Background: Discussing treatment risks has become increasingly important in medical communication. Still, despite regulations, physicians must decide how much and what kind of information to present. Objective: To investigate patients’ preference for information about a small risk of a complication of colonoscopy, and whether medical and personal factors contribute to such preference. To propose a disclosure policy related to our results. Design: Vignettes study. Setting: Department of Gastroenterology, Academic Medical Centre, the Netherlands. Patients: 810 consecutive colonoscopy patients. Intervention: A home-sent (...) questionnaire containing three vignettes. Vignettes varied in the indication for colonoscopy, complication severity and level of risk. Patients were invited to indicate their wish to be informed and the importance of such information. In addition, sociodemograhic, illness-related and psychological characteristics were assessed. Main outcome measurements: Wish to be informed and importance of information. Results: Of 810 questionnaires, 68% were returned. Patients generally wished to be informed about low-risk complications, regardless of the indication for colonoscopy or the severity of the complication. The level of risk did matter, though (OR = 2.48, SE = 0.28, p = 0.001). The information was considered less important if done for population screening purposes or diagnosis of colon cancer, if the complication was less severe (bleeding) and if the risk was smaller (0.01% and 0.1%). Patients’ information preference was also related to age, mood and coping style. Limitations: Difficulty of vignettes. Conclusions: Patients generally wish to be informed about all possible risks. However, this might become uninformative. A stepwise approach is suggested. (shrink)

The Travail of Nature shows that the theological tradition in the West is neither ecologically bankrupt, as some of its popular and scholarly critics have maintained, nor replete with immediately accessible, albeit long-forgotten, ecological riches hidden everywhere in its deeper vaults, as some contemporary Christians, who are profoundly troubled by the environmental crisis and other related concerns, might wistfully hope to find. This is why it is appropriate to speak of the ambiguous ecological promises of Christian theology.

The words 'true value' assume an existential relationship with the thing being measured. There is assumed to exist some aspect of the thing being measured that is independent of its relationship to the person who is interested in the result of the measurement. Yet measurement is a response to the need of an observer to know something about the real world. There is therefore an epistemological aspect to measurement. Some aspect of measurement has to do with the observer as a (...) knower of the result of the measurement. The paper considers electrical measurement. It proposes that these relationships correspond to two distinct kinds of measurement: one has the characteristic that there does exist such a thing as a true value, though it cannot be known: in the other kind, no such thing as true value even exists. The notion of true value is very useful, and for the kind of measurement where such a thing does not exist, the paper defines an alternative that has the advantage that it can actually be known under some circumstances in calibration. (shrink)

_Early Psychoanalytic Religious Writings_ presents, in one edited volume, many of the foundational writings in the psychoanalytic study of religion. These translated works by Abraham, Fromm, Pfister, and others, complement Freud’s seminal contributions and provide a unique window into the origins of psychoanalytic thinking.

Descartes, René, 1596-1650; Modern philosophy.

Purpose of the study is to shed light on the role of psychophysiology in the creative process, namely, the style corrections connected with pathological changes in the artist’s organism, deviating from empirical-descriptive methods. Theoretical basis of the study implies the interpretation of the notions style and disease not in their narrow professional limitation but from the standpoint of expanding the parameters of these concepts to philosophical dimensions. Based on the principle of analogy, the research findings prove that non-mimetic creative process (...) manifests itself exclusively in connection with a human from a bodily viewpoint through anthropological mimesis, which can program the propensity to certain capabilities of the individual organism. C. G. Jung was the first who pointed to the productivity of this method in his work "Theoretical Reflections on the Nature of the Psyche". The creativity phenomenon reflects not only "pure" psychology and the intellectual and spiritual component but also its relation to the artist as a physical being. It, outside its belonging to and being conditioned by transcendent factors, includes a quantitative aspect related to the moment of intensity. The disease acts to some extent as a stimulator of the production/change of aesthetic enzyme. In this context, the dialectic method is also effective because the subject of study cannot be comprehensively argued using naturalistic approaches only and requires a semantic explanation too. The essence of it is the logic of contradictions. In this case, the antinomy of matter-spirit plays a conceptual role in the projection on the plane of word-formation. Originality of the research findings is in the expansion of the causal relationship range of the creative process, namely the inclusion of the factor of psycho-physiological pathology into the system artist-work. This factor performs important stylistic functions. Conclusions. In contrast to scientific studies, where 1) style is analyzed separately and 2) the figure of the artist, this study argues the need to correlate these issues, taking them beyond descriptiveness to avoid schematics and one-dimensionality. (shrink)

Volume 20, Issue 7, July 2020, Page 150-152.

يتناول محمد حيان السمّان في كتابه في "تدبير القداسة: الحجابة والحجاب - أدب الدخول على السلطان في التراث العربي الإسلامي"، الصادر عن المركز العربي للأبحاث ودراسة السياسات، العلاقة بين السلطة السياسية والمجتمع في السياق العربي - الإسلامي، من خلال موضوع الحجابة والسلطان المحتجِب عن رعيته، والوقائع المتصلة بالقدوم على أصحاب السلطة من خلفاء وملوك وسلاطين ووزراء وغيرهم، وانتظار الإذن بلقائهم. يتألف الكتاب (407 صفحات بالقطع الوسط، موثقًا ومفهرسًا) من مدخل، وقسمين فيهما عشرة فصول. في المدخل، تأسيس وإضاءة، يعالج المؤلف مسألة (...) الحجابة والحاجب من حيث اللغة والاصطلاح، ومسألة الحجابة عند ابن خلدون من منطلق الحضارة الداعية إلى انتحال الألقاب وتمييزها، ومسألة الاستئذان الشرعي والحجابة والفرق بينهما. (shrink)

This paper provides a critique of Bostrom’s concern with existential risks, a critique which relies on Adorno and Horkheimer’s interpretation of the Enlightenment. Their interpretation is used to elicit the inner contradictions of transhumanist thought and to show the invalid premises on which it is based. By first outlining Bostrom’s position this paper argues that transhumanism reverts to myth in its attempt to surpass the human condition. Bostrom’s argument is based on three pillars, Maxipok, Parfitian population ethics and a universal (...) notion of general human values. By attempting to transcend the human condition, to achieve post-humanity, transhumanism reverts to myth. Thus, the aim of this paper is to provide a critical examination of transhumanism which elicits its tacit contradictions. It will also be argued that transhumanism’s focus on a universal, all-encompassing, notion of humanity neglects any concern with actual lived lives. This absence is problematic because it clearly shows that there is a discrepancy, between transhumanism’s claimed concern for all of humanity and the practical implications of proposing a universal notion of humanity. This paper will conclude, that transhumanism’s lack of concern with actual lives is due to its universal and totalising gestures. Gestures which allow for universal claims such as general values or Earth-originating intelligent life. (shrink)

A study of the tradition of ethical socialism, its successes, its failures, and its relevance to contemporary Britain. It focuses on a group of writers who, although separated by time, all promoted this brand of socialism. It chronicles their thoughts and theories, and examines their intentions.

A discourse on method -- Hart on legal powers and law's normativity -- The components of Hart's jurisprudential theory -- Hart on legal interpretation and legal reasoning -- Law and morality.