Background: Autonomy and participation are threatened within the group of older people living in nursing homes. Evidence suggests that healthcare personnel act on behalf of older people but are still excluding them from decision-making in everyday care. Objective: The purpose was to describe registered nurses’ experience of caring for older people in nursing homes to promote autonomy and participation. Research design: A descriptive design with a phenomenological approach was used. Data were collected by semi-structured individual interviews. Analysis was inspired by (...) Giorgi’s method. Participants and research context: A total of 13 registered nurses from 10 nursing homes participated. Ethical considerations: Ethical approval was obtained from the Regional Research Ethics Committee. Informed consent was achieved and confidentiality guaranteed. Findings: The essence of caring for older people in nursing homes to promote autonomy and participation consisted of registered nurses’ awareness of older people’s frailty and the impact of illness to support health and well-being, and awareness of acknowledgement in everyday life and trusting relationships. Paying attention to older people by being open to the persons’ wishes were aspects that relied on registered nurses’ trusting relationships with older people, their relatives and surrounding healthcare personnel. The awareness reflected challenges in caring to promote older people’s right to autonomy and participation in nursing homes. Registered nurses’ strategies, hopes for and/or concerns about development of everyday life in nursing homes were revealed and mirrored their engagement in caring for older people. Discussion and conclusion: Awareness of older people’s frailty in nursing homes and the importance of maintained health and well-being were described as the main source for promoting autonomy and participation. Everyday life and care in nursing homes needs to be addressed from both older people’s and healthcare personnel’s perspectives, to promote autonomy and participation for residents in nursing homes. (shrink)

The ability to reason and think in a logical manner forms the basis of learning for most mathematics, computer science, philosophy and logic students. Based on the author's teaching notes at the University of Maryland and aimed at a broad audience, this text covers the fundamental topics in classical logic in an extremely clear, thorough and accurate style that is accessible to all the above. Covering propositional logic, first-order logic, and second-order logic, as well as proof theory, computability theory, and (...) model theory, the text also contains numerous carefully graded exercises and is ideal for a first or refresher course. (shrink)

Building on two nonproblematic claims, I argue for a qualified endorsement of Hume's intuition that there must be a time-difference between cause and effect. Those claims are: (i) that the statement 'A caused B' is meaningful only if we have a criterion for saying 'A' and 'B' refer to distinct events; and (ii) that an adequate view of what it is to be an event must illuminate the enterprise of seeking to establish a singular causal statement. Specifically, I argue there (...) must be a time-difference when cause and effect are modifications of the same physical object. (shrink)

Can a man intend to do the impossible? That is, can a man undertake to do some action, A—and not merely to come as close as possible to doing A with the hope that the doing of A will result—when he believes he has no chance of doing A?

This volume offers an introduction to consciousness research within philosophy, psychology and neuroscience, from a philosophical perspective and with an emphasis on the history of ideas and core concepts. The book begins by examining consciousness as a modern mystery. Thereafter, the book introduces philosophy of mind and the mind-body problem, and proceeds to explore psychological, philosophical and neuroscientific approaches to mind and consciousness. The book then presents a discussion of mysterianist views of consciousness in response to what can be perceived (...) as insurmountable scientific challenges to the problem of consciousness. As a response to mysterianist views, the next chapters examine radical approaches to rethinking the problem of consciousness, including externalist approaches. The final two chapters present the author's personal view of the problem of consciousness. Consciousness remains a mystery for contemporary science-a mystery raising many questions. Why does consciousness persist as a mystery? Are we humans not intelligent enough to solve the riddle of consciousness? If we can solve this mystery, what would it take? What research would we need to conduct? Moreover, the mystery of consciousness prompts the larger question of how well the cognitive sciences have actually advanced our understanding of ourselves as human beings. After all, consciousness is not just a minor part of our existence. Without consciousness, we would not be human beings at all. This book aims to increase the accessibility of major ideas in the field of consciousness research and to inspire readers to contribute to the ongoing discussion of the place of consciousness in nature. (shrink)

Phosphatidylinositol 4,5‐bisphosphate (PI4,5P2) is a key lipid signaling molecule that regulates a vast array of biological activities. PI4,5P2 can act directly as a messenger or can be utilized as a precursor to generate other messengers: inositol trisphosphate, diacylglycerol, or phosphatidylinositol 3,4,5‐trisphosphate. PI4,5P2 interacts with hundreds of different effector proteins. The enormous diversity of PI4,5P2 effector proteins and the spatio‐temporal control of PI4,5P2 generation allow PI4,5P2 signaling to control a broad spectrum of cellular functions. PI4,5P2 is synthesized by phosphatidylinositol phosphate kinases (...) (PIPKs). The array of PIPKs in cells enables their targeting to specific subcellular compartments through interactions with targeting factors that are often PI4,5P2 effectors. These interactions are a mechanism to define spatial and temporal PI4,5P2 synthesis and the specificity of PI4,5P2 signaling. In turn, the regulation of PI4,5P2 effectors at specific cellular compartments has implications for understanding how PI4,5P2 controls cellular processes and its role in diseases. (shrink)

B. F. Skinner has argued that those who are serious about ending war, pollution, etc., must face the fact that the received methods of changing behavior have proved ineffective. According to Skinner, we must replace 'weak' methods of control such as control via praise and blame and control via Rousseau's 'natural contingencies of things' with Skinner's 'strong' methods of control. It is argued that Skinner's case for the continued ineffectiveness of such methods of control rests on the unargued assumption that (...) we are stuck with the highly centralized forms of social organization that characterize present-day advanced societies, forms that place barriers between man and man and between man and nature. Drawing on the anarchist tradition in political thought, it is argued that a radical decentralization — which cannot be dismissed as Utopian — would bring a new effectiveness to what Skinner dismisses as 'weak' forms of control. (shrink)

(1970). III. On the individuation of actions. Inquiry: Vol. 13, No. 1-4, pp. 125-128.

We identify the locally finite graphs that are quantifier-eliminable and their first order theories in the signature of distance predicates. © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

B. F. Skinner argues in Beyond Freedom and Dignity (New York 1971) that only his theory of man is compatible with a ?scientific? approach to human behavior. I argue that Skinner's entirely open?ended view of man is inadequate for his own purposes in that it leaves no room for the claim that certain value judgments are universally valid, something I argue Skinner is committed to despite an explicit avowal in one place of cultural relativism. I then go on to show (...) that a modification of Skinner's theory of man which builds on Spinoza's notion of conatus would provide one with a theory?based rationale for universally valid judgments without involving one in a ?non?scientific? approach to human behavior. Specifically, I argue that such a Spinozistic modification would provide one with a theory?based guarantee that man will not evolve in such a way that a truly scientific observer would deem a totalitarian state good. (shrink)

Background Thirst and dry mouth are common symptoms in terminally ill patients. In their day-to-day practice, palliative care physicians regularly encounter ethical dilemmas, especially regarding artificial hydration. Few studies have focused on thirst and the ethical dilemmas palliative care physicians encounter in relation to this, leading to a knowledge gap in this area. Aim The aim of this study was to explore palliative care physicians’ experiences of ethical challenges in relation to thirst in terminally ill patients. Methods A qualitative interview (...) study with an inductive approach was conducted. Sixteen physicians working in four different specialised palliative care units and one geriatric care unit in different hospitals in Sweden were interviewed. The interviews were transcribed verbatim and analysed with a reflexive thematic analysis. Results When presented with an ethical challenge relating to thirst, physicians attempted to balance benefits and harms while emphasizing respect for the patient’s autonomy. The ethical challenges in this study were: Starting, continuing or discontinuing drips; lack of evidence and traditions create doubt; and lack of interest and time may result in patient suffering. Conclusions All physicians in this study reported that “Starting, continuing or discontinuing drips” was the main ethical challenge they encountered, where some were so accustomed to the decision that they had a standard answer ready to offer patients and families. Physicians reported that drips were a symbol of thirst quenching, life and survival but were not necessary in end-of-life care. Others questioned the traditions regarding thirst and emphasised drips in particular. (shrink)