Paramedics encounter ethical dilemmas at work, and while previous research has improved ethics education and practice, more can be learned from the lived experience of paramedics facing ethical challenges. This paper explores the lived experience of two paramedics, one with five years’ experience, the other twenty, presented with comparable cases. The participants, who were interviewed in a broader qualitative study exploring practical wisdom, were asked to select a case involving ethical decision-making from their own practice experience. Semi-structured interviews employed the (...) five-step Critical Decision Method as a framework to explore various aspects of the decision-making process. The two cases were identified as exemplars of prominent themes suitable for discussion. The findings highlighted several factors that influence paramedic ethical decision-making, including practical wisdom, communication and teamwork, clinical support, and education. This case comparison identifies a greater need to focus education on the fostering of practical wisdom, and the development of non-technical skills such as communication and teamwork, supported by interprofessional education endeavours. Furthermore, greater access to support for paramedics must be available to further evolve practical wisdom. The combination of improved education and support will likely cater for the full spectrum of ethical challenges faced by paramedics in their work. (shrink)

This article exemplifies research on the subjective life experiences of women with breast cancer, designed from a psychoanalytic perspective. Such research aims to reveal the subjective intrapsychic processes of women suffering from breast cancer, which can provide researchers and health care professionals with useful insight. Using Biographic narrative interpretative method, the study reveals some common denominators in the subjective life experiences of women with breast cancer. The study revealed that the subjects consider the diagnosis of breast cancer as one of (...) the four main events in their lives. Even though these events are very different from each other, in terms of type and severity, the results indicate a common process in the way these life events are experienced by the participants. These results are relevant for health care practitioners in structuring their psychosocial support programs so as to better accommodate their patients' psychological needs. (shrink)

Abstrak: Kitab Suci merupakan Sabda Allah yang menjadi tumpuan hidup dan sumber kebenaran bagi umat beriman. Posisinya begitu agung dan penting. Sayangnya, banyak umat Kristiani yang kesulitan untuk memahami isi Kitab Suci. Artikel ini bertujuan untuk memperkenalkan salah satu metode menafsirkan Kitab Suci yang relatif mudah untuk digunakan oleh semua kalangan, yakni metode Analisis Naratif. Dalam artikel ini, metode tersebut akan digunakan untuk menganalisis perikop tentang “Kelahiran Samuel” (1 Samuel 1:1-28). Melalui analisis atas teks ini pula, hendak dipaparkan beberapa pesan (...) teologis yang dapat meng- inspirasi kehidupan umat beriman. Secara praktis, artikel ini berikhtiar menunjukkan bahwa metode analisis naratif cukup berjasa dalam mem- permudah umat Kistiani menafsirkan atau menggali pesan-pesan teologis dari teks-teks alkitabiah. Kata-kata Kunci: Analisis Naratif, Kitab Suci, kelahiran Samuel, iman, doa, pesan teologis. Abstract: Holy Bible (Scripture) is the Word of God. It is the foundation of life and the source of truth for the faithful. Its position is very great and important, but unfortunately, many Christians find it difficult to understand the content of Scripture. This article would like to introduce one method of interpreting Scripture that is relatively easy to be used by all circles, the method of Narrative Analysis. In this article, the method will be used to analyze the passage about “Birth of Samuel” (1 Samuel 1:1-28). Through the analysis of this text, the writer also offers some theological messages that can inspire the life of faith. Practically, it can be argued that the method of narrative analysis is meritorious in facilitating Christian people to interpret or explore theological messages of biblical texts. Keywords: Narrative analysis, scripture (holy bible), Samuel’s birth, faith, prayer, theological messages. (shrink)

This paper aims to outline the ethical concerns regarding the use of antidepressant medication in children and adolescents. Recent debates surrounding this issue have focused on the link between selective serotonin reuptake inhibitor use and an increased risk of suicidal thinking/behaviour, and weighed that against the benefit of the alleviation of depressive symptoms. It is argued here that such an approach is simplistic. There are several serious risks surrounding antidepressant use in the young that ought to be included in the (...) equation, along with a consideration of the neuroethical concerns surrounding pharmacotherapy for affective disorders. Using the precautionary principle as a framework for analysis it is concluded that the risks are sufficiently serious and plausible that the prescribing of antidepressant medication to the young ought to be severely restricted; further it is imperative that the child and their parents are made fully aware of the risks, short-term and long-term, involved. (shrink)

How did an ancient Indian spiritual discipline turn into a £20 billion-a-year mainstay of the global wellness industry? What happened along yoga's winding path from the caves and forests of the sages to the gyms, hospitals and village halls of the modern West? This comprehensive history sets yoga in its global cultural context for the first time. It leads us on a fascinating journey across the world, from arcane religious rituals and medieval body-magic, through muscular Christianity and the British Raj, (...) to the Indian nationalist movement and the arrival of yoga in the twentieth-century West. We discover how the practice reached its present-day ubiquity and how it became embedded in powerful social currents shaping the world's future, such as feminism, digital media, celebrity culture, the stress pandemic and the quest for an authentic identity in the face of unprecedented change. Shearer's revealing history boasts a colorful cast of characters past and present, who tell an engaging tale of scholars and scandal, science and spirit, wisdom and waywardness. This is the untold story of yoga, warts and all. (shrink)

This article examines the continuing use of problematic sexual stereotypes at appellate level in the English and Welsh legal system. Using five cases as illustrations, it argues that, notwithstanding professional training and guidance on sexual equality matters, certain senior judges in this jurisdiction still at least sometimes openly employ crude and problematic sexual stereotypes in their judgments or fail to deal appropriately with the use of these stereotypes by trial judges. The central point is that there is still a significant (...) problem with the open use of crude sexual stereotypes in legal reasoning at a senior level in this jurisdiction, despite the pressure on all members of the legal system to appear to be ‘politically correct’. (shrink)

The military humiliation of China by the West in the 19th century was slight in objective terms but lethal to late-imperial political culture. This was partly because prestige structures, such as that of China, are unusually susceptible to humiliation, and partly because the western impact revitalized and reshaped existing subversive elements. Traditionalists and would-be reformers agreed that there was a crisis, but offered conflicting solutions, especially with respect to the desirability or otherwise of modern technology and some form of democracy. (...) Eventually the interpretation of Chinese history was recast in terms of international intercultural competition, and policy reformulated on this basis so as to lead toward a kind of Sino-western synthesis with China politically and culturally on top. (shrink)

In Australia, paramedics are obliged to practice ethically. Graduates of baccalaureate degrees in paramedicine should therefore possess a common grounding in ethics to meet the professional capabilities expected of registered paramedics. However, there is a lack of clarity regarding ethics education for paramedicine students, including what is taught, how it is taught, and how it is assessed. This paper explores ethics education for paramedicine students in Australia, how it aligns with current professional expectations, and how it may be enhanced. Point-in-time (...) data regarding ethics education was collected from websites of fifteen Australian universities offering undergraduate baccalaureate degrees in paramedicine. Data collection was supported by consultation with academics from several institutions. Content analysis was utilised to categorise and analyse data to explore similarities and differences in curricula. Similarities included approaches to learning and teaching and the use of case-based learning, with variability found across teaching staff profiles and content areas. Findings suggest it is time for collaboration to develop a model ethics curriculum for paramedicine students in Australia. (shrink)

This article discusses the meanings that motherhood has in the everyday life of women in Sweden and how they practice their mothering. The empirical foundation is qualitative interviews conducted with mothers who live in Sweden. Social constructionist and discursive psychology inspired the article, and according to the analysis three discursive positions were identified. The first position deals with the child-mother relationship and indicates that the child's psychological well-being is dependent on the mother's accessibility. The second discursive position deals with the (...) child-mother-woman relationship. Within this framework, motherhood involves finding contentment in life beyond the child, to be able to convey that well-being to the child. The third discursive position focuses on the mother as a working woman rather than a mother. These three discursive positions are discussed in relation to a pronounced discourse within Swedish society, which centers on an intense politically induced struggle for gender equality. (shrink)

Throughout the course of his career Lionel Elvin has worked closely with experts in many different areas of the educational field and has found that in coming to conclusions about either theory or practical policy, commonsense is indispensable. The author explores the idea of commonsense in education in this study, first published in 1977, and examines this theme both in general and particular terms of the concepts people invoke in educational discussion. This title will be of interest to students (...) of the philosophy of education. (shrink)

This article examines the issue of illicit drug control across three broad levels of analysis. On one level, it examines the nature of the response to a ‘global phenomenon’ and its impact on national sovereignty. On a second level, it considers emergent state forms and practices and their relationship to global changes; and, thirdly, it grounds the analysis temporally and empirically in the contemporary European Union. The complex, evolving and essentially fragmented character of state power is placed in the context (...) of the classic state functions of authority and control. This is set against the growing transnational role of expert knowledge in policy‐making, and concludes with an assessment of the political implications that can be drawn from analysis of this complex set of factors. (shrink)