the winter morning of 16 June 1976, fifteen thousand black children marched on Orlando Stadium in Soweto, carrying slogans dashed on the backs of exercise books. The children were stopped by armed police who opened fire, and thirteen-year-old Hector Peterson became the first of hundreds of schoolchildren to be shot down by police in the months that followed. If, a decade later, the meaning of Soweto’s “year of fire” is still contested,1 it began in this way with a symbolic (...) display of contempt for the unpalatable values of Bantu education, a public rejection of the “culture of malnutrition” with which blacks had been fed.2 The local provocation for the Orlando march was a ruling that black children be taught arithmetic and social studies in Afrikaans—the language of the white cabinet minister, soldier, and pass official, prison guard, and policeman. But the Soweto march sprang from deeper grievances than instruction in Afrikaans, and the calamitous year that passed not only gave rise to a rekindling of black political resistance but visibly illuminated the cultural aspects of coercion and revolt.The children’s defacement of exercise books and the breaking of school ranks presaged a nationwide rebellion of uncommon proportion. The revolt spread across the country from community to community, in strikes, boycotts, and street barricades. It represented in part the climax of a long struggle between the British and Afrikaans interlopers for control over an unwilling black populace and was at the same time a flagrant sign of the contestation of culture, an open declaration by blacks that cultural value, far from shimmering out of reach in the transcendent beyond, would now be fought for with barricades of tires, empty classrooms, and precocious organization. 1. At least three general analyses of the Soweto uprising have emerged: deeper African National Congress involvement in the community; strains on the educational system, unemployment and recession, with greater industrial militancy stemming from the strikes in the early seventies; and the emergence of Black Consciousness ideology. See Tom Lodge, Black Politics in South Africa Since 1945 , pp. 321-62.2. See M. K. Malefane, “ ‘The Sun Will Rise’: Review of the Allahpoets at the Market Theatre, Johannesburg,” Staffrider ; reprinted in Soweto Poetry, ed. Michael Chapman, South African Literature Studies, no. 2 , p. 91. Soweto Poetry will hereafter be cited as SP. Anne McClintock is a Ph.D. candidate in English at Columbia University. She is the author of a monograph on Simone de Beauvoir and is working on a dissertation on race and gender in British imperial culture. Her previous contribution to Critical Inquiry , “No Names Apart: The Separation of Word and History in Derrida’s ‘Le Dernier Mot du Racisme,’ ” appeared in the Autumn 1986 issue. (shrink)

During mitosis, cells comprehensively restructure their interior to promote the faithful inheritance of DNA and cytoplasmic contents. In metazoans, this restructuring entails disassembly of the nuclear envelope, redistribution of its components into the endoplasmic reticulum (ER) and eventually nuclear envelope reassembly around the segregated chromosomes. The microtubule cytoskeleton has recently emerged as a critical regulator of mitotic nuclear envelope and ER dynamics. Microtubules and associated molecular motors tear open the nuclear envelope in prophase and remove nuclear envelope remnants from chromatin. (...) Additionally, two distinct mechanisms of microtubule‐based regulation of ER dynamics operate later in mitosis. First, association of the ER with microtubules is reduced, preventing invasion of ER into the spindle area, and second, organelle membrane is actively cleared from metaphase chromosomes. However, we are only beginning to understand the role of microtubules in shaping and distributing ER and other organelles during mitosis. (shrink)

La profession d’assistante maternelle s’appuie sur les compétences maternelles des assistantes maternelles, ce qui les implique subjectivement dans leur rapport à l’enfant accueilli. Le dispositif de l’accueil (c’est-à-dire placement d’un enfant «étranger » dans une famille) appelle les assistantes maternelles à se confronter à cette question du lien à l’enfant accueilli. Si l’aliénation au désir de l’Autre est nécessaire à la construction du sujet, cette confrontation de l’assistante maternelle avec son propre désir est fondatrice du lien avec les enfants accueillis.

In ihrem Buch "Inkarnation und Schöpfung" untersucht Anne Käfer das Verhältnis von Gottes Menschwerdung und seiner Schöpfung, wie es die drei einflussreichen Theologen Martin Luther, Friedrich Schleiermacher und Karl Barth beschreiben. Der Vergleich der drei Positionen macht deutlich, dass das Thema für zahlreiche theologische Fragestellungen von grundlegender Bedeutung ist. Das jeweilige Verständnis von Gottes Liebe, von seiner Treue, seiner Allmacht und seiner Freiheit ist bedingt durch das Verständnis der Inkarnation. Deren Deutung und vor allem die Weise, in der die (...) Autoren Jesus Christus als wahren Gott und wahren Menschen fassen, sind gebunden an bestimmte anthropologische Überzeugungen. Die Anthropologie und vor allem die jeweilige Sündenlehre der drei protestantischen Klassiker sind in der Interpretation von Anne Käfer entscheidend für ihre Verhältnisbestimmung von Menschwerdung und (Menschen-)Schöpfung Gottes. Insbesondere an der unterschiedlichen Beschreibung von Sünde und menschlicher Freiheit im Gegenüber zum dreieinigen Gott wird die grundsätzliche Differenz zwischen der lutherischen Position und den beiden reformierten Positionen deutlich, die das Thema Inkarnation und Schöpfung prägt. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy of Music Education Review 12.1 (2004) 64-66 [Access article in PDF] Response to Bennett Reimer, "Once More with Feeling: Reconciling Discrepant Accounts of Musical Affect" Anne Sinclair Indiana University Mary Reichling's exploration of form, feeling, and isomorphism in the writings of Susanne Langer accomplishes its goal to examine and elucidate aspects of these concepts. I find several of the ideas presented very engaging. Musical form and feeling (...) are very real to me in my experience as a music and liturgy director in the Catholic Church. I wholeheartedly agree with the concept of the processual nature of both, which has been well articulated. In my life experience, the musical form, the feeling inherent in it, and its process of coming to life in a given moment, is a near-weekly event. The church continually solemnizes life events, and musical form is an integral part of that solemnization. My response centers on the following claim: "Feeling is not a product but a process, it follows that the feeling ends when the music stops"; and question, "How can it be educational?"The example of the drama, King Lear, is very interesting. Indeed, as we get caught up in the action of the production, we become connected to the feelings and lives of the characters. I agree that it might be easier to experience feeling in a drama or epic, rather than in the visual arts, or in our sonorous art. The drama connects us to the human condition and we "feel" for the characters. In my position [End Page 64] as a liturgist, I find myself in a situation similar to that of the director of a play. Indeed, at times there is a very fine line between drama and good liturgy. However, in the liturgy we are connecting with real lives, the lives of our assembly members, not the lives of fictitious characters. Good musician liturgists strive to give voice to the emotions of the assembly. While I admit this is not always accomplished in weekly Sunday liturgies, I think especially of funeral liturgies where the music strives to speak of the hope and promise of eternal life for the departed loved one and also of the feelings of grief experienced by the assembled family and friends.I take issue with the idea "that the feeling stops when the music does." Throughout the body of the paper, Reichling highlights Langer's ideas on music's "sonorous image of feeling in an imaginatively perceptible form" and her use of the terms "semblance," "illusion," and "virtual" in regard to feeling. However, in contemplating the points brought forth, I mentally wrestled with the idea of feeling stopping when the music did. Could this position be held because it was based on what might be referred to as a "virtual" experience (for example, a musical concert or show) rather than a "real-life" moment?During the process of this contemplation, I had the occasion to attend the funeral of a friend's husband. This funeral occurred in a faith tradition other than Catholicism and I participated in the service as a member of the congregation. My friend is a music educator, her husband had been a musician, and both had been active in the music ministry of their church for nearly thirty years. As one might imagine, music was a central element in the solemnization of this man's life. The music was brought to life by an extraordinary group of musicians, including many graduate students and faculty members of the Indiana University School of Music. The music was superb and each piece had relevance to the life being celebrated as well as to the moment at hand, saying goodbye. The choir was wonderful, sharing movements from both the Brahms and Fauré Requiems, which were very moving. The soloist was renowned soprano, Sylvia McNair, an "adopted" member of the family since her days years ago as an Indiana University graduate student. Musical form and feeling came together in a powerful way for me during her singing of Fauré's Pie Jesu as she... (shrink)

This book is the result of intensive and continued discussions about the social role of language and its conceptualisations in societies other than Northern (European-American) ones. Language as a means of expressing as well as evoking both interiority and community has been in the focus of these discussions, led among linguists, anthropologists, and Egyptologists, and leading to a collection of essays that provide studies that transcend previously considered approaches. Its contributions are in particular interested in understanding how the attitude of (...) the individual towards societal processes and strategies of norming is negotiated emotionally, and how individual interests and attitudes can be articulated. Discourses on public spaces are in the focus, in order to analyse those strategies that are employed to articulate dissent (for example, in the sense of face-threatening acts). This raises a number of questions on the spatial and public situatedness of emotions and language: How is the public space dealt with and reflected in language as property, heritage, and as a part of ascribed identities? Which role do emotions play in this space? How is emotion employed there as part of place making in relation to identity constructions? What is the connection between emotion, performance and emblematic spaces and places? Which opportunities of the violation of norms and transgression do such public spaces offer to actors and speakers? These questions intend to address the communicative representation of core cultural processes and concepts. (shrink)

Volume 20, Issue 7, July 2020, Page 174-177.

A reference volume and playful devotional object based on the author's research into color theory informed by psychology, mysticism, and early modernism. The Color-Word Value Index has 44 word pairings; 10 colors; 5 suits; and values of positive, negative, and neutral"--Women's Studio Workshop website, viewed December 14, 2021.

Over the last twenty years the debate over the origin of modern Man has broadened, the supporters of a theory of regional diversification of Homo sapiens being often opposed by those holding to the single source theory (the ‘Out of Africa’ model). At the same time, the idea of Homo neanderthalensis as a separate species was being resurrected, supported by bone classification typology and drawing on arguments derived from palaeogenetic analyses, which buttressed the case for the existence of distinct species (...) and for privileging an African origin for modern humans. The prospects offered by palaeogenetic research to find answers for the questions concerning the relationship between modern humans and Neanderthals throw up numerous questions and all the obstacles have not yet been removed. Palaeoanthropology, from its point of view, casts major doubt on the thesis according to which man has always evolved in the same direction. (shrink)

La législation de l’an II (1793-1794) qui pendant quelques brèves années va permettre d’égaliser les droits des enfants naturels et des enfants légitimes, a des effets inattendus et durables sur notre droit. Loin de faire le lit de l’égalité entre tous les enfants, elle organise une extension des droits sans obligation nouvelle de leurs pères, au détriment des mères non mariées et de leurs enfants non désirés et non reconnus. La Révolution maintient la puissance du patriarcat jusque dans son droit (...) le plus individualiste et prépare son institutionnalisation par le Code civil. (shrink)

In this commentary, I focus on several problems that the authors' understanding of group identity raises: the legality of avoiding background diversity, the problem of effectively unshareable knowledge, the practical quality of some outcomes arrived at by groups with homogeneous backgrounds, and moral issues about fairness. I note also that much recent research challenges the view that background diversity is more likely to be a detriment than a benefit.