The authors in this edited volume reflect on their experiences with culturally relevant pedagogy-as students, as teachers, as researchers-and how these experiences were often at odds with their backgrounds and/or expectations.

Background: Moral distress is a very common experience in the nursing profession, and it is one of the main reasons for job dissatisfaction, burnout, and quitting among nurses. For instance, morally difficult situations in taking care of child patients who are severely ill may lead to moral distress for nurses. However, most of the studies about moral distress have been conducted on nurses of special wards and adult medical centers with much focus on developed countries. Subsequently, little has been researched (...) on this topic among nurses in other nations such as Iran, and most certainly, there has been hardly any such research involving Iranian pediatric nurses. Aim/objectives: This study was conducted to evaluate moral distress among nurses in selected pediatric hospitals in Tehran, Iran. Research design: This cross-sectional study was conducted on eligible nurses who were selected through proportional stratified sampling and who completed demographic characteristics and the pediatric version of Moral Distress Scale-Revised questionnaires. Data were analyzed using descriptive statistics, t test, one-way analysis of variance, and Pearson correlation coefficient. Participants and research context: In total, 195 pediatric nurses working at three selected children’s specialized university hospitals in Tehran participated in this study. Ethical considerations: This study was evaluated and approved by the institutional review board of Tehran University of Medical Sciences. Findings: The mean and standard deviation of total score of moral distress was 106.41 ± 61.64 within a range of 10–257. Also, the difference between the mean score of moral distress of the group who had not quitted their position and those who have quit in the past was statistically significant (p = 0.043). The situation that was associated with the highest moral distress was “observing medical students performing painful procedures on patients just to gain some skill.” Total score of moral distress was significantly higher among male nurses (p = 0.014), while nurses with a master’s degree experienced just a higher intensity of moral distress compared to those who had a bachelor’s degree (p = 0.006). Conclusion: Since many pediatric nurses clearly face moral distress while taking care of children, it is necessary to consider measures for preventing or decreasing situations that would lead to this distress. (shrink)

Background: To provide care with high quality, nurses face a number of moral issues requiring them to have moral abilities in professional performance. Moral sensitivity is the first step in moral performance. However, its relation to the quality of care patients receive is controversial. Research objective: This study aims to determine the relationship between the moral sensitivity of nurses and the quality of care received by patients in the medical wards. Research design: A descriptive correlational study using validated tools, including (...) Moral Sensitivity Questionnaire and the Quality Patient Quality Scale. Participants and research context: In total, 198 nurses and 198 patients in 17 medical wards of hospitals affiliated with Tabriz University of Medical Sciences, Iran. Ethical considerations: The study was reviewed and approved by the Ethics Committee of Tabriz University of Medical Sciences. Findings: The mean values of nurses’ moral sensitivity and nurses’ quality care were 136.47 ± 13.30 and 196.36 ± 44.10, respectively. There was no significant relationship between the patient care quality and nurses’ moral sensitivity ( r = −.14, p =.5). However, there was a significant inverse relationship between the dimension of “Experiencing moral conflicts” and the overall score of quality care ( r = −.50, p =.04), the dimensions of “psychosocial ( r = −.50, p =.04)” and “physical ( r = −.50, p =.03).” Conclusion: Considering the significant inverse relationship between the score of patient quality care and the dimension of moral conflict experience, it seems when nurses make moral decisions, they experience a conflict between personal and professional values in their careers and thus experience moral tension. If this tension is not resolved properly, it can provide a way for them to distance themselves from patients, thereby making nurses indifferent to moral care. (shrink)

ABSTRACTIn a series of articles, Asbjørn Steglich-Petersen and Nick Zangwill argue that, since propositional attitude ascription judgements do not behave like normative judgements in being subject to a priori normative supervenience and the Because Constraint, PAs cannot be constitutively normative.1 I argue that, for a specific version of normativism, according to which PAs are normative commitments, these arguments fail. To this end, I argue that commitments and obligations should be distinguished. Then, I show that the intuitions allegedly governing all normative (...) judgements do not even purport to hold for commitment-attributing judgements.RÉSUMÉDans une série d'articles, Asbjørn Steglich-Petersen et Nick Zangwill font valoir que, puisque les jugements d'attribution d'attitude propositionnelle ne se comportent pas comme des jugements normatifs en étant soumis à la survenance normative a priori et à la contrainte du Parce que, les AP ne peuvent être constitutivement normatives. Je soutiens que, pour une version spécifique du normativisme, selon laquelle les AP sont des engagements normatifs, ces arguments échouent. À cette fin, je soutiens d'abord que les engagements et les obligations devraient être séparés. Ensuite, je démontre que les intuitions qui régiraient prétendument tous les jugements normatifs ne prétendent même pas s'appliquer aux jugements attributifs d'un engagement. (shrink)

A number of philosophers have argued that there is a basic problem in the no-guidance argument against content normativism. The problem is that the argument restricts the essential normativity of intentional states to the formation of these states being guided by certain norms. But it is suggested that the essential norm-governedness of intentional states can be equally plausibly construed as the assessability of these states by norms, which does not imply complying with them. Although I concur with the problem diagnosed (...) in the no-guidance argument, I take issue with the alternative conception of normativity which is put forward. In its stead, I argue that considering intentional states as commitments whose discharging requires complying with certain norms is preferable because it both respects the insight provided while remaining unscathed by the problems besetting this conception of normativity. (shrink)

Background: When patients with schizophrenia feel a lack of dignity, their sense of worth is weakened and they are more likely to feel like a burden to their family. In this regard, families play a vital role in supporting the patient, who can effectively contribute to preserving their dignity. The concept of understanding the role of families in the patients’ dignity is influenced by various factors. Still, there is limited knowledge in this domain in the sociocultural context of Iran. Aim: (...) This study was to elucidate the role of family caregivers in the patients’ dignity with schizophrenia, based on the perspectives of patients, family caregivers, and healthcare personnel. Design: This qualitative study was conducted utilizing conventional content analysis. The data were accordingly collected through field notes, and semi-structured, in-depth face-to-face interviews with 16 patients with schizophrenia, 4 family caregivers, 2 nurses, and 3 psychologists. The data were analyzed according to Graneheim and Lundman (2004). Ethical Considerations: The study protocol was approved by the ethics committee and followed ethical principles closely. Findings: The analysis of the data led to the emergence of two subcategories as follows: “Under the umbrella of family support” and “Being ignored by the family.” The category of “Under the umbrella of family support” was characterized by subcategories including “Being the center of attention,” “Understanding the patient’s condition,” “Financial support,” and “Emotional support.” Besides, the category of “Being ignored by the family” was characterized by subcategories including “Rejection from the family,” “Not accepting the patient’s condition,” and “Tangential life with patients.” Conclusion: This study found that some family caregivers were trying to reach the stage of acceptance. Following the understanding of the patient’s condition, the family caregivers were responsible for the patient and were considered a strong support for the patient, and in such a situation, the patients’ dignity was respected. On the other hand, some family caregivers did not accept the patient’s condition and were indifferent to the patients’ needs, which in such a situation created grounds for violating the dignity of the patients. A deep understanding of the factors threatening the patients’ dignity with schizophrenia from their families can help health policymakers take positive steps toward preserving the dignity of these patients by designing and implementing programs aimed at raising awareness and empowering families. (shrink)

This study examines the sequential and situated organization associated with framing locational formulations by dislocated parties to mobile phone calls for the joint accomplishment of location-related social action. The data come from 22 mundane Farsi mobile phone calls involving location inquiring and/or reporting. The analysis of the data, informed by conversational analysis and Levinson’s conceptual framework of perspective-taking, adds frame of reference to Schegloff’s location, membership, and topic or activity analyses operative in the selection of locational formulations. The trajectory plotted (...) for location-related action indicates the contingent roles which material, linguistic and semiotic resources play in the selection of locational formulations deployed for co-presence purposes. The findings suggest consequentiality of the-relevant-next action for the framing of locational descriptions and provide insight into how conversationalists interact with their physical environment in a wider social context. (shrink)

Recently, the concept of expanded terminal sedation emerged to describe using sedation at the end of life in cases beyond the usual use. Using this sedation could be a stressful ethical encounter for healthcare providers. In this paper, we describe a case of a Muslim palliative care nurse who cared for a patient with cancer who requested expanded terminal sedation. The palliative care nurse described that his initial response to the expanded terminal sedation order was refusing to start the sedation (...) because he believed the patient was not terminally ill and was concerned about killing him, which is prohibited according to his religious beliefs. Further, the nurse perceived the patient’s psychological distress and his verbalization of wishing to die peacefully as a concealed request for euthanasia, especially since he was not imminently dying. Finally, the nurse reported being frustrated and uncertain about the care, especially since he did not receive appropriate psychological counseling from professional personnel. any case beyond the usual conditions for terminal sedation should be carefully examined, especially when nurses’ religious beliefs or moral values contradict it. If sedation should be administered, adequate preparation of healthcare providers should be arranged, including discussing with them the goals of care and the rationale for sedation before and after initiating it. Generating a policy for conscientious objections, allowing nurses to express their own emotions and concerns in a supportive environment are suggested approaches to preserve their wellness. (shrink)

BackgroundBreaking bad news to mothers whose children has disability is an important role of physicians. There has been considerable speculation about the inevitability of parental dissatisfaction with how they are informed of their child’s disability. Egyptian mothers’ preferences for how to be told the bad news about their child’s disability has not been investigated adequately. The objective of this study was to elicit Egyptian mothers’ preferences for how to be told the bad news about their child’s disability.MethodsMothers of 100 infants (...) recently diagnosed with Down syndrome were interviewed regarding their preferences for how to be told bad news. Mothers were recruited through outpatient clinics of the Pediatric Genetics Department at Fayoum University Hospital (located 90 km southwest of Cairo, Egypt) from January to June 2011.Results and discussionQuestionnaire analyses revealed nine themes of parental preferences for how to be told information difficult to hear. Mothers affirmed previously reported recommendations for conveying bad medical news to parents, including being told early, being told of others with a similar condition, and being informed of the prognosis.ConclusionsMothers affirmed communication themes previously discussed in the literature, such as being told early, and being informed of the prognosis. Although more research is needed in this important area, we hope that our findings will stimulate future search and help health care providers in different societies establish guidelines for effectively communicating bad news. (shrink)

Background Since dignity is one of the fundamental rights of each patient, maintaining patients’ dignity is essential. Unfortunately, in many cases, particularly among patients with schizophrenia (SCZ), dignity is not fully respected. Nonetheless, there is limited knowledge regarding this matter in Middle Eastern Nations. Research Objective This study aimed to identify the barriers to maintaining dignity for patients with schizophrenia from the perspective of patients with schizophrenia, their family caregivers, and healthcare personnel. Research Design This qualitative study was conducted with (...) patients ( n = 16), family caregivers ( n = 4), and healthcare personnel ( n = 6) who were selected using a purposeful sampling method. The data were collected through semi-structured, in-depth face-to-face interviews until the data reached saturation. Data were analyzed using the Graneheim and Lundman method. Ethical Considerations The Research Ethics Committee of Urmia University of Medical Sciences (IR.UMSU.REC.1401.099). Findings Analysis of the interviews revealed two main themes and five subthemes as the barriers to maintaining dignity for patients with schizophrenia. The main themes included “Black shadow of stigma” (three subthemes: “Facing the fear and discrimination of others,” “Misconceptions in society,” and “Social rejection”) and “Facing violations” (two subthemes: “Basic human rights violation” and “Negative emotional responses”). Conclusion Patients’ dignity with schizophrenia was at a low level due to the negative attitude of society toward these patients. In this respect, the basic human rights violations, social rejection, and misconceptions were abundant in society and care centers. An in-depth comprehension of the threatening factors affecting dignity can assist policymakers in safeguarding their dignity through effective programs. (shrink)

Formation of the concept of embodiment in the contemporary philosophy and neuroscience, and elaborating and developing of it in recent century, open a lot of approaches up in different fields; one of them is educational sciences. As the theory is revolutionary, its employment in other fields would be revolutionary necessarily. Yet theories related to embodiment and knowledge take many different forms and have many different theorists and schools. In this paper, having Gilles Deleuze’s doctrines in mind, especially the concept of (...) rhizome, we try to elicit his doctrines about embodiment. Thus, doctrines of one of important contemporary philosophers would be related to one of most important contemporary theories. Then, we will apply the results to education. This paper, in fact, has two main parts: first, Deleuze and embodiment, and second, applying it to education. In the latter, a few elements of education, i.e., the role of student, the class and school, would be seen in the light of what is come from the former. (shrink)

Background Maintaining patients’ dignity is a key ethical requirement in healthcare and is emphasized in nursing standards. This issue is particularly significant for patients with schizophrenia because they face unique challenges such as physical and psychological difficulties, dependence on others, and social isolation, making them more vulnerable. Organizational factors can either threaten or preserve their dignity. However, there is little knowledge in this domain within the sociocultural context of Iran. Research Objective This study aimed to explore the role of the (...) healthcare organization in the dignity of patients with schizophrenia, based on the opinions of patients, healthcare personnel, and family caregivers. Research Design This qualitative study was conducted with 26 participants (16 patients, 4 family caregivers, 2 nurses, 3 psychologists, and 1 service worker) who were selected using a purposeful sampling method. The data were collected through semi-structured, in-depth face-to-face interviews until data saturation was reached. The data were analyzed via Graneheim and Lundman’s method. Ethical Considerations The study protocol was approved by the Research Ethics Committee of Urmia University of Medical Sciences (IR.UMSU.REC.1401.099). Findings Based on data analysis, participants reported the three following challenges as organizational hidden threats to patients’ dignity: “Lack of facilities,” “premature management,” and “ineffective communication.” Conclusion The study findings indicated that the healthcare organization does not support the dignity of patients. Management inefficiency and lack of facilities are evident in psychiatric hospitals, and healthcare centers are not monitored based on standard criteria. Limited interactions between healthcare personnel and patients were identified as the main reasons for the neglect of patients with schizophrenia and the violation of their dignity. The results of this study can help healthcare policymakers in designing and implementing effective programs to preserve the dignity of patients with schizophrenia. (shrink)

That it can explain the phenomenon of transparency, namely the fact that if you resolve whether p, you have thereby resolved whether to believe that p, was originally put forward as a great virtue of normativist conceptions of belief. However, non-normativists have convincingly shown that the permissive version of the truth norm of belief, which is one of the most plausible and promising versions of it, cannot in fact accommodate this phenomenon. Alarmed by this situation, in this paper I re-assess (...) the transparency phenomenon and its relation to different versions of the truth norm of belief. I argue that, contrary to how it appears, it is not even clear that the most tenable injunctive versions of the truth norm explain this phenomenon. I then argue that the transparency phenomenon consists of two distinct aspects which should be, but have not been, distinguished. What I call the ‘question-shifting’ aspect is explained by the truth norm, irrespective of how it is formulated, while what I call the ‘answer-shifting’ aspect is explanatorily empty and does not require any explanation, be it normative or otherwise. Therefore, understood properly, explaining transparency does remain a strength of normativist accounts of belief, and has no implications for which particular formulation of the truth norm we may adopt. (shrink)

Medicine—and specifically surgery and surgical ethics—have long been part of the history of science. Surgical ethics play a pivotal role in ensuring successful outcomes and maintaining the highest standards of patient care. It includes the ethics of surgeons, the responsibility of surgeons, surgical errors, and the competence of a surgeon. Many works have been written about surgery, including during Iran’s Safavid period (1501 to 1736)—a period in which a surgeon needed to have a set of moral principles in addition to (...) practical surgical skills. One of the most valuable is Dhakhīrıh Kāmılıh, written by military surgeon Hakim Mohammad in the sixteenth and seventeenth centuries. In this work, Ḥakim Muhāmmad dedicates a chapter specifically to the topic of surgical ethics, aiming to provide moral and legal recommendations for surgeons in addition to explaining surgical techniques and methods. Some of these recommendations include improving surgical skills through observation and practical training, paying attention to hygiene to prevent the spread of infection, and giving patients hope for recovery. Dhakhīrıh Kāmılıh is a landmark text in the history of surgical ethics. (shrink)

Abraham’s Dilemma is the conjunction of three jointly inconsistent propositions: God’s commands are never morally wrong, God has commanded Abraham to kill his innocent son, and killing innocent people is morally wrong. Drawing on an overlooked point from the Qur’an regarding the content of the command as well as a conceptual analysis of intentional action, this paper proposes a novel solution to the dilemma by discarding proposition in a new way. Current approaches to rejecting proposition tend to appeal to epistemic (...) failure on the side of Abraham. In my approach, which draws on the so-called accordion effect in intentional action, God’s command is interpreted in such a way that God has not commanded Abraham to kill his son nor has Abraham tried to do so, although the challenging and difficult nature of the test and thus Abraham’s status as the ‘father of faith’ are retained. (shrink)

In what sense can one claim that intentional explanations are essentially normative, given that people’s actions and thinking are replete with various irrationalities, yet are still pretty well exp...

Source: Author: Elham Ghaderi Doust This study aims to provide an introductory of the codification of the objectives and components of teaching writing within the National Language curriculum in upper secondary in correlation with elementary and lower secondary curriculums. The method is a qualitative analysis of the contents. The data includes the Persian Language curriculum in Iranian upper secondary schools and American core curriculum for Language Arts collected through library study and note taking from Iran and foreign documents. In (...) the present research, objectives and components of teaching writing within the curriculums in countries cited are analyzed and perused based on Autonomous and Ideological approaches to literacy; suggesting that objectives and components of American curriculum for teaching writing are formularized and influenced by Ideological approach, whereas Iranian writing curriculum possess properties of Autonomous Approachand characteristics concerned with Ideological approach are marginal in Iran. After discussing features of curriculums in America, impressed by the Ideological approach to literacy, we proceed to bring forward the advantages and drawbacks of objectives and components of Iranian curriculum for teaching writing and some suggestions to improve are mentioned ]]>. (shrink)

BackgroundNurses provide the majority of health-care services and face numerous health challenges during an epidemic. During the COVID-19 epidemic, nurses are subjected to physical, mental, and social disorders that impair their quality of life and hardiness. Therefore, it is important to be aware of the situation of nurses. The current study aimed to compare the compassion satisfaction, compassion fatigue and hardiness among nurses before and during the COVID-19 outbreak.Materials and MethodsThis cross-sectional study included 508 clinical nurses from one public hospital (...) in southern Iran. The subjects were recruited using census sampling methods in 2019–2020. Sampling was performed before and during the COVID-19 with a 1-year interval. Although, the study setting was the same before and during the COVID-19, questionnaires were completed by different nurses before and during the COVID-19. Demographic questionnaire, professional quality of life questionnaire and Occupational Hardiness Questionnaire were used to collect data.ResultsThe scores of compassion satisfaction, compassion fatigue and hardiness did not differ significantly during the COVID-19 compared with before the COVID-19. Before COVID-19, hardiness and work experience predicted 11% of the variance of compassion satisfaction, whereas during COVID-19, hardiness and gender predicted 26% of the variance of compassion satisfaction. Before COVID-19, hardiness and work experience predicted 3% of the variance of compassion fatigue, whereas during COVID-19, hardiness, type of employment and gender predicted 6% of the variance of compassion fatigue.ConclusionThe current study found that compassion satisfaction, compassion fatigue and hardiness did not change during the COVID-19 outbreak compared with before the COVID-19 outbreak. However, during the COVID-19, the hardiness was a significant predictor of compassion satisfaction and compassion fatigue. The study results showed that it was possible to increase the compassion satisfaction and reduce the compassion fatigue by strengthening the hardiness of nurses. However, these results need to be considered in future studies, especially in crises such as COVID-19 disease. (shrink)

In recent years, the non-relativistic quantum dynamics derived from three assumptions; probability current conservation, average energy conservation, and an epistemic momentum uncertainty. Here we show that, these assumptions can be derived from a natural extension of classical statistical mechanics.

In this study, a new mathematical model is presented to solve the flexible flow shop problem where transportation is reliable and there are constraints on intermediate buffers, budgets, and human resource learning effects. Firstly, the model is validated to confirm the accuracy of its performance. Then, since it is an NP-hard one, two metaheuristic algorithms, namely, MOSA and MOEA/D, are rendered to solve mid- and large-scale problems. To confirm their accuracy of performance, two small-scale problems are solved using GAMS exact (...) solution software, and the obtained results have been compared with the output of the algorithms. Since the problem in this study is multiobjective, five comparative indices are used to compare the performance of algorithms. The results show that the answers achieved using the metaheuristic algorithms are very close to the ones achieved via the GAMS exact program. Therefore, the proposed algorithms are validated, and it is proved that they are accurately designed and useable in solving the real-world problems in logical calculation time. By comparing the obtained results, it can be seen that the MOEA/D algorithm performs better in terms of computational time and Mean ideal distance. The MOSA algorithm also performs better according to the index Spread of nondominated solutions, diversity metric, and number of Pareto solutions. Considering the confirmation of precision and accuracy of performance of the proposed algorithms, it can be concluded that MOSA and MOEA/D are useful in solving the mid- and large-scale modes of the problem in the study, which is very applicable in the real world. (shrink)

The global rollout of Covid-19 vaccination has amplified concerns regarding vaccination hesitancy, which presents a formidable challenge for public health authorities. While widespread vaccination is imperative for containing the virus, hesitancy arises from multiple factors, including apprehensions about potential long-term vaccine side-effects and misconceptions about vaccination. This has prompted discussions about the feasibility of mandating Covid-19 vaccination, especially for specific groups like healthcare professionals and the general public. This paper critically examines the tension between a paternalistic approach and individual autonomy, (...) advocating for a balanced strategy that considers both public health imperatives and individual rights. Drawing insights from existing literature, the study emphasizes the need for a nuanced and pragmatic approach to address vaccine hesitancy effectively. (shrink)

Many modern digital products use Machine Learning (ML) to emulate human abilities, knowledge, and intellect. In order to achieve this goal, ML systems need the greatest possible quantity of training data to allow the Artificial Intelligence (AI) model to develop an understanding of “what it means to be human”. We propose that the processes by which companies collect this data are problematic, because they entail extractive practices that resemble labour exploitation. The article presents four case studies in which unwitting individuals (...) contribute their humanness to develop AI training sets. By employing a post-Marxian framework, we then analyse the characteristic of these individuals and describe the elements of the capture-machine. Then, by describing and characterising the types of applications that are problematic, we set a foundation for defining and justifying interventions to address this form of labour exploitation. (shrink)

Publication date: 30 August 2017 Source: Author: Elham Ghaderi Doust Apparently, English is globally used as the most fundamental communication medium. Regarding the objectives of Foreign Language Education in Iran Curriculum, an Iranian educated must be capable of expressing his opinions and viewpoints as well as accurately utilizing the foreign sources and satisfying his demands. Also, he must understand English speeches produced by native English speakers. With perspectives on these objectives, experts involved in English Education sphere design and write (...) Educational English books and teachers have been instructing these books for ages. Indeed we must raise this question: Why Iranian students are such evasive learners and why does almost nobody acquire English in an applicable way in Iranian schools? It is evident that most students of first grade of secondary schools are confronted with certain problems following as:Many students are slightly familiar with English.They often recognize English as a difficult subject to study.Also, they believe that they will not achieve a genuine progress in English.Many students show a lack of self-confidence and inferiority complex.Comparing themselves with the students in the upper grades, they feel that they cannot master English.So, certain efforts must be channeled into resolving these problems, in particular, the ways the students deal with their English books are to be changed and so are the methodologies in teaching. These may become perfectly practicable by utilizing instructional aides, preserving the students' fondness for their English courses, and organizing the instructional content from the simple to complex, as well as discussing with experts, parents, educational managers, and students. The objectives of this study are to shift students' perspectives upon English and support them through their learning English; consequently they will progress satisfactorily at present and in the future. (shrink)

Work values and the loyalty (commitment to hard work, profession, and principles) of 762 managers in Kuwait were investigated. The results indicated that managers scored high on work values and loyalty. Furthermore, there was a high positive correlation between the two measures. Demographic and organizational variables had significant influence on managerial orientations. Specifically, expatriates and female managers showed a high commitment to work values and loyalty.

BackgroundBreaking bad news to mothers whose children has disability is an important role of physicians. There has been considerable speculation about the inevitability of parental dissatisfaction with how they are informed of their child’s disability. Egyptian mothers’ preferences for how to be told the bad news about their child’s disability has not been investigated adequately. The objective of this study was to elicit Egyptian mothers’ preferences for how to be told the bad news about their child’s disability.MethodsMothers of 100 infants (...) recently diagnosed with Down syndrome were interviewed regarding their preferences for how to be told bad news. Mothers were recruited through outpatient clinics of the Pediatric Genetics Department at Fayoum University Hospital (located 90 km southwest of Cairo, Egypt) from January to June 2011.Results and discussionQuestionnaire analyses revealed nine themes of parental preferences for how to be told information difficult to hear. Mothers affirmed previously reported recommendations for conveying bad medical news to parents, including being told early, being told of others with a similar condition, and being informed of the prognosis.ConclusionsMothers affirmed communication themes previously discussed in the literature, such as being told early, and being informed of the prognosis. Although more research is needed in this important area, we hope that our findings will stimulate future search and help health care providers in different societies establish guidelines for effectively communicating bad news. (shrink)

Summary Background The principle of maximization, which roughly means that we should save more lives and more years of life, is usually taken for granted by the health community. This principle is even more forceful in crises like the COVID-19 pandemic, where we have scarce resources which can be allocated only to some patients. However, the standard consequentialist version of this principle can be challenging particularly when we have to reallocate a resource that has already been given to a patient. (...) -/- Methodology Engaging in thought experiments, conceptual analysis, providing counterexamples, and appealing to moral intuitions, we challenge the standard consequentialist version of the maximization principle and make a case for adopting an alternative deontological version. -/- Discussion In certain cases, the standard consequentialist version of the maximization principle is shown to yield intuitively immoral results. The deontological version of this principle is preferable because it can retain the merits of the standard consequentialist version without falling prey to its problems. -/- Conclusion Compared to the standard consequentialist version, the deontological version of the maximization principle can better guide the ethical decisions of the health community, even in cases where we face a scarcity of resources. (shrink)

When it comes to making decisions in vague problems, rough is one of the best tools to help analyzers. So based on rough and hoop concepts, two kinds of approximations (Lower and Upper) for filters in hoops are defined, and then some properties of them are investigated by us. We prove that these approximations- lower and upper- are interior and closure operators, respectively. Also after defining a hyper operation in hoops, we show that by using this hyper operation, set of (...) all rough filters is monoid. For more study, we define the implicative operation on the set of all rough filters and prove that this set with implication and intersection is made a hoop. (shrink)

Metaphor theory claims that there is no any construct of reality outside of domination of a picture orimage. At the bottom of any philosophical system lays an image or a picture. Analysis of thinking relatesto the analysis of metaphorical aspects of that thinking. Every concept that pretends to be abstract becomes a consequence of a concrete image. The canon of philosophy no longer lays at depth but isaroused from surface. Hana Arendt is one of the most interesting and most complicated (...) politicalphilosopher in the 20th century. This study is going to examine the role of theater metaphor in her politicalphilosophy. Arendt’s political philosophy is influenced by theater metaphor. This study aimed to examinethis by using the works of Flydenberg and Blumenberg. (shrink)

This article explores the ethics sensitivity and awareness of a sample of employees in six organizations in Kuwait. We identify which sorts of questionable organizational behaviors are believed to be most unethical by these employees, as well as which behaviors are reported to occur most often within the organizations. On the whole, the employees evidence a high level of ethical sensitivity, perceiving the moral hazards of all of the behaviors presented to them. At the same time, the reported occurrence of (...) these behaviors within the sampled organizations is relatively high. We produce conclusions about the correspondence between moral theory and moral practice within the Kuwaiti workplace. We find a basic correspondence between what is believed to be wrong within these organizations, and the types of unethical behavior reported within them. In general, behaviors thought to be most unethical occur less frequently within the organizations. (shrink)

Much of the discussion on the normativity of belief rests on the presupposition that there is a single fundamental truth norm governing belief that explains all of its normative features. Building on the committive conception of belief proposed by some normativists, this article takes issue with this presupposition. In particular, it is argued that belief, construed as cognitive commitment, is governed by three fundamental-cum-irreducible norms, which I call the “entitlement norm,” the “fulfillment norm” and the “escapability norm,” and it is (...) shown that each of them concerns a particular normative feature of belief. Taken together, these norms can explain all the normative features of belief without leading to implausible consequences. The discussion also shows that the relationship between the truth norm and the evidence norm is more complicated than is usually conceded by normativists. (shrink)

In a recent paper in this journal, Ulf Hlobil has argued for an account of deontic notions in terms of good reasoning. He suggests that we should first explain permissibility in terms of good practical inference and we can then explain other deontic notions based on it. I argue that this specific way of explaining deontic notions by good reasoning is unmotivated and also leads to implausible consequences. I also show that if we instead start by explaining obligation in terms (...) of good reasoning and then explain other deontic notions based on it, these problems vanish. (shrink)

I argue for a commitment-discharging condition of reasoning, according to which to engage in reasoning is to discharge the theoretical and practical commitments one has undertaken. I highlight the ways in which this condition is distinct from other proposals, particularly the Taking Condition, and argue that it can explain certain intuitions about reasoning that otherwise remain elusive. In particular, I argue that the commitment-discharging condition can provide a unified account of attitude-formation and premise-discharging reasoning as well as practical and theoretical (...) reasoning. It also provides a novel way to evade the regress that bedevils many accounts of inference. (shrink)

This paper investigates a reference to the voice of the legendary musician Orpheus in Plato’s Protagoras. I propose that the Orpheus image does serious philosophical work in the text. Understanding the mythic and religious elements of the Orpheus tradition can help us conceptualize the harms of sophistry from a Platonic viewpoint. In the light of the image, the sophist emerges as a quasi-magical manipulator of rhetorical beauty who charms his students into subrational creatures. Furthermore, the image provides insight into Plato’s (...) conception of the difference between sophistic and Socratic education. Playing on the tradition of Orpheus as (failed) psychopomp, I suggest that the sophist employs a descent-style education which holds students captive in an underworld of glamorous but empty sensibles. In sharp contrast, Socratic ascent-style education pulls students upwards to active contemplation of ultimate reality. (shrink)

In his Finite and Infinite Goods, Robert Adams puts forward a theistic framework for ethics according to which finite objects of value become good through resembling God who is the infinite Good and is the source and criterion of goodness. One question that immediately arises regarding this theory is whether any resemblance to God is sufficient for goodness or not. Adams’ answer to this question is negative. He puts forward further qualifications that resemblances to God have to meet so that (...) they can constitute goodness in finite objects of value. In his God and Moral Law, Mark Murphy objects to these qualifications as inadequate for addressing the sufficiency question and puts forward his own suggestion as to how Adams’ theory has to be amended. In this paper I will first argue that Murphy’s suggestion for fixing the goodness as Godlikeness thesis is not an alternative to Adams’ proposed qualifications on resemblances to God and is best understood as an insightful interpretation and elaboration of Adams’ proposed qualifications. I will then show that as it stands, Murphy’s suggestion is not up to this task and itself is in need of reconstruction. Drawing on Judith Thomson’s discussions of goodness and virtue in her book Normativity, I will try to reconstruct Murphy’s suggestion and come up with an interpretation of Adams’ goodness as Godlikeness thesis that is more elaborate, informative, and plausible than Adams’ original formulation. (shrink)

I develop and defend a novel norm-based explanation of Moore’s paradox in thought, according to which the sheer absurdity we intuitively feel in judging an instance of Moore’s paradox stems from violating the constitutive norm of belief inexplicably, i.e., in a way that cannot be made sense of through the categories of mistake, ignorance, cheating, akrasia, and flouting. I highlight the ways my explanation is different from other normative proposals and argue that this explanation is not subject to the problems (...) that beset other normative explanations of Moore’s paradox. The normative explanation of Moore’s paradox proposed here can also shed light on absurdity in norm-constituted practices in general. (shrink)