Background: Nurses, social workers, and medical residents are ethically mandated to engage in policy advocacy to promote the health and well-being of patients and increase access to care. Yet, no instrument exists to measure their level of engagement in policy advocacy. Research objective: To describe the development and validation of the Policy Advocacy Engagement Scale, designed to measure frontline healthcare professionals’ engagement in policy advocacy with respect to a broad range of issues, including patients’ ethical rights, quality of care, culturally (...) competent care, preventive care, affordability/accessibility of care, mental healthcare, and community-based care. Research design: Cross-sectional data were gathered to estimate the content and construct validity, internal consistency, and test–retest reliability of the Policy Advocacy Engagement Scale. Participants and context: In all, 97 nurses, 94 social workers, and 104 medical residents (N = 295) were recruited from eight acute-care hospitals in Los Angeles County. Ethical considerations: Informed consent was obtained via Qualtrics and covered purposes, risks and benefits; voluntary participation; confidentiality; and compensation. Institutional Review Board approval was obtained from the University of Southern California and all hospitals. Findings: Results supported the validity of the concept and the instrument. In confirmatory factor analysis, seven items loaded onto one component with indices indicating adequate model fit. A Pearson correlation coefficient of.36 supported the scale’s test–retest stability. Cronbach’s α of.93 indicated strong internal consistency. Discussion: The Policy Advocacy Engagement Scale demonstrated satisfactory psychometric properties in this initial test. Findings should be considered within the context of the study’s limitations, which include a low response rate and limited geographic scope. Conclusion: The Policy Advocacy Engagement Scale appears to be the first validated scale to measure frontline healthcare professionals’ engagement in policy advocacy. With it, researchers can analyze variations in professionals’ levels of policy advocacy engagement, understand what factors are associated with it, and remedy barriers that might exist to their provision of it. (shrink)

'Ugly as sin', 'ugly duckling', 'rear its ugly head'. The word 'ugly' is used freely, yet it is a loaded term: from the simply plain and unsightly to the repulsive and even offensive, definitions slide all over the place. Hovering around 'feared and dreaded', ugliness both repels and fascinates. But the concept of ugliness has a lineage that has long haunted our cultural imagination. Gretchen E. Henderson explores perceptions of ugliness through history, from ancient Roman feasts to medieval grotesque (...) gargoyles, from Mary Shelley's monster cobbled from corpses to the Nazi Exhibition of Degenerate Art. Covering literature, art, music and even Uglydolls, Henderson reveals how ugliness has long posed a challenge to aesthetics and taste. Henderson digs into the muck of ugliness, moving beyond the traditional philosophic argument or mere opposition to beauty, and emerges with more than a selection of fascinating tidbits. Following ugly bodies and dismantling ugly senses across periods and continents, [this book] draws on a wealth of fields to cross cultures and times, delineating the changing map of ugliness as it charges the public imagination. Illustrated with a range of artefacts, this book offers a refreshing perspective that moves beyond the surface to ask what 'ugly' truly is, even as its meaning continues to shift. (shrink)

Leader behavioral integrity (BI) is central to perceived credibility and thus to leaders’ effectiveness at fostering ethical and other climates. Our research broadens the theoretical foundation for BI research by integrating the cognitive–attributional role of trust in the formation and maintenance of leader BI perceptions. Guided by recent research on trust primacy and prior theories of fairness used to examine ethical behavior, we examine how perceptions of leader BI can be either diminished or maintained through trust velocity following a psychological (...) contract breach. Using a field and an experimental study, we explore the manner in which followers perceive leader’s actions when conflicting interests lead to unfulfilled promises. We found that trust velocity mediates the relationship between a psychological contract breach and leader BI (study 1), and that informational justice moderates this relationship (study 2), suggesting that leaders can attenuate the impact of broken promises on ascribed BI. Our findings offer a pathway for leaders operating in dynamic contexts to preserve BI and also help address concerns that have been raised about the behavioral integrity construct regarding its conceptual overlap with related constructs such as trust, psychological contracts, and informational justice. (shrink)

Conceptualism is the view that cognizers can have mental representations of the world only if they possess the adequate concepts by means of which they can specify what they represent. By contrast, non-conceptualism is the view that mental representations of the world do not necessarily presuppose concepts by means of which the content of these representations can be specified, thus cognizers can have mental representations of the world that are non-conceptual. Consequently, if conceptualism is true then non-conceptualism must be false, (...) and vice versa. This incompatibility makes the current debate over conceptualism and non-conceptualism a fundamental controversy since the range of conceptual capacities that cognizers have certainly has an impact on their mental representations of the world, on how sense perception is structured, and how external world beliefs are justified. Conceptualists and non-conceptualists alike refer to Kant as the major authoritative reference point from which they start and develop their arguments. The appeal to Kant attempts to pave the way for a robust answer to the question of whether or not there is non-conceptual content. Since the incompatibility of the conceptualist and non-conceptualist readings of Kant indicate a paradigm case, hopes have risen that the answer to the question of whether Kant is a conceptualist or a non-conceptualist might settle the contemporary controversy across the board. This volume searches for that answer. This book is based on a special issue of the International Journal of Philosophical Studies. (shrink)

Professional development resource providing advice for early childhood teachers navigating demands and changes in their careers, helping them see challenges as growth opportunities. Through self-assessment and reflection, educators reexamine their teaching philosophy, integrate new knowledge and strategies into their practice, and strengthen the impact of their teaching. Includes digital content.

I present the arguments Hegel puts forward in favor of this rather challenging account of skepticism. In Section 2, I discuss the celebrated conception of “self-fulfilling skepticism” of the Phenomenology of Spirit that is supposed to overcome untrue types of cognition in order to promote “absolute knowing.” In Section 3, I debate Hegel’s more advanced view according to which genuine skepticism must be construed as dialectic.

Keine ausführliche Beschreibung für "Beiträge zur Kritik der reinen Vernunft 1781-1981" verfügbar.

This paper is concerned with the inverted gender roles portrayed in the Middle English Partonope of Blois, and the part played by Urake in realigning them. The relationship between hero and heroine begins with Partonope in a female passive role as a "kept man," and Melior in a male dominating role as a sexually self-assured woman who chooses the man she wants and controls him. Urake, one of the most unusually interventionistic of romance go-betweens, saves Partonope's life and prepares him, (...) both physically and psychologically, to assume his position as the triumphal hero; she also torments Melior into accepting a less controlling form of love more suitable for a medieval woman. In this way the conventional ending to the romance is enhanced by the satisfaction of seeing the inverted gender roles of hero and heroine put to rights. (shrink)

A curriculum guide and reference, detailing sequentially, according to age level, learning activities and selected resources and intended to facilitate classroom projects and discussions conducive to an understanding of death, dying, and bereavement.

“Hooking up,” a popular type of sexual behavior among college students, has become a pathway to dating relationships. Based on open-ended narratives written by 273 undergraduates, we analyze how students interpreted a vignette describing a heterosexual hookup followed by a sexless first date. In contrast to the sexual script which holds that women want relationships more than sex and men care about sex more than relationships, students generally accorded women sexual agency and desire in the hookup and validated men’s post-hookup (...) relationship interest. However, in explaining the sexless date, students typically reasoned the woman was being chaste and withholding sex to redeem her reputation whereas they often characterized the man’s abstinence in terms of a pity date. The findings underscore the tenacity of gendered sexual scripts around heterosexual dates and hookups but also reveal fissures and contradictions that suggest some changes to the sexual double standard. (shrink)

Roman Stoics of the imperial period developed a distinctive model of social ethics, one which adapted the ideal philosophical life to existing communities and everyday societal values. Gretchen Reydams-Schils’s innovative book shows how these Romans—including such philosophers as Marcus Aurelius, Seneca, Hierocles, and Epictetus—applied their distinct brand of social ethics to daily relations and responsibilities, creating an effective model of involvement and ethical behavior in the classical world. _The Roman Stoics_ reexamines the philosophical basis that instructed social practice in (...) friendship, marriage, parenting, and community life. From this analysis, Stoics emerge as neither cold nor detached, as the stereotype has it, but all too aware of their human weaknesses. In a valuable contribution to current discussions in the humanities on identity, autonomy, and altruism, Reydams-Schils ultimately conveys the wisdom of Stoics to the citizens of modern society. (shrink)

It is commonly accepted that conversation is, in some sense, cooperative. This is due in part to Paul Grice’s articulation of the Cooperative Principle, which states that participants should “make [their] conversational contributions such as is required...” (1989, 26). Yet the significance of this principle, as well as the notion of cooperation that is entailed, is up for interpretation. For example, there are several ways of understanding what kind of force the Cooperative Principle is supposed to have: it could be (...) meant as a requirement on the behavior of speakers, a description of the way speakers behave, or an articulation of what speakers assume of one another’s contributions. I consider each of these options, and I argue that the first, which is often seen as a naïve interpretation, is worth considering. Although I ultimately reject the prescriptive interpretation of the Cooperative Principle, it offers a jumping off point for exploring other prescriptions on conversational behavior, such as the Requirement of Interlocutor Responsiveness, which I offer as an explicitly prescriptive conversational principle. (shrink)

Decision making is a crucial element in the field of medicine. The physician has to determine what is wrong with the patient and recommend treatment, while the patient has to decide whether or not to seek medical care, and go along with the treatment recommended by the physician. Health policy makers and health insurers have to decide what to promote, what to discourage, and what to pay for. Together, these decisions determine the quality of health care that is provided. Decision (...) Making in Health Care is an up-to-date, comprehensive overview of the field of medical decision making. It includes quantitative theoretical tools for modeling decisions, psychological research on how decisions are actually made, and applied research on how physician and patient decision making can be improved. (shrink)

This volume offers a systematic overview of Kantian philosophy and of central currents and developments in contemporary philosophy.

Hegel’s major claim is that true philosophy provides the complete rational cognition of the absolute. Since by definition the complete cognition of the absolute cannot be cognitively exceeded, true philosophy itself must account for the completeness claim. There are three places in particular where Hegel develops this claim: in the Phenomenology of Spirit, in the Science of Logic and in the Encyclopedia of Philosophical Sciences. I explore the different ways in which Hegel elucidates the rational, non-circular explication of how to (...) philosophically conceive of the complete comprehension of philosophy itself, i.e., his philosophy of philosophy or metaphilosophy. (shrink)

The postconflict Rwandan state has crafted a “we are all Rwandans” national identity narrative without ethnicity, in the interest of maintaining a delicate, postgenocide peace. The annual genocide commemoration period called Kwibuka—“to remember”—which takes place over the course of one hundred days every year, is an underresearched part of this narrative. During the commemoration period, génocidaires’ confessions increase dramatically; these confessions lead the government to previously undiscovered graves all over the country, just as confessions given during the grassroots justice system—gacaca—did (...) in the more immediate aftermath of the genocide. According to a prominent government official known for his prison outreach, the Rwandan government no longer provides incentives for prisoners to confess. Instead, he stated in a 2017 interview, those who speak up over twenty years later are simply “moved by the spirit of Kwibuka.” When confessions are made, memories of past action are used by the state, seemingly toward an ultimate end of reinforcing the national master narrative, to subsume the individual memories of innocent survivors into the national collective memory. This paper explores the questions around the state’s evolving use of prisoner confessions, both how those confessions are obtained, and how they factor into commemoration practices now. (shrink)

Hans Kelsen's Pure Theory of Law is the most prominent example of legal normativism. This text traces its origins and its genesis. In philosophy, normativism started with Hume's distinction between Is- and Ought-propositions. Kant distinguished practical from theoretical judgments, while resting even the latter on normativity. Following him, Lotze and the Baden neo-Kantians instrumentalized normativism to secure a sphere of knowledge which is not subject to the natural sciences. Even in his first major text, Kelsen claims that law is solely (...) a matter of Ought or normativity. In the second phase of his writings, he places himself into the neo-Kantian tradition, holding legal norms to be Ought-judgments of legal science. In the third phase, he advocates a barely coherent naive normative realism. In the fourth phase, he supplements the realist view with a strict will-theory of norms, coupled with set-pieces from linguistic philosophy; classical normativism is more or less dismantled. (shrink)

Human diploid fibroblasts have a finite proliferative lifespan in culture, at the end of which they are ararrested with G1 phase DNA contents. Upon serum stimulation, senescent cells are deficient in carrying out a subset of early signal transduction events such as activation of protein kinase C and induction of c‐fos. Later in G1, they uniformly fail to express late G1 genes whose products are required for DNA synthesis, implying that they are unable to pass the R point. Failure to (...) pass the R point may occur because senescent cells are unable to phosphorylate the retinoblastoma protein, owing to the accumulation of inactive complexes of cyclin E/Cdk2 and possibly cyclin D/Cdk4. Senescent cells contain high amounts of p21, a potent cyclin‐dependent kinase inhibitor whose levels are also elevated in cells arrested in G1 following DNA damage, suggesting that both arrests might share a common mechanism. Cell aging is accompanied by a progressive shortening of chromosomal telomeres, which could be perceived by the cells as a form of DNA damage that gives rise to the signals that inactivate the cell cycle machinery. (shrink)

We, in the rare disease community are grateful to Halley et al. (2023) for highlighting some of the long-overlooked barriers to care. As the parent of a non-ambulatory, teenage boy living with Duch...

Kelsen's theory of legal norms can be assessed adequately only if his writings are assigned to different phases. Contrary to Stanley L. Paulson's view, there is a radical break in the genesis of the theory around 1940, when Kelsen abandons the specific neo-Kantian thesis that the general legal norm is identical with the hypothetical judgment of legal science in favour of a rather naïve conception, according to which the judgment of legal science simply reproduces the pre-existing legal norm on a (...) descriptive level. By reading this simple correspondence theory of truth of the later period into Kelsen's writings of the twenties, Paulson misses the central thesis of Kelsen's neo-Kantianism. (shrink)

Humans have been called “cooperative breeders” because mothers rely heavily on alloparental assistance, and the grandmother life stage has been interpreted as an adaptation for alloparenting. Many studies indicate that women invest preferentially in their daughters’ children, but little research has been conducted where patrilocal residence is normative. Bangladesh is such a place, but women nevertheless receive substantial alloparental investment from the matrilateral family, and child outcomes improve when maternal grandmothers are alloparents. To garner this support, women must maintain contact (...) with their natal families. Here, the visiting behavior of 151 interviewed mothers was analyzed. Despite the challenges of patrilocality and purdah, almost all respondents visited their own mothers, and mothers-in-law were visited far less. This contrast persists in analyses controlling for proximity, respondent age, postmarital residence, family income, and marital status. These results affirm the importance women place on matrilateral ties, even under a countervailing ideology. (shrink)