Here we describe how more important findings were obtained in a delirium study by using an informal assessment of mental capacity, and, in those who lacked capacity, obtaining consent later when or if capacity returned or a proxy was found. From a total of 233 patients 23 patients lacked capacity as judged by our informal capacity judgment and 210 did not. Of those who lacked capacity, 13 agreed to enter in the study. Six of them regained capacity later. When these (...) 13 participants were excluded from analysis, significant findings were no longer evident. These results show that by the inclusion of subjects who lacked capacity the results of analyses of the condition from whish they suffer are altered. We suggest that this approach to the study of delirium is more ethical than the usual system of strict exclusion of people who lack capacity to give consent and for whom assent is not available. (shrink)

For medical schools, the COVID-19 pandemic necessitated examination and curricular restructuring as well as significant changes to clinical attachments. With the available evidence suggesting that medical students’ mental health status is already poorer than that of the general population, with academic stress being a chief predictor, such changes are likely to have a significant effect on these students. This online, cross-sectional study aimed to determine the impact of COVID-19 on perceived stress levels of medical students, investigate possible contributing and alleviating (...) factors, and produce recommendations for medical schools to implement during future healthcare emergencies. The majority (54.5%) of respondents reported levels of stress ranging from moderate to extreme. Higher levels of stress were significantly associated with female gender (p=0.039) and international status (p=0.031). A significant association was also noted between reported stress and the transition to online learning (p<0.0001) and online assessment formatting (p<0.0001), concerns for personal health (p<0.0001) and for the health of family members (p<0.0001). Students who reported higher stress levels were less confident in their government’s management of the crisis (p=0.041). Additionally, students who reported lower stress agreed highly that their medical school had an appropriate response to the crisis (p<0.0001), had provided sufficient information regarding the crisis (p=0.015), that they trust their school in handling the continuing of their education (p=0.020) and that their school had appropriate plans in place to support the continuing of education (p=0.017). (shrink)

Defenders of current restrictions on EU immigrants’ access to welfare rights in host member states often invoke a principle of reciprocity among member states to justify these policies. The argument is that membership of a system of social cooperation triggers duties of reciprocity characteristic of welfare rights. Newly arriving EU immigrants who look for work do not meet the relevant criteria of membership, the argument goes, because they have not yet contributed enough to qualify as members on the grounds of (...) reciprocity. Therefore, current restrictions on their access to welfare rights are justified. In this article, I challenge this argument by showing how restrictions on EU immigrants’ access to welfare rights are inconsistent with duties of international reciprocity. There are different variations of this challenge, but my focus here will be on one that uses a veil of ignorance device to support this claim. What matters from a perspective concerned with international reciprocity, I will argue, is what kind of welfare policy EU member states would choose were they not to know whether those receiving EU migrants were net contributors or net beneficiaries to the relevant scheme of international cooperation made possible by the four freedoms, and freedom of movement in particular. I argue that framing the requirement of reciprocity in this way provides a more comprehensive understanding of what should count as an ‘unreasonable burden’ on the welfare systems of host member states. The paper also examines alternative accounts of ‘unreasonable burdens’. It shows when and how the current institutional structure of the EU could take steps to deal with such burdens by preventing member states from gaming a comprehensive system of welfare rights protections across member states and by recognising the achievements of those member states that best serve them. (shrink)

Introduction : united in discontent / Dimitrios Theodossopoulos -- Shifting centres, tense peripheries: indigenous cosmopolitanisms / Andrew Strathern and Pamela J. Stewart -- Sabili and Indonesian Muslim resistance to cosmopolitanism / C.W. Watson -- The cosmopolitan and the noumenal : a case study of Islamic jihadist night dreams as reported sources of spiritual and political inspiration / Iain Edgar and David Henig -- Intimacies of anti-globalization : imagining unhappy others as oneself in Greece / Elisabeth Kirtsoglou and Dimitrios (...) Theodossopoulos -- Escaping the 'modern' excesses of Japanese life : critical voices on Japanese rural cosmopolitanism / Àngels Trias i Valls -- Two sides of the same coin? World citizenship and local crisis in Argentina / Victoria Goddard -- Hegemonic, subaltern and anthropological cosmopolitics / John Gledhill -- Conclusion : united in discontent / Elisabeth Kirtsoglou. (shrink)

Arguments for or against a trend in the evolution of complexity are weakened by the lack of an unambiguous definition of complexity. Such definitions abound for both dynamical systems and biological organisms, but have drawbacks of either a conceptual or a practical nature. Physical complexity, a measure based on automata theory and information theory, is a simple and intuitive measure of the amount of information that an organism stores, in its genome, about the environment in which it evolves. It is (...) argued that physical complexity must increase in molecular evolution of asexual organisms in a single niche if the environment does not change, due to natural selection. It is possible that complexity decreases in co‐evolving systems as well as at high mutation rates, in sexual populations, and in time‐dependent landscapes. However, it is reasoned that these factors usually help, rather than hinder, the evolution of complexity, and that a theory of physical complexity for co‐evolving species will reveal an overall trend towards higher complexity in biological evolution. BioEssays 24:1085–1094, 2002. © 2002 Wiley‐Periodicals, Inc. (shrink)

Mid-distance runners are subject to intense cognitive and somatic anxiety, not only during competition but also during practice. An important variable which may influence athletes’ performance is perceived behavioral control on anxiety. The aim of the present study was to examine whether aspects such as sex, sport/competition experience and weekly practices, differentiated the participants respectively. The participants consisted of 110 athletes, 61 male and 49 female athletes, between the ages of 15 and 28.They all completed the Greek version of the (...) “Pre- Race Questionnaire”. Results indicated differences between the less experienced and more experienced athletes in almost all factors of the questionnaire, for both sport/competition experience, and weekly practices. No gender differences were shown. Overall, results could help sport professionals such as coaches and the athletes themselves, become more familiar with the sport-specific psychological aspects involved in their unique sport. (shrink)

Previous studies on legitimation, multimodality and political discourse by researchers, such as Van Leeuwen, Van Dijk and Mackay, have suggested different but supplementary methods of legitimation analysis by providing a number of analytical frameworks. Multimodal legitimation research, however, seems to be in need of a better conflation of the theoretical backgrounds of disciplines, such as narratology. This article focuses on the multimodal discourse of three political advertisements of the political party New Democracy, filmed for the needs of the Greek legislative (...) election of January 2015. What is investigated is the multimodal means by which New Democracy’s president, and Prime Minister at the time, Antonis Samaras attempted to legitimise his candidacy. In this article, I use the six-layer framework proposed by Mackay for multimodal legitimation analyses and I argue that multimodal legitimation research can benefit and get enhanced from the use of narratology and its analytical categories, such as perspective. (shrink)

Human Rights Education (HRE) has traditionally been articulated in terms of cultivating better citizens or world citizens. The main preoccupation in this strand of HRE has been that of bridging a gap between universal notions of a human rights subject and the actual locality and particular narratives in which students are enmeshed. This preoccupation has focused on ‘learning about the other’ in order to improve relations between plural ‘others’ and ‘us’ and reflects educational aims of national identity politics in citizenship (...) education. The article explores the learning of human rights through narratives in relations, drawing on Hannah Arendt and Sharon Todd. For this re-thinking of relations in learning human rights, the article argues that HRE needs to address both competing historical narratives on the drafting of the Universal Declaration on Human Rights (UDHR) as well as unique life narratives of learners. (shrink)

In this article, we explore the role of film in educational settings and argue that testimony and narrative are dependent upon each other for developing ethical judgments. We use the film 12 Angry Men to enhance our thesis that the emotional response that sometimes is intended in using film as testimonies in classrooms requires a specific listening; a listening that puts pupils at risk when they relate testimonies to their own life narratives. The article raises the importance of listening in (...) training narrative ethos in relation to violence witnessed in film. The article contributes by enhancing an understanding of a relational dimension to testimony and narrative, which, in an Arendtian sense, is also put forward as a political relation. (shrink)

Populists in the EU often call for restrictions on EU immigrants’ access to welfare rights. These calls are often demagogic and parochial. This paper aims to show what exactly is both distinct and problematic with these populist calls from a normative point of view while not necessarily reducible to demagogy and parochialism. The overall aim of the paper is not to argue that all populists call for such restrictions nor to claim that all calls for such restrictions are populist. The (...) purpose of the paper is rather humble. It only aims to show that populist calls for restrictions on EU immigrants’ access to welfare rights are characterised by two normatively problematic arguments that target two different subsets of the citizenry: what I dub for the purpose of this paper the moralists and the immoralists. It is the way populists address these two subsets of the citizenry, as well as the fact that they could simultaneously appeal to the concerns of both groups, that makes populist approaches to welfare rights both conceptually distinct to other approaches as well as potentially politically appealing to a more diverse population of voters. (shrink)

Resumo Aproximar vivência e criação de si explorando suas relações será um dos objetivos deste artigo, bem como elucidar a capacidade humana de dotar de sentido suas vivências, o que também não deixa de ser uma atitude artística perante a própria existência.To approach living and self creation exploring their relations will be one of the objectives of this paper, as well as to elucidate the human capacity to give meaning to their experiences, which is also an artistic attitude towards existence (...) it self. (shrink)

Accurate prediction of epidemic evolution faces challenges such as understanding disease dynamics and inadequate epidemiological data. A recent approach faced these issues by modeling susceptible-infectious-susceptible (SIS) dynamics based on the first two statistical moments. Here, we improve this approach by including finite-size populations and analyzing the stability of the resulting model. Results underscore the influence of uncertainties and population size in the natural history of the epidemic.

Le but de cet article est d’offrir une appréciation de l’« anamnèse », la méthode d’historiographie philosophique pratiquée par Fruteau de Laclos. Cette méthode met en cause la hiérarchisation des doctrines philosophiques courante dans la pratique et l’enseignement de l’histoire de la philosophie. Pour mesurer la nouveauté et l’ampleur de la révision historiographique proposée par Fruteau de Laclos, l’anamnèse sera contrastée avec la « dianoématique », la philosophie de l’histoire de la philosophie de Martial Gueroult qui repose aussi, à sa (...) manière, sur une problématisation de la hiérarchie des systèmes philosophiques. Une réflexion d’inspiration aristotélicienne sur le telos de la pratique philosophique nous permettra de trancher en faveur de l’anamnèse comme une méthode capable de saisir le devenir philosophique à la fois dans son épaisseur historique et dans son ouverture vers l’avenir. (shrink)

In this paper, I try to exploit some lessons drawn from reading Plato in order to comment on the methodological ‘meta-level’ regarding the relation between philosophizing and writing. After all, it is due to the medium of written word that we come to know past philosophers. I do this on the occasion of the ostensible conclusion in Plato’s Meno. This example illuminates the ‘double-dialogue’ hermeneutics of Plato and helps to differentiate Plato’s dialogues from dialogical works written by other philosophers, such (...) as Berkeley. As a result, it becomes clear that, like with Plato’s case, a historian of philosophy must not only have a philosophical training, but also a subtle philological background, when attempting to come into dialogue with dead philosophers. (shrink)

Speaking to vital scholarship in ancient philosophy, including contemporary Greek academia, Dimitrios A. Vasilakis examines the notion of Love (Eros) in the key texts of Neoplatonic philosophers; Plotinus, Proclus, and the Church Father, Dionysius the Areopagite. The book outlines the crucial interplay between Plotinus, Proclus, and Dionysius' ideas on love and hierarchy in relation to both the earthly and the divine. Through analysing key texts from each philosopher, this enlightening study traces a clear historical line between pagan Neoplatonism and (...) early Christian philosophy. (shrink)

The use of head-mounted displays (HMD) for virtual reality (VR) application-based purposes including therapy, rehabilitation, and training is increasing. Despite advancements in VR technologies, many users still experience sickness symptoms. VR sickness may be influenced by technological differences within HMDs such as resolution and refresh rate, however, VR content also plays a significant role. The primary objective of this systematic review and meta-analysis was to examine the literature on HMDs that report Simulator Sickness Questionnaire (SSQ) scores to determine the impact (...) of content. User factors associated with VR sickness were also examined. A systematic search was conducted according to PRISMA guidelines. Fifty-five articles met inclusion criteria, representing 3,016 participants (mean age range 19.5-80; 41% female). Findings show gaming content recorded the highest total SSQ mean 34.26 (95%CI 29.57-38.95). VR sickness profiles were also influenced by visual stimulation, locomotion and exposure times. Older samples (mean age ≥35 years) scored significantly lower total SSQ means than younger samples, however, these findings are based on a small evidence base as a limited number of studies included older users. No sex differences were found. Across all types of content, the pooled total SSQ mean was relatively high 28.00 (95%CI 24.66-31.35) compared with recommended SSQ cut-off scores. These findings are of relevance for informing future research and the application of VR in different contexts. (shrink)

The purpose of this article is to examine Gadamer's criticism of Collingwood's re-enactment. A parallel concern is the evaluation of Collingwood's hermeneutics of history. Given that Collingwood can be read as a hermeneutic thinker, what is the impact of Gadamer's critique of re-enactment? My response to this question focuses on the dual significance of completeness for hermeneutics. The fore-conception of completeness, on the one hand, presupposes meaningfulness. The incompleteness of meaning, on the other hand, shows that the finite human can (...) never arrive at a perfect explanation. The fusion of horizons is created by the tension that exists between completeness and incompleteness. According to Gadamer, the lack of a clear distinction between the two notions of completeness leads Collingwood to a historicist position exemplified by re-enactment. I review Collingwood's books to demonstrate that, pace Gadamer, both notions of completeness are central to Collingwood's philosophy, guaranteeing the hermeneutical stance of his thought. However, what substantiates Gadamer's dissatisfaction with re-enactment is Collingwood's insufficient grasp of the difference between human historicity and the practice of professional history. I argue that while Collingwood is correct to indicate the inferential procedure of the writing of a political history, he nevertheless forgets that the historian is still a finite human being conditioned by historical situatedness. (shrink)

This article examines whether restrictions on access to welfare rights for EU immigrants are justifiable on grounds of reciprocity. Recently political theorists have supported some robust restricti...

Jeremy Waldron objects to judicial review of legislation on the ground that it effectively accords the views of a few judges ‘superior voting weight’ to those of ordinary citizens. This objection overlooks that representative government does the same. This article explores the concept of political representation and argues that delegates may be institutionally bound to heed the convictions of their constituents, but they are not their proxies. Rather, they are best viewed as their trustees. They ought to decide according to (...) what they think is in their constituents’ interest. In this sense, a strong element of independent judgment is involved in their institutional role. So, if we have no problem with assigning their views superior voting weight, it should not be thought particularly objectionable to give judges the same power. What is more, once we acknowledge the independence they enjoy, the question arises whether and by what institutional means we ought to constrain and check their power. The judiciary is well suited effectively to carry out this supervisory function, because it is immune from political pressure by the legislature that would reduce it to its instrument. Hence, in some cases the institution of judicial review is morally justified. (shrink)

In A Theory of Justice John Rawls proposes that the two principles of justice should be realized through a four-stage sequence of institutional action that starts with a constitution agreed upon by delegates to a constitutional convention. A largely overlooked aspect of this proposal is that delegates are taken to hold conflicting opinions about justice. Their disagreement is one of the factors that determine their institutional choices. This paper employs Bernard Williams’s theory of the political value of liberty to explain (...) and vindicate the role assigned to disagreement at the constitutional convention. Constitutional norms ought to be sensitive to the fact that the functioning of a political order, even one suitably ordered by the most reasonable conception of justice, inevitably involves loss of a precious liberty; the factoring of disagreement into the constitutional convention can fruitfully be understood as a way of modelling this requirement. This exegetical exercise enriches our understanding of the point of constitutions. At the same time it suggests that Rawls may not be as guilty of the cardinal sin of moralism that Williams famously accused him of. (shrink)

There is a globalization trend in teacher education, emphasizing the role of teachers to make judgments based on human rights in their teaching profession. Rather than emphasizing the epistemological dimension of acquiring knowledge about human rights through teacher education, an ontological dimension is emphasized in this paper of what it means to become a professional teacher. An ontological dimension of ‘learning to become’ can be captured in critical examination of a cosmopolitan awareness of teachers in relation to judgment and justice. (...) I read the critique through studies on human rights in teacher education, which transforms notions of openness and respect in relations marked by difference. (shrink)

Die vorliegende Untersuchung will anhand theoretischer Analysen und des daran anknupfenden Anwendungsversuches die Relevanz des -Sokratismus- fur die wissenschaftlichen Bereiche - besonders die philosophischen und erziehungswissenschaftlichen - aufweisen. Durch die Bearbeitung dieses Themas wird also versucht, neue Aspekte und Wege fur die Bejahung des -Sokratismus- in bezug auf theoretisch-reflektorische wie auch norm-bestimmte Entscheidungen einer philosophisch orientierten Padagogik herauszufinden und demgemass die -Bildung- als ethisch-rationale Selbstbestimmung zu unterstreichen.".

According to Joseph Raz's sources thesis, the existence and content of authoritative directives must be identifiable by resort to the social fact of their provenance from a de facto authority, without regard to any of the normative considerations that the authority in question is supposed to rely on in its judgment. This article argues that the sources thesis fails to account for the role of jurisdictional considerations (namely, considerations about the scope of a de facto authority's power) in the identification (...) of valid law. It examines a legal system with a legislature and courts and a practice of constitutional review of legislation by the courts for its conformity with fundamental rights and argues that the special normative status of (at least some) authoritative directives in this legal system depends on respect for jurisdiction. An assessment of whether an authority has stayed intra vires involves recourse to the normative considerations that it is the authority's job to weigh up. This criticism of the sources thesis highlights the importance of incorporating jurisdiction into our philosophical accounts of legal authority. (shrink)

In 2010, Martin Loughlin published his opus magnum Foundations of Public Law, the culmination of years of intensive research on the topics of public law and constitutional theory. In Questioning the Foundations of Public Law, Michael Wilkinson and Michael Dowdle put together a rich collection of papers that probe deeply into various facets of Loughlin’s work. In this review article, I critically examine an aspect of this probing, articulated by Wilkinson, to do with the autonomy of the political as the (...) basis of political jurisprudence. I argue that both the probing and Loughlin’s response articulate horns of a dilemma that points to a deeper issue: the epistemological repercussions of the rise of the social sciences as forms of distinctively modern inquiry into the causes of social phenomena, where these include phenomena such as the autonomy of political power in modern states. (shrink)