Finanskrisen har satt fornyet fokus på den praktiske betydningen av samfunnsøkonomifaget. I det følgende vil jeg diskutere fagets problematiske posisjon i overgangen mellom teori og praksis. Dette danner utgangspunkt for min påstand om at økonomene bærer et moralsk ansvar for hvordan faget direkte og indirekte legger premisser for økonomisk politikk og dermed også for den økonomiske utviklingen i samfunnet, finanskrisen inkludert. Jeg vil argumentere for at dette påkaller en etisk og epistemologisk bevisstgjøring av samfunnsøkonomiprofesjonen, og jeg antyder noen forslag til (...) hvordan dette kan angripes. (shrink)

The overall purpose of this cross-country Nordic study was to gain further knowledge about maintaining and promoting dignity in nursing home residents. The purpose of this article is to present results pertaining to the following question: How is nursing home residents’ dignity maintained, promoted or deprived from the perspective of family caregivers? In this article, we focus only on indignity in care. This study took place at six different nursing home residences in Sweden, Denmark and Norway. Data collection methods in (...) this part of this study consisted of individual research interviews. Altogether, the sample consisted of 28 family caregivers of nursing home residents. The empirical material was interpreted using a hermeneutical approach. The overall theme that emerged was as follows: ‘A feeling of being abandoned’. The sub-themes are designated as follows: deprived of the feeling of belonging, deprived of dignity due to acts of omission, deprived of confirmation, deprived of dignity due to physical humiliation, deprived of dignity due to psychological humiliation and deprived of parts of life. (shrink)

The paper attempts to clarify some conceptual, epistemological, and ontological issues connected with so?called psi phenomena. In part I an attempt is made to clarify the various ways in which the concept of psi may be used. The concept is tied to the concept of intentional content. Part II discusses how psi phenomena can be verified/falsified and in what sense parapsychology may be a scientific discipline in spite of there being no empirically well?founded theories about psi as such. In part (...) III an attempt is made to clarify the sense in which psi phenomena may support a dualist position and undermine a materialist position. It is argued that psi phenomena support some sort of dualist position. (shrink)

The Avaldsnes Royal Manor project explores early kingship in Northern Europe, spanning the period c. AD–1320 AD. The principal case is the Norwegian kingdom and the core site is Avaldsnes near Haugesund, Western Norway. 9th–10th century skaldic poems as well as 13th century sagas implies that Avaldsnes was the principal Viking Age royal manor. The site has produced numerous exquisite gravefinds from the Roman period onwards. Among them are the third century Flaghaug grave and two ship graves from the late (...) 8th century. Also, the Oseberg ship, excavated near Oslo, is now proven to have been built c. 820 near Avaldsnes. The Museum of Cultural History, University of Oslo, excavated the Avaldsnes settlement in 2011–12. A team of 23 scholars from prominent academic institutions, including the University of Cambridge and University College London, participate in the research. This first of two volumes contains their results regarding the manor and its setting on the island of Kǫrmt by the Norðvegr, the sheltered sailing route along the West-Scandinavian coast. Together, the chapters produce a detailed 1000-years’ history of a complex central-place area, its monuments and buildings, its activities and functions, its blooming and fading, and eventually its downfall in the 14th century. (shrink)

Background: The professional values presented in ethical guidelines of the Norwegian Nurses Organisation and International Council of Nurses describe nurses’ professional ethics and the obligations that pertain to good nursing practice. The foundation of all nursing shall be respect for life and the inherent dignity of the individual. Research proposes that nurses lack insight in ethical competence and that ethical issues are rarely discussed on the wards. Furthermore, research has for some time confirmed that nurses experience moral distress in their (...) daily work and that this has become a major problem for the nursing profession. Objectives: The purpose of this article is to obtain a deeper understanding of the ethical challenges that nurses face in daily practice. The chosen research questions are “What ethical challenges do nurses experience in their daily practice?” Research design: We conducted a qualitative interview study using a hermeneutical approach to analyzing data describing nurses’ experiences. Ethical considerations: The Norwegian Social Science Data services approved the study. Furthermore, the head of the hospital gave permission to conduct the investigation. The requirement of anonymity and proper data storage in accordance with the World Medical Association Declaration of Helsinki was met. Method and results: The context for the study comprised three different clinical wards at a university hospital in Norway. Nine qualified nurses were interviewed. The results were obtained through a systematic development beginning with the discovery of busyness as a painful phenomenon that can lead to conflicts in terms of ethical values. Furthermore, the consequences compromising professional principles in nursing care emerged and ended in moral blindness and emotional immunization of the healthcare providers. Emotional immunization occurred as a new dimension involving moral blindness and immunity in relation to being emotionally touched. (shrink)

The aim of this study was to obtain in-depth knowledge about caring confirmation of patients with cancer, from the patients’ point of view. The research topic was: what is the significance for patients of their being confirmed by nursing personnel? Fifteen men and women between 43 and 80 years of age participated in this study. The method of data collection used was qualitative research interviewing. A hermeneutic approach was used to interpret the data, in which Kvale’s self-perception, the ‘common sense’ (...) level, and theoretical levels were applied. The results are summarized in three areas: an outer confirmation, an inner confirmation, and a lack of the latter. Outer confirmation meant being understood and taken seriously; the maintenance of human dignity and worth indicated inner confirmation. A lack of inner confirmation is primarily manifest in terms of patients’ mental, spiritual and existential concerns. In relation to the theory of Eriksson, these patients were confirmed at the level of having and being, but seldom at the level of becoming. (shrink)

Background Interest in strengthening residents’ autonomy in nursing homes is intensifying and professional caregivers’ experience ethical dilemmas when the principles of beneficence and autonomy conflict. This increased focus requires expanded knowledge of how residents experience decision-making in nursing homes and how being subject to paternalism affects residents’ dignity. Research question/aim This study explored how residents experience paternalism in nursing homes. Research design This study involved a qualitative interpretive design with participant observations and semi-structured interviews. The interpretations were informed by Gadamer’s (...) hermeneutics. Participants and research context Eleven residents were interviewed after a period of participant observation in two nursing homes. Ethical considerations The study was performed in accordance with the Helsinki declaration. The Regional Ethics Committee (REK) permitted the researcher to perform participant observation in the nursing homes. The use of audio recordings of interviews was registered and supervised by Sikt - Norwegian Agency for Shared Services in Education and Research. The resident’s consent was assessed continuously. Three interviews were terminated for ethical reasons. Findings The resident interviews revealed that residents found it obvious for caregivers to possess the decision-making authority in nursing homes. When residents explained their views, three main themes emerged: (1) To be included even though caregivers make the decisions, (2) Surrender to dependency, and (3) Adherence to nursing home norms. Conclusions Residents submit to their caregivers and give caregivers the responsibility and function as leaders. Paternalism was experienced as dignifying in situations where it contributed to residents being able to live according to second order desires and values, and when it implied respect and appraisal of residents’ capabilities. Paternalism was experienced as debasing when residents felt left out, and when residents felt that their capabilities were underestimated. This also included their capability to withstand paternalistic influence. (shrink)

The main findings on embodied spirituality within the Toronto Blessing are presented in this article. The aim of this study is to interpret ecstatic religious experiences from a psychological point of view. The theoretical framework is interdisciplinary, using theories from ego-psychology, social psychology, sociology, cultural anthropology, and ritual theory. Regarding the latter notion, Thomas Csordas has developed cultural phenomenology, which is a culturally constructed way of understanding a situation through using bodily senses in a sort of sensory engagement that is (...) linked with inter-subjectivity. This way of thinking assumes that the body can impart knowledge and help us understand apparently non-rational phenomena. Ecstatic phenomena can be interpreted as bodily knowledge, a habitus, stored or saved in the body to be later activated in a cultural and ritual context. (shrink)

Questions about mental phenomena may be questions about the true nature of such phenomena. They may also be questions about the true nature of our everyday conceptions of such phenomena. This last type of questions belong to the study of what is called naïve, or folk, psychology.

Darstellung des Noema in 12 Thesen.\nverwendete Textstellen: Ideen 1: S. 203, 22-23; S. 204, 20-21; S. 357, 19-20: Handlungen sind zielgerichtet. Dabei bedarf eines keines physischen Objekts. Husserl setzt and diese Stelle das Noema. Somit wird auch zielgerichtetes Handeln aufgrund einer Halluzination m{ö}glich, Zielgerichtet zu sein bedeutet ein Noema zu haben.\n1. Follesdal´sche These: Noema ist eine intensionale Entit{ä}t, eine Generalisierung des Begriffs Sinn/Bedeutung.\n2. These: Das Noema hat zwei Bestandteile, a) der noematische Sinn, der allen thetischen Handlungen (erinnern, sich vorstellen usw.) (...) gem{ä}{ß} desselben Objekts mit denselben Eigenschaften in derselben Gerichtetheit gemeinsam ist und b) die Gegebenheitsweise (hat auch Sinncharakter), die sich unterscheidet in Handlungen mit verschiedenem thetischen Charakter.\n3. These: Der noematische Sinn ergibt sich aus der Art und Weise, wie Bewu{ß}tsein zum Objekt in Relation steht.\n!! 4. These: Das Noema einer Handlung ist nicht das Objekt dieser Handlung\n5. These: Das Objekt einer Handlung ist eine Funktion des noematischen Sinns, d.h. mit einem bestimmten Noema kann nur ein Objekt korrespondieren.\n6. These: Jedoch k{ö}nnen mit einem bestimmten Objekt verschiedene Noemata korrespondieren. (z.B. kann ein Objekt das Ziel verschiedener thetischer Handlunge sein, etwa erinnern, wahrnehmen, daher:)\n6. These a): Mit einem bestimmten Objekt korrespondieren verschiedene noematische Sinne.\n7. These: Jede Handlung besteht aus nur einem Noema. Sie wird durch dieses Noema charakterisiert. (Umgekehrt trifft dies nicht zu.)\n8. These: Noemata sind abstrakte Entit{ä}ten. (Sinne sind nicht real. Sie sind bezogen auf Handlungen in tempor{ä}ren Intervallen.)\n9. These: Noemata werden nicht durch unsere Sinnesorgane wahrgenommen.\n10. These: Noemata gelangen durch ph{ä}nomenologische Reflektion ins Bewu{ß}tsein.\n11. These: Eine ph{ä}nomenologische Reflektion kann iterativ geschehen (ann{ä}herungsweise; in Schritte gegliedert). Dies ist so, weil schon die Korrespondenz zwischen Sinn und Objekt wieder ein Objekt ergibt. Es folgt ein unendlicher Regress.\nPhysische Objekte sind transzendent in dem Sinne, dass sie unendlich viele Noemata haben. Sinn kann sie nie ersch{ö}pfend erfassen.\nNoemata k{ö}nnen andererseits ein physisches Objekt repr{ä}sentieren in der Form, dass mehr intendiert wird als gesehen wird. So denkt man sich etwa bei einem Stuhl, von dem man nur zwei Beine sieht, die beiden {ü}brigen hinzu.\n12. These: Diese Muster der Vorherbestimmung bilden zusammen mit den Gegebenheitsweisen das Noema (s. These 2). (shrink)

The aim of this study was to explore the experiences of being suicidal and the encounter with healthcare personnel. The research question was, ‘How did the suicidal patient experience the encounter with healthcare personnel?’ Data were collected, analysed and interpreted using a hermeneutic approach. Qualitative research interviews were used to collect data. Participants included 10 people: 4 women and 6 men aged 21–52 years. With the exception of one person, they had all experienced one or more suicide attempts. The study (...) requires ethical considerations in planning and interviews as well as in the analysis process. Through a thematic analysis, three key themes emerged: (a) experiencing and not experiencing openness and trust, (b) being met and not met by someone who addresses the matter and (c) being met on equal terms versus being humiliated. Results in this study may indicate a lack of willingness and courage to listen to what the suicidal person says and to trust him or her. (shrink)

Background:Suffering in a suicidal crisis includes feelings such as despair, loneliness, anxiety, fear, shame, guilt and hopelessness. This study highlights the experiences of patients in the aftermath of suicide attempts. The research question was, what do suicidal patients see as meaningful help in care and treatment situations?Methodology:The methodology is inspired by Gadamer’s hermeneutics, where the parts are understood in light of the whole, and the whole is understood in light of the parts. Qualitative interviews were employed.Participants and research context:A total (...) of 10 persons, 4 women and 6 men 21–52 years old, were informed and asked to participate by specialists in psychology at two emergency psychiatric wards and by one crisis resolution team. Nine of the participants had experienced one or more suicide attempts using drugs and alcohol. Forced hospitalization prevented one of the 10 participants from attempting suicide.Ethical considerations:Before the participants signed an informed consent form, the interviewer met all participants to provide the written information, talking about the interview. A meeting to terminate contact was arranged after the participants had read their own interviews.Findings:Three themes were generated by the methodology we applied: experiencing hope through encounters, experiencing hope through the atmosphere of wisdom and experiencing a ray of hope from taking back responsibility.Discussion:The findings are discussed in the light of Eriksson’s suffering theory and Lindström’s theory about psychiatric care, as well as earlier research and theories about suicidality.Conclusion:The study reinforces possibilities that hope in suicidal patients can be inspired in encounters with healthcare personnel and within caring cultures. Through dialogue and cooperation, patients’ safety and ability to cope with suffering is created and thereby the hope and will to struggle for life. (shrink)

Background: The professional values presented in ethical guidelines of the Norwegian Nurses Organisation and International Council of Nurses describe nurses’ professional ethics and the obligations that pertain to good nursing practice. The foundation of all nursing shall be respect for life and the inherent dignity of the individual. Research proposes that nurses lack insight in ethical competence and that ethical issues are rarely discussed on the wards. Furthermore, research has for some time confirmed that nurses experience moral distress in their (...) daily work and that this has become a major problem for the nursing profession. Objectives: The purpose of this article is to obtain a deeper understanding of the ethical challenges that nurses face in daily practice. The chosen research questions are “What ethical challenges do nurses experience in their daily practice?” Research design: We conducted a qualitative interview study using a hermeneutical approach to analyzing data describing nurses’ experiences. Ethical considerations: The Norwegian Social Science Data services approved the study. Furthermore, the head of the hospital gave permission to conduct the investigation. The requirement of anonymity and proper data storage in accordance with the World Medical Association Declaration of Helsinki was met. Method and results: The context for the study comprised three different clinical wards at a university hospital in Norway. Nine qualified nurses were interviewed. The results were obtained through a systematic development beginning with the discovery of busyness as a painful phenomenon that can lead to conflicts in terms of ethical values. Furthermore, the consequences compromising professional principles in nursing care emerged and ended in moral blindness and emotional immunization of the healthcare providers. Emotional immunization occurred as a new dimension involving moral blindness and immunity in relation to being emotionally touched. (shrink)

Background When a patient commits suicide while hospitalized in the psychiatric ward, the mental healthcare professionals (MHCPs) who have had the patient in their care encounter the family members immediately following the suicide. Professionals who encounter the bereaved in this first critical phase may have a significant impact on the grieving process. By providing ethically responsible and professionally competent care, they have the opportunity to influence what can alleviate and reduce suffering and promote health in a longer perspective. Aim The (...) aim of this study is to investigate MHCPs’ experiences in the encounter with family members who has been bereaved by suicide. Methods Data material consists of text from in-depth interviews with six MHCPs belonging to a total of five different psychiatric units in two hospitals. The findings have emerged through analysis using a hermeneutical approach based on Gadamer’s philosophical hermeneutics. Ethical considerations The study was approved by the Ombudsman for Privacy of the Norwegian Social Science Data Services and is based on informed consent and confidentiality. Findings Three themes emerged: Confirming the suffering. Creating encounter through dialogue. Providing consolation and reconciliation. Findings illuminate how MHCPs understand their responsibilities and how they act in the encounter with the bereaved following suicide. Conclusion The participants appear to be led by the responsibility that grows through witnessing the suffering of the bereaved. Encountering the family member’s aggression and threats against staff members is an ethical challenge to the professional’s ability to confirm the bereaved, create dialogue and provide consolation and reconciliation at the start of their grieving process. MHCPs need to be aware of the different reactions and needs of family members following suicide. More research is needed about how to provide sensitive and flexible care in ways that can be perceived as helpful for those left behind. (shrink)

In this article, an attempt is made to analyse important implications of the hermeneutic approach in qualitative studies. The article discusses the hermeneutic circle with regard to reasoning contexts, on which the researcher's interpretation is based. Problems in connection with achievement of ‘proper’ understanding in an interpretative process are discussed in light of Gadamer's hermeneutic philosophy. Some features of qualitative studies are addressed. This is concerned with arguments in the presentation of findings in qualitative studies using the hermeneutic approach. The (...) essence of the article is there are grounds for reasonable understanding, even though it cannot be absolute in the hermeneutic. (shrink)

Background: People with progressive cancer experience that their bodies change due to disease and/or treatment. The body is integral to the unity of the human being, a unity that must be perceived as whole if dignity shall be experienced. Relatives are in touch with the suffering bodies of their dear ones, physically, socially, mentally, and existentially, and thus the relatives’ experiences of the bodies of their dear ones might yield insight into the concept of dignity. Aim: The aim of this (...) study is to explore relatives’ experiences of the patients’ bodily changes from a perspective of dignity. Research design and method: A total of 12 relatives from a hospice in Norway were interviewed. Gadamer’s ontological hermeneutics inspired the interpretation. Ethical considerations: The principles of voluntariness, confidentiality, withdrawal, and anonymity were respected during the whole research process. The Norwegian Social Science Data Services approved the study. Results and conclusion: The conversations about the body were conversations about ambivalent or paradoxical matters that shed light on the concept of dignity. The results show that the relatives got in touch with elements that otherwise would have remained tacit and unspoken, and which gave glimpses of a deeper truth, which might reveal the core of dignity. Furthermore, the relatives’ confirmation of the ambivalence might be understood as a strong ethical obligation to treat the other with dignity. The confirmation may also reveal the relatives’ unselfish love of the other, which can be understood as the core of ethics and ethos. Finally, the results reveal the relatives’ limited insight into their dear ones’ bodily changes, and we discuss the challenges of truly seeing the other. Body knowledge and the relationship between body and dignity as phenomena cannot be ignored and needs more attention and articulation in clinical nursing practice and in nursing research. (shrink)