With places at nursery school promised for every child above the age of four, this book raises the stakes by looking at the quality of what is provided, and how that compares to what should be provided. Beyond Quality In Early Childhood Education and Care challenges received wisdom and the tendency to reduce philosophical issues of value to purely technical issues of measurement and management. In its place, it offers alternative ways of understanding early childhood, early childhood institutions and pedagogical (...) work. The book places issues of early childhood into a global context and relates them to writers from many fields. Drawing on work with aboriginal peoples in Canada, on the experience of Reggio-Emilia in Italy and on a project in Stockholm inspired by Reggio, the book considers the implications of these alternative ways of understanding, for practice and a reconceptualization of early childhood education and care. (shrink)

Background: The concept ‘encounter’ occurs in caring literature as a synonym for dialogue and relation describing deeper levels of interaction between patient and nurse. In nursing and caring research, the concept ‘caring encounter’ is often used without further reflection on the meaning of the concept. Encounters are, however, continuously taking place in the world of caring, which calls for a clarification of the concept. Objectives: This study is an analysis of the concept of caring encounter in nursing from the patients’ (...) and nurses’ point of view. Method: Rodgers’ evolutionary view guided the concept analysis within the theoretical perspective of caritative caring. Data sources: Peer-reviewed articles in English published between 1990 and 2014 were retrieved from the databases: CINAHL, PubMed, Web of Science, ScienceDirect (Elsevier), Springer Link, Primo Central (Ex Libris) and Academic Search Premier (EBSCO) using different combinations of encounter, caring and nursing as keywords. In all, 28 articles related to caring encounters were included in the analysis after applying inclusion and exclusion criteria. Ethical considerations: This study was conducted according to good scientific practice. Results: Four antecedents to the caring encounter are found in the nurse’s way of being: a reflective way of being; openness, sensitivity, empathy and ability to communicate; confidence, courage and professionalism; and showing respect and supporting dignity. The attributes are as follows: being there, uniqueness and mutuality. As a consequence, the caring encounter influences both patient and nurse. Discussion and conclusion: The caring encounter is an encounter between two equal persons where one is nurse and the other is patient. They encounter in mutuality, in true presence, and both have allowed themselves to be the person they are. The results clarify the conceptual differences between relationship and caring communion as the mutuality in the caring encounter differs from the dependence on the other pronounced in the relationship. (shrink)

The aim of this article is to present re-enactment interviewing and to propose that it can be used to reveal tacit caring knowledge. This approach generates knowledge not readily attainable by other research methods, which we demonstrate by analysing the epistemological and methodological underpinnings of re-enactment interviewing. We also give examples from a study where re-enactment was used. As tacit knowledge is often characteristic of care, re-enactment interviewing has the potential to engage the informant in a holistic mode and thereby (...) reveal wisdom of the body. When the care provider recalls an event, the details are articulated, which contributes to in-depth data, which subsequently serves as a basis for trustworthy analysis. (shrink)

Four studies examined 15- to 16-month-olds’ imitation of a model’s novel action with a familiar or an unfamiliar object. The infants observed a reliable or an unreliable model demonstrating a novel action with the object in a solitary observational or in an interactive context. The model’s reliability was manipulated by having the model acting competently or incompetently with different familiar objects. In two out of four studies infants imitated the model’s behavior when the model had previously shown to be reliable (...) than when the model had been unreliable. The infants’ motivation to imitate was related to whether the reliable model interacted with the infants during object demonstration. More infants imitated the reliable model, who demonstrated the objects while interacting with the infants, than the reliable model who behaved in a disinterested manner during object demonstration. (shrink)

In two separate experiments, we examined 17-month-olds’ imitation in a third-party context. The aim was to explore how seeing another person responding to a model’s novel action influenced infant imitation. The infants watched while a reliable model demonstrated a novel action with a familiar (Experiment 1) or an unfamiliar (Experiment 2) object to a second actor. The second actor either imitated or did not imitate the novel action of the model. Fewer infants imitated the model’s novel behavior in the non-imitation (...) condition than in the imitation condition in Experiment 1. In Experiment 2, infants’ likelihood of imitating was not influenced by whether they had watched the second actor imitating the model’s novel action with the unfamiliar object. The findings indicate that infants take into account a second adult’s actions in a third party context when infants receive information that contradicts their existing knowledge and when it corresponds with their own experiences. If infants do not have prior knowledge about how to handle a certain object, then the second adult’s actions do not seem to matter. (shrink)

The present study examined 17-month-olds’ imitation in a third-party context. In four experiments, the infants watched while a reliable or an unreliable model demonstrated a novel action with an unfamiliar (Experiments 1 and 3) or a familiar (Experiments 2 and 4) object to another adult. In Experiments 3 and 4, the second adult imitated the model’s novel action. Neither the familiarity of the object or whether or not the second adult copied the model’s behavior influenced the likelihood of infant imitation. (...) Findings showed that the infants in the reliable model condition were more willing to imitate the model’s action with the unfamiliar object. The results suggest that infants take into account the reliability of a model even when the model has not directly demonstrated her reliability to the infant. (shrink)

What this book is about -- Theoretical perspectives : modernity and postmodernity, power and ethics -- Constructing early childhood institution : what do we think it is? -- Constructing the early childhood institution : what do we think they are for? -- Beyond the discourse of quality to the discourse of meaning making -- The stockholm project : constructing a pedagogy that speaks in the voice of the child, the pedagogue and the parent -- Pedagogical documentation : a practice for (...) reflection and democracy -- Minority directions in the majority world : threats and possibilities. (shrink)

Perceptual grouping has traditionally been thought to be governed by innate, universal principles. However, recent work has found differences in Japanese and English speakers' non-linguistic perceptual grouping, implicating language in non-linguistic perceptual processes (Iversen, Patel, & Ohgushi, 2008). Two experiments test Japanese- and English-learning infants of 5-6 and 7-8 months of age to explore the development of grouping preferences. At 5-6 months, neither the Japanese nor the English infants revealed any systematic perceptual biases. However, by 7-8 months, the same (...) age as when linguistic phrasal grouping develops, infants developed non-linguistic grouping preferences consistent with their language's structure (and the grouping biases found in adulthood). These results reveal an early difference in non-linguistic perception between infants growing up in different language environments. The possibility that infants' linguistic phrasal grouping is bootstrapped by abstract perceptual principles is discussed. (shrink)

The article investigates the complex negotiation process regarding the renovation of St Catherine’s church in St Petersburg. Additionally, the goal is to gain novel understanding of how former religious spaces can be transformed and highlight the various significances these structures may possess in different contexts, particularly at the junction of religion and cultural heritage. Built in 1865, the church served as a place of worship for the Swedish-speaking congregation for nearly eighty years before being repurposed as a sports school. Recently, (...) Sweden has aimed to restore the church and utilize it as a centre for Swedish–Russian relations. The article examines the reasons and arguments for renovation, as well as the progress that has been made to date. Additionally, it explores the role of Sweden in Russia through the perspectives of various stakeholders, including members of the congregation, diplomats, politicians, architects and priests. (shrink)

This study examines the use of praise in caregiving of nursing home residents with dementia in Sweden. The data consist of video-recordings of staff–resident interaction in residential care settings where caregivers assist residents with personal hygiene. High-grade assessments accomplishing praise or a compliment such as ‘jättebra’ are routinely used online, simultaneously with the care activity, by the caregiver when the residents are requested to undertake manual tasks on their own, such as tooth brushing, washing, dressing, and getting out of bed. (...) It is shown that the primary function of the assessments is to encourage someone to do something, which is discussed as an institutionally related problem. These results contrast with prior research on domiciliary care in Sweden and Denmark, which show that high-grade assessment terms formulated so as to accomplish praise or a compliment are reserved for situations where the home helper’s institutional role as the senior citizen’s helping hand is downplayed. It is argued that a more sensitive use of assessments and a higher awareness of the social norms concerning epistemic primacy may be a step toward implementing person-centeredness in residential care for older people. (shrink)

The current study examined whether infants use previous encounters for maintaining expectations for adults’ contingent responding. An unfamiliar adult responded contingently or non-contingently to infant signaling during an initial play situation and 10 min later presented an ambiguous toy while providing positive information (Experiment 1; forty-two 12-month-olds). The infants in the contingent group looked more at the adult during toy presentation and played more with the toy during the concluding free-play situation than the infants in the non-contingent group. When the (...) parent had responded contingently or non-contingently to infant bids (Experiment 2; forty 12-month-olds), the infants in the contingent group tended to look more at the parent and tended to play more with the toy than did the infants in the non-contingent group. The results indicate that from just a brief exposure, infants form expectations about adults’ responsiveness and maintain these expectations of contingent/non-contingent responding from one situation to another. (shrink)

Person‐centred care, with its central focus on the patient in partnership with healthcare practitioners, is considered to be the contemporary gold standard of care. This type of care implies effective communication from and by both the patient and the healthcare practitioner. This is often problematic in the case of the paediatric population, because of the many communicative challenges that may arise due to the child's developmental level, illness and distress, linguistic competency and disabilities. The principle of universal design put forth (...) in conventions and legislation means that the design of products and services should be usable by all people, to the greatest extent possible. Augmentative and alternative communication encompasses strategies, for example pictures and apps, that are typically used with people with communication disability. In this position paper, we argue for the universal use of augmentative and alternative communication to support person‐centred communication and care for children, regardless of age or potential disability. Clinical examples are shared from three different paediatric care settings where pictorial supports were applied universally. Interviews were conducted with children and adolescents (with and without disabilities), parents and healthcare practitioners, and the principles of universal design were used as a framework to demonstrate how person‐centred communication is supported in paediatric care. (shrink)

This guest column in Common Knowledge presents the concept of “communities of disagreement” to an international and interdisciplinary audience, perhaps for the first time. It takes as its starting point the contrast between agonistic and deliberative democratic theories, and it attempts to outline how democratic groups may live well with unresolved disagreement yet not give on up developing truth-sensitive decision-making processes. It argues against the widespread idea that shared values are the social glue of democratic communities. By developing arguments of (...) Manfred Frank, the article outlines a model of the relationship between social context, interpretation, and information. (shrink)

There are marked differences between countries with regard to reimbursement decision-making, yet few studies have tried to understand this process and its consequences by a detailed analysis of the local context and decision-making structure. This article describes reimbursement decision-making and subsequent prescribing patterns of new pharmaceuticals by means of a case study on glitazones in treatment of type 2 diabetes mellitus patients in Denmark. The study shows that institutional arrangements, providing the context in which evidence is used, are highly important (...) for understanding the reimbursement decision-making process. In particular the Danish Medicines Agency (DMA) has shaped the decision to reimburse glitazones on the basis of physician-mediated requests of individual patients. Relatively few patients have been prescribed glitazones since their introduction in 2000, suggesting that individual reimbursement may be an effective instrument in controlling overall expenditure of selected pharmaceuticals, although in the case of glitazones this has likely been achieved at the expense of equality in access to the products. The discussion focuses on the generalizability of the findings to both other pharmaceuticals in the individual reimbursement scheme in Denmark, and to other countries that are trying to balance the need to control overall pharmaceutical care expenditure with the need to secure equality in access to new drugs with therapeutic added value. (shrink)

Troubled conscience may jeopardize the health of healthcare personnel and, hence, the quality of care provided. Learning more about how personnel deal with their troubled conscience therefore seems important. The aim of this study was to describe personnel’s experiences of how they deal with troubled conscience generated in their daily work in municipal care of older people. Interviews were conducted with 20 care providers and analysed with a thematic content analysis. The findings show that in order to deal with troubled (...) conscience, personnel dialogued with themselves and with others. They took measures in a direction they perceived to be correct, and they expressed a need for distancing and re-energizing. It is of importance to share situations that generate troubled conscience in order to find ways to deal with them. Reconsidering one’s ways of dealing with troubled conscience may give care providers an opportunity to reach consensus within themselves. (shrink)

Background: Ethical problems are a universal phenomenon but rarely researched concerning patients dying from acute stroke. These patients often have a reduced consciousness from stroke onset and thereby lack ability to convey their needs and could be described as ‘incompetent’ decision makers regarding their own care. Objective: The aim of the study was to deepen the understanding of stroke team members’ reasoning about truth-telling in end-of-life care due to acute stroke. Research design: Qualitative study based on individual interviews utilizing combined (...) deductive and inductive content analysis. Participants and research context: A total of 15 stroke team members working in stroke units of two associated county hospitals in western Sweden participated. Ethical considerations: The study was approved by the Regional Ethics Review Board, Gothenburg, Sweden. Findings: The main findings were the team members’ dynamic movement between the categories ‘Truth above all’ and ‘Hide truth to protect’. Honesty was highly valued and considered as a reason for always telling the truth, with the argument of truth as common morality. However, the carers also argued for hiding the truth for different reasons such as not adding extra burden in the sorrow, awaiting a timely moment and not being a messenger of bad news. Withholding truth could both be seen as a way of protecting themselves from difficult conversations and to protect others. Discussion: The results indicate that there are various barriers for truthfulness. Interpreted from a virtue of ethics perspective, withholding of truth might also be seen as an expression of sound judgement to put the patient’s best interest first. Conclusion: The carers may need support in the form of supervision to be given space to reflect on their experience and thereby promote ethically justified care. Here, the multi-professional team can be of great value and contribute through inter-professional sharing of knowledge. (shrink)

It is only now, with the rise of digitalization and the near-obsolescence of traditional technology, that we are becoming fully aware of the distinctive character of analogue photography. This owl-of-Minerva-like appreciation of the analogue has prompted photographic art practices that mine the medium for its specificity. Indeed, one could argue that analogue photography has only recently become a medium in the fullest sense of the term, for it is only when artists refuse to switch over to digital photographic technologies that (...) the question of what constitutes analogue photography as a medium is self-consciously posed. While the benefits of digitalization—in terms of accessibility, dissemination, speed, and efficiency—are universally acknowledged, some people are also beginning to reflect on what is being lost in this great technological revolution. In this context, artists' use of analogue film and the revival of early photographic techniques should be regarded as timely interventions, although these may strike some as anachronistic. This essay does not attempt an ontological inquiry into the essential nature of the analogue; rather, it is an effort to articulate something about the meaning of analogue photography as an artistic medium for contemporary artists by paying close attention to its meaning and stakes for particular artists. Instead of presenting a general survey, I want to consider the work of just two artists, Zoe Leonard and Tacita Dean, both of whose work is concerned with what is being lost. As Leonard put it: “New technology is usually pitched to us as an improvement. … But progress is always an exchange. We gain something, we give something else up. I'm interested in looking at some of what we are losing.”1 Tellingly, both artists have produced exhibitions simply called Analogue. Leonard gave the title to a large project she did between 1998 and 2009 consisting of 412 silver gelatin and c-prints of local shop fronts in lower Manhattan and poor market stalls around the world.2 Dean used it for a 2006 retrospective exhibition of her films, photographs, and drawings. (shrink)

The postwar welfare state provides social insurance against economic, health, and related risks in an uncertain world. Because everyone can envision themselves to be among the unfortunate, social insurance fuses self-interest and solidarism in a normative principle Friedman (2020) calls probabilistic justice. But there is a competing principle of status defense, where the aim is to erect boundaries between socioeconomic strata and discourage cross-class mobility. We argue that this principle dominates when inequality is high and uncertainty low. The current moment (...) is one of high inequality and high uncertainty, which results in intense status anxiety, yet does not rule out solidaristic solutions. Our contributions are to diagnose the causes of our current malaise, and to theorize the normative bases for the political choice facing contemporary western democracies. (shrink)

Different areas of child welfare work call for psychometric measurement to replace professionals’ judgements with objective numbers. Using data from a national Swedish evaluation of interventions for abused children, the present article investigates child interviewees’ resistance to constraints in psychometric questions. The article contributes to studies of how psychology operates in institutional settings; it looks into the discursive production of the interviewee’s position in the struggle between the principle of recordability and ‘sensitive’ interviewing. The findings suggest that interviewees resist questions’ (...) structural restrictions in the service of telling the interviewer about their lives. Thus, the function of their misalignment is affiliative; it cooperates both with the institutional goal of eliciting information and with the interviewer’s interest in them. However, the interviewer’s solutions to children’s problem presentations remain focused on generating recordable answers. The article concludes that the narrow focus on recordability neglects important opportunities to talk about children’s experiences. (shrink)

This study describes the theoretical assumptions and the application for health‐promoting conversations, as a communication tool for nurses when talking to patients and their families. The conversations can be used on a promotional, preventive and healing level when working with family‐focused nursing. They are based on a multiverse, salutogenetic, relational and reflecting approach, and acknowledge each person's experience as equally valid, and focus on families’ resources, and the relationship between the family and its environment. By posing reflective questions, reflection is (...) made possible for both the family and the nurses. Family members are invited to tell their story, and they can listen to and learn from each other. Nurses are challenged to build a co‐creating partnership with families in order to acknowledge them as experts on how to lead their lives and to use their own expert knowledge in order to facilitate new meanings to surface. In this way, family health can be enhanced. (shrink)

This article examines the relevance of Hegel’s theory of recognition within educational theory and practice in relation to the development of a non-affirmative theory of education. The article argues that Hegel’s theory of recognition can serve as a fruitful starting point for articulating an educational theory that can contribute to the subject’s open-ended formation in modern society. To start with, the article surveys the connection between Hegel’s educational thought and his concept of recognition. Against this backdrop, the article singles out (...) how Hegel’s theory of recognition provides a compelling theory of intersubjectivity that calls attention to the role of norms in personal development and the construction of the social world. In continuation of a non-affirmative principle, it is argued that Hegelian recognition underlines, first, that the subject’s formation can fruitfully be an open-ended and dynamic process and, second, that in order to underpin this process it is necessary to critically assess norms and norm-generating practices within an educational context. (shrink)

The essays collected in this special issue of Critical Inquiry are devoted to reflection on the shifts in photographically based art practice, exhibition, and reception in recent years and to the changes brought about by these shifts in our understanding of photographic art. Although initiated in the 1960s, photography as a mainstream artistic practice has accelerated over the last two decades. No longer confined to specialist galleries, books, journals, and other distribution networks, contemporary art photographers are now regularly the subject (...) of major retrospectives in mainstream fine-art museums on the same terms as any other artist. One could cite, for example, Thomas Struth at the Metropolitan Museum in New York , Thomas Demand at the Museum of Modern Art , or Jeff Wall at Tate Modern and MoMA . Indeed, Wall's most recent museum show, at the time of writing, The Crooked Path at Bozar, Brussels , situated his photography in relation to the work of a range of contemporary photographers, painters, sculptors, performance artists, and filmmakers with whose work Wall considers his own to be in dialogue, irrespective of differences of media. All this goes to show that photographic art is no longer regarded as a subgenre apart. The situation in the United Kingdom is perhaps emblematic of both photography's increasing prominence and its increased centrality in the contemporary art world over recent years. Tate hosted its first ever photography survey, Cruel and Tender, as recently as 2003, and since then photography surveys have become a regular biannual staple of its exhibition programming, culminating in the appointment of Tate's first dedicated curator of photography in 2010. A major shift in the perception of photography as art is clearly well under way. (shrink)

Autistic individuals without intellectual disabilities are sometimes not diagnosed until adolescence/adulthood. Due to increased risk of co-occurring mental health problems, these individuals may initially be referred to general, mental health services and not always be identified as autistic; some may be misdiagnosed with personality disorder prior to identification of autism. To explore possible mechanisms in misdiagnosis of autism, we report on the case of a young man with severe, non-suicidal self-injury and attention deficit disorder who had been diagnosed with and (...) treated for borderline PD prior to being diagnosed with autism. Following reassessment by mental health clinicians with experience of working with autistic individuals, the patient was diagnosed with autism, ADD, and depression—but not PD. Experiences from this case suggest that presence of co-occurring NSSI, depression, and ADD, as well as lack of comprehensive assessment and lack of autism knowledge in general mental health services, may contribute to risk that autism is misdiagnosed as PD. These findings highlight the need for autism expertise in general mental health services to facilitate appropriate diagnosis for autistic individuals who encounter these services, as well as the importance of undertaking comprehensive assessments. (shrink)

En el presente trabajo proponemos analizar la lectura procleana del pasaje de _Leyes _X 896a y ss. –donde Platón parece hacer descansar todos los actos de los cuerpos en una causalidad de orden divino y psicológico– como una respuesta a lo antes dicho por Plutarco al respecto. El queroneata sostiene que, según Platón, el mal es causado por un alma mala, que en eterna lucha con el alma buena, oficia de causa mecánica y de principio rector del cosmos (_De Iside (...) et Osiride _370b-371a; _De animae procreatione in Plato Timaeo _1014a-f). A nuestro criterio, es contra lo anterior que se centra el esfuerzo procleano para señalar que el mal no existe en su pureza, ni en las entidades superiores (como lo es el alma del mundo o Alma-hipóstasis) aunque sí como una desviación que se da en las almas humanas individuales y que opera como una entidad parasitaria (_De malorum subsistentia _I, 20-23). Aspiramos a esgrimir argumentos que muestren en qué sentido Proclo defiende el principio Uno-Bien, que no puede tener contrarios, y la existencia del mal en las entidades inferiores sin negar la contingencia ni culpar al cosmos del mal. (shrink)

Ending world hunger remains one of the central global challenges, but the question of how to measure and define the problem is politically charged. This article chronicles and analyses the indicator selection process for SDG 2.1, focusing in particular on the Food Insecurity Experience Scale (FIES) indicator. Despite alleged efforts to separate political and technical aspects in the indicator selection process we find that they were entangled from the start. While there was significant contestation around which indicators should be selected, (...) the process was characterized by pathway lock-in: The complexity of food security quantification and the resource constraints in the process favored already established data infrastructures and milieus of expertise, locking in the position of FAO and its established food security indicators. The SDG 2.1 indicators frame food insecurity in terms of caloric supply and demand and individual experience, arguably excluding dimensions of democratic agency, sustainability and other dimensions and drivers of food insecurity. The lock-in has thus embedded a narrow concept of food security in the major global indicator framework for food security monitoring. This is likely to have significant effects on how food insecurity is addressed nationally and internationally. Addressing the knowledge politics of food security indicators is important to broaden and open the agenda for sustainable transformation of food systems. Statistics and indicators are important tools in this agenda, but a diversity of approaches and data infrastructures from the local to the international level are needed to understand the multiple dimensions and drivers of food insecurity. (shrink)

Faced with an increasingly media-saturated, globalized culture, art historians have begun to ask themselves challenging and provocative questions about the nature of their discipline. Why did the history of art come into being? Is it now in danger of slipping into obsolescence? And, if so, should we care? In _Writing Art History_, Margaret Iversen and Stephen Melville address these questions by exploring some assumptions at the discipline’s foundation. Their project is to excavate the lost continuities between philosophical aesthetics, contemporary (...) theory, and art history through close readings of figures as various as Michael Baxandall, Martin Heidegger, Jacques Lacan, and Alois Riegl. Ultimately, the authors propose that we might reframe the questions concerning art history by asking what kind of writing might help the discipline to better imagine its actual practices—and its potential futures. (shrink)

Tables 2 and 4 contained an incorrect set of values for the mean lunar latitudes associated with the tabulated eclipse possibilities.

This paper presents a new edition of the Back Plate Inscription (BPI) of the Antikythera Mechanism, a series of descriptions of circumstances associated with eclipses indicated cyclically by the inscriptions of the Mechanism’s Saros Dial Scale. Our edition features several significant new readings as well as the confirmation of a disputed reading pertaining to one of the index letters by which the BPI’s paragraphs are linked to the specific eclipse glyphs of the Saros Dial. On the basis of the new (...) text, we deduce a revision of the established models for determining which lunar months of the Saros cycle had solar and lunar eclipse possibilities (EPs) and for assigning the solar EPs to paragraphs of the BPI. We further confirm that the entire extant part of the BPI comprises consecutive paragraphs concerning the solar EPs, all inscribed along the right side of the Mechanism’s Back Plate, and we revisit the questions of what the BPI’s predictions mean and how they relate to the model for the solar EPs. (shrink)