Background: Decisions regarding whether or not to institute mechanical ventilation during the later stages of chronic obstructive pulmonary disease is challenging both ethically, emotionally and medically. Caring for these patients is a multifaceted process where nurses play a crucial role. Research question and design: We have investigated how nurses experienced their own role in decision-making processes regarding mechanical ventilation in later stages of chronic obstructive pulmonary disease and how they consider the patients’ role in these processes. We applied a qualitative (...) approach, with six focus-group interviews of nurses (n = 26). Ethical considerations: The Regional Committees for Medical and Health Research Ethics approved the study. Voluntary informed consent was obtained. Findings: The nurses found themselves operating within a cure-directed treatment culture wherein they were unable to stand up for the caring values. They perceived their roles and responsibilities in decision-making processes regarding mechanical ventilation to patients as unclear and unsatisfactory. They also experienced inadequate interdisciplinary cooperation. Discussion: Lack of communication skills, the traditional hierarchical hospital culture together with operating in a medical-orientated treatment culture where caring values is rated as less important might explain the nurses’ absence in participation in the decision about mechanical ventilation. Conclusion: To be able to advocate for the patients’ and their own right to be included in decision-making processes, nurses need an awareness of their own responsibilities. This requires personal courage, leadership who are capable of organising common interpersonal meetings and willingness on the part of the physicians to include and value the nurses’ participation in decision-making processes. (shrink)

This article focuses on academics’ conceptions of teaching research ethics and integrity. Seventeen academics from a Finnish research intensive university participated in this qualitative study. The data were collected using a qualitative multi-method approach, including think-aloud and interview data. The material was scrutinized using thematic analysis, with both deductive and inductive approaches. The results revealed variation in academics’ views on the responsibility for teaching research integrity, the methods employed to teach it and the necessity of intervening when misconduct occurs. The (...) academics emphasized the responsibility of the individual teacher and the student to foster integrity as well as the shared responsibility of all members of the academic community. However, many academics felt that they themselves needed pedagogical training. Most shared the view that practices of responsible conduct in research can be explicitly and intentionally taught through demonstration, explanation, and practice. However, the academics also noted that learning research integrity and ethics takes place implicitly. A few questioned the need for and the utility of training in the form of courses or through an explicitly addressed topic included in, for instance, methods courses. Their views on the question of how to deal with alleged cases of misconduct varied. While many academics considered a proactive approach the best way to prevent misconduct, some trusted more in a reactive approach. The results show that, while in general academics agree on the importance of research ethics, their conceptions of teaching it vary. The teaching conception bears consequences for the teaching methods chosen, assignment of responsibility for both teaching and students learning, and for the way in which teachers believe that misconduct should be responded to. (shrink)

“The discipline of theological bioethics is in trouble.” So wrote Charles Camosy in November 2014, claiming that “Today’s centers of power in academic and clinical bioethics (at least in the develo...

In this article, I investigate the ethical potential of Victorian literature that markedly discourages readerly sympathy with the protagonists. Generating sympathy for fictional characters was, and often still is, considered to be the primary way in which the novel promotes ethical thoughts, feelings, and behavior in readers. For this reason, the ethical prospects of novels that fail or refuse to make their main characters appealing and instead inspire aversion in readers have received very little critical attention. Taking an unpopular novel (...) by Anthony Trollope as my primary example, I analyze how the formal narrative strategy of “disnarration” (theorized by Gerald Prince) creates profound dislike for the book’s protagonists. Further, I propose that these same passages of disnarration, by emphasizing the text’s fictionality, can encourage readers to seek the sympathetic fulfillment that the text refuses them by engaging with the real world. In this way, I argue, even Victorian realist novels that defy the conventions of sympathy might still share an investment in realizing the ethical potential of fiction. (shrink)

The urgency of the ecological crisis, described as a ‘code red for humanity’, is also a call to the business ethics community to work even harder for a safe space for humanity. This commentary suggests two specific domains of engagement, with the aim of having more impact in mitigating the ecological crisis: (1) the empirical fact of non-negotiable biophysical thresholds to convey the status and severity of the crisis, and (2) the need for strong laws and regulations—and compliance with these—to (...) guide the aggregated economic activity away from further transgressing biophysical thresholds. Traditionally, business ethics focusses on why and how business can contribute beyond compliance with laws and regulations. By engaging more explicitly with the other two domains, our business ethics community can contribute to distinguish between which are value discussions and which are not, and to the necessity and legitimacy of laws and regulations. This text is a proposal on how we can use business ethics, hence the form of a commentary. (shrink)

This article examines how culture influences Chinese managers’ perception of some western management instruments, such as codes of ethics and performance evaluation systems. The research is based on analyzing the tacit messages in “stories told” by managers and reviewing some of the barriers that may hinder understanding. Major obstacles lie in failing to ‘read’ each other’s cultures correctly. Assumptions and biases are left alone instead of being addressed openly. Western management systems and tools do not necessarily function equally well in (...) the Chinese culture, unless they are reassessed and adapted. Some recommendations for managers and further research are given. (shrink)

How may Greimassian narrative semiotics join forces with feminist inquiry? This essay begins with an analysis of a cake recipe from Alasdair MacIntyre’s.

As several studies, along with a book and movie depicting the true story of a former clinic director, have recently brought to the public’s attention, fetal ultrasound images dramatically impact some viewers’ normative judgments: a small but non-negligible proportion of viewers attribute increased moral status to fetal humans and even form the belief that abortion is impermissible. I consider three types of psychological explanation for a viewer’s shift in beliefs: increased bonding or empathy, various forms of cognitive bias, and type (...) of cognitive processing involved. I consider the normative implications of each explanation, arguing that in each case the viewer’s judgment is presumptively rational. (shrink)

Background: Healthcare personnel in the municipal healthcare systems experience many ethical challenges in their everyday work. In Norway, 243 municipalities participated in a national ethics project, aimed to increase ethical competence in municipal healthcare services. In this study, we wanted to map out what participants in ethics reflection groups experienced as promoters or as barriers to successful reflection. Objectives: To examine what the staff experience as promoters or as barriers to successful ethics reflection. Research design: The study has a qualitative (...) design, where 56 participants in municipal healthcare participated in 10 different focus-group interviews. Ethical considerations: The data collection was based on the participants’ informed consent and approved by the Data Protection Official of the Norwegian Centre for Research Data. Results: The informants had different experiences from ethics reflection group. Nevertheless, we found that there were several factors that were consistently mentioned: competence, facilitator’s role, ethics reflection groups organizing, and organizational support were all experienced as promoters and as a significant effect on ethics reflection groups. The absence of such factors would constitute important barriers to successful ethics reflection. Discussion: The results are coincident with other studies, and indicate some conditions that may increase the possibility to succeed with ethics reflection groups. A systematic approach seems to be important, the systematics of the actual reflections, but also in the organization of ethics reflection group at the workplace. Community healthcare is characterized by organizational instabilities as many vacancies, high workloads, and lack of predictability. This can be a hinder for ethics reflection group. Conclusion: Both internal and external factors seem to influence the organization of ethics reflection group. The municipalities’ instabilities challenging this work, and perceived as a clear inhibitor for the development. The participants experienced that the facilitator is the most important success factor for establishing, carrying out, and to succeed with ethics reflection groups. (shrink)

CHAPTER 1 Introduction HEIDI M. RAVVEN AND LENN E. GOODMAN The attitudes of Jewish thinkers toward Spinoza have defined a fault line between traditionalist ...

Over the past 3 years, the authors have pursued unique cross-college collaboration. They have hosted a National Endowment for the Humanities (NEH)–funded Humanities Gaming Institute and team-taught a cross-listed course that brought together students from the humanities and computer science. Currently, they are overseeing the development of an NEH-supported social history game called Desperate Fishwives. In the process, the authors have realized that “game” is not the most appropriate designator for the kind of projects they are pursuing. Instead, they propose (...) critical interactives, a term that suggests projects that mobilize ludic methods in order to engage participants in socially and politically sensitive, indeed controversial, subject matter. Their most recent project, Ghosts of the Horseshoe, offers an initial look at how critical interactives are particularly apt at raising awareness about the relations among institutional policy, broader public policy, and the ways that people negotiate the public history of a particular place. (shrink)

Increasing farmers’ acceptance and adoption of environmentally beneficial farming practices is essential for mitigating negative impacts of agriculture. To support adoption through policy, it is necessary to understand which types of farms or farmers do or do not apply such practices. However, farmers are not a homogeneous group and their behavior is subject to a complex array of structural, socioeconomic, and socio-psychological influences. Reducing this complexity, farmer typologies or archetypes are useful tools for understanding differing motivations for the uptake of (...) sustainable farming practices. Previous investigations of the role of farmer archetypes in the adoption of such practices rely on either purely qualitative or purely quantitative methods in data collection, typology creation, and hypothesis testing. Our study combines both approaches by classifying survey respondents into farmer types based on a previous Q methodological study. We then use these types in a two-part regression model that aims to explain participation in agri-environmental schemes and the level of scheme participation. To control for farm structural factors, we additionally link our questionnaire data to secondary data from the farm accountancy data network. Results indicate that in Austria, AES are attractive to all types of farmers, but the level of participation in these schemes differs between archetypes: Profitability-oriented farmers participate less, and nature-oriented farmers participate more than other types. This suggests that monetary compensations for sustainable farming practices are not perceived as sufficient by certain groups of farmers, and policy makers need to consider additional kinds of incentives. (shrink)

Stuart Swindle in “Why Feminists Should Take the Phenomenology of Spirit Seriously” accuses me of failing to interpret the passages in the Phenomenology on the family and women in the full context of the progress to absolute spirit. He gives no particular evidence for this claim, but merely asserts it repeatedly and at an ever increasing decibel level. To this general criticism I assert that nothing that I wrote in “Has Hegel Anything to Say to Feminists?” denied that spirit progresses (...) beyond the Hellenic world or any other particular stage of development. In fact, my argument was predicated on just such a development. Women, however, - I argued - do not seem to develop, nor are they capable of development, in their consciousness or social expression according to Hegel from Greek times to modernity. (shrink)

This article suggests that in the delicate balance between grace and freedom, the opposite of rejecting God’s grace is not acceptance of grace, but rather is non-rejection or the openness to God that is the human person’s obediential potency. Using the insights of Karl Rahner and David Coffey, this article goes on to explain efficacious grace and sufficient grace as the one self-communication of God in the modes of acceptance and rejection. To protect the human freedom, one must emphasize that (...) human persons can reject God’s offer of self, but to protect the gratuity of grace, one must acknowledge that acceptance of God’s grace is always undergirded and empowered by that same grace. The mediating point between these two modes is human openness or obediential potency for grace. One does not have to accept God’s grace to be this openness, but rather one must simply not reject God’s offer of grace, hence the primary categories of human freedom are not rejection and acceptance, but rejection and non-rejection. (shrink)

Some time ago, Quine asserted that to be is to be value of a variable. This entails that if one wishes to accept any theory as true, we must be committed to the existence of those objects over which we existentially quantify. I suggest instead that we are committed only to the existence of things for which certain intrinsic properties are contingent (those that an object can have independent of the properties that make it a member of a certain kind). (...) Any discourse that involves existential quantification over entities for which those properties can change should be given an objectual interpretation, and these objects are therefore real. In contrast, all discourse that involves existential quantification over objects who have at least some intrinsic properties essentially, which are properties that are not what make them members of a kind, will be given a substitutional interpretation, which does not entail a realist interpretation. This conception of ontological commitment has potential direct consequences in several areas -- the status of fictional characters, the debate about the existence of god, realism about mathematical entities, and so on. (shrink)

This paper tests the comparative effectiveness of spokes-characters, both ‘celebrity’ and ‘non-celebrity’, in promoting healthy versus non-healthy foods. An experimental study among 6- to 7-year-old children in Belgium demonstrates that adding a spokes-character to a food product increases the appetite, the wished-for frequency of consumption and the expected number of purchase requests for that product. This finding holds true for healthy foods as well as for unhealthy foods. The effect of the celebrity spokes-character exceeds that of a similar gnome. Nevertheless, (...) the latter is also capable of promoting the healthy and unhealthy products. These findings suggest that using ‘celebrity’ spokes-characters to promote healthy foods to children might indeed be an effective strategy to change children’s diets. Even the use of similar, non-celebrity spokes-characters could be quite fruitful. (shrink)

Serious ethical violations in medicine, such as sexual abuse, criminal prescribing of opioids, and unnecessary surgeries, directly harm patients and undermine trust in the profession of medicine. We review the literature on violations in medicine and present an analysis of 280 cases. Nearly all cases involved repeated instances of intentional wrongdoing, by males in nonacademic medical settings, with oversight problems and a selfish motive such as financial gain or sex. More than half of cases involved a wrongdoer with a suspected (...) personality disorder or substance use disorder. Despite clear patterns, no factors provide readily observable red flags, making prevention difficult. Early identification and intervention in cases requires significant policy shifts that prioritize the safety of patients over physician interests in privacy, fair processes, and proportionate disciplinary actions. We explore a series of 10 questions regarding policy, oversight, discipline, and education options. Satisfactory answers to these questions will require input from diverse stakeholders to help society negotiate effective and ethically balanced solutions. (shrink)

Empathy is one of the most talked about and widely studied concepts of recent years. Some argue it can help create a more just society, improve medical care and even avert global catastrophe. Others object that it is morally problematic. Who is right? And what is empathy anyway? Is it a way of feeling with others, or is it simply feeling sorry for them? Is it a form of knowledge? What is its evolutionary origin? In this thorough and clearly-written introduction (...) to the philosophy of empathy Heidi Maibom explores these questions and more, examining the following topics: The nature of empathy and key themes in the literature Empathy as a way of understanding others, particularly 'simulation theory' and 'perspective-taking' Empathy, emotional contagion, and sympathy Empathy's role in moral understanding or motivation Empathy and art appreciation, with examples from film, music and fiction Empathy and mental disorder, such as psychopathy and autism. Including chapter summaries, annotated further reading and a glossary, Empathy is an excellent resource for students of philosophy of mind and psychology, psychology, and cognitive science, as well as for those in related subjects such as art, literature and politics. (shrink)

Discover the many layers of bead embroidery. Through 14 astonishingly beautiful projects, including one from Sherry Serafini and one from Margie Deeb, Heidi Kummli guides beaders to a greater understanding of how to infuse their jewelry with deeper meaning. From animal totems, to the four elements, to the healing power of gemstones, beaders will create pieces that reveal how the natural world can enhance their jewelry-making journey.

Business students early on should be offered a course presenting and analyzing ethical dilemmas they will face as human beings both in the business world and in society. However, such a course should use literature, plays, and novels to illustrate ethical norms and values in the intertwined relationships of human activities. Better than business case studies, literature offers portraits of characters as leaders, employees, consultants, and other professionals, as ordinary human beings with conflicting desires, drives, and ambitions. Literary texts offer (...) excellent descriptions of the circumstances or the organizational settings in which people find themselves. I believe this is the best way to sensitize students without business experience when they are still open to such a formative learning process. At the same time, this pedagogical method linking ethics and literature may help to critically expose some of the weak or missing aspects of various management theories students encounter in their business curriculum and make them more observant and critical. (shrink)

Food media have become a formidable part of adolescents’ food environments. This study sought to explore how and why adolescents use food media by focusing on selectivity and motives for consumption. We conducted in-depth, semi-structured interviews with 31 Flemish adolescents aged 12 to 16. Food media were both incidentally consumed and selectively sought for education, social utility, and entertainment. The levels of selectivity and motives for consumption varied among the different food media platforms. Incidental consumption was more prevalent with TV (...) cooking shows compared to online food media. The dominant motives for TV cooking show consumption were companionship and entertainment, while online food media were used for a more diverse range of motives dominated by information/inspiration and social interaction. Some participants consumed food media to get motivation and inspiration to improve health and fitness while others consumed food media to watch appetizing and aesthetically pleasing food content. The social environment in the form of friends and family as well as existing food preferences were dominant psychosocial factors for both traditional and online food media use. Future research is warranted to explore how incidental exposure and the identified motives for use relate to food media effects. (shrink)

Any plausible account of the act of pretending, either by presupposition or constitution, involves an assumption that the facts are other than what they are. An examination of various accounts of pretence shows this to be the feature that distinguishes it from other actions such as imagining, fantasizing, creating, or hypothesizing. This discovery has implications for standard analyses of the nature of fiction. To wit, whatever is occurring when engaged in reading a work of fiction, it is not an act (...) of pretence, since in reading a work of fiction, whether the facts are other than what they are is irrelevant to understanding and enjoying the story. The rather long history of appeals to pretence to explain the nature of fiction and our engagement with it, then, fail. (shrink)

We regularly wield powers that, upon close scrutiny, appear remarkably magical. By sheer exercise of will, we bring into existence things that have never existed before. With but a nod, we effect the disappearance of things that have long served as barriers to the actions of others. And, by mere resolve, we generate things that pose significant obstacles to others' exercise of liberty. What is the nature of these things that we create and destroy by our mere decision to do (...) so? The answer: the rights and obligations of others. And by what seemingly magical means do we alter these rights and obligations? By making promises and issuing or revoking consent When we make promises, we generate obligations for ourselves, and when we give consent, we create rights for others. Since the rights and obligations that are affected by means of promising and consenting largely define the boundaries of permissible action, our exercise of these seemingly magical powers can significantly affect the lives and liberties of others. (shrink)

This article explores the ways the emerging concept of humanism was circulated and defined in early nineteenth-century German-language press. By analyzing a digitized corpus of German-language newspapers and periodicals published between 1808 and 1850, this article looks into the ways the concept of humanism was employed in book reviews, news, political reports, and feuilleton texts. Newspapers and periodicals had a significant role in transmitting the concept of humanism from educational debates into general political language in the 1840s. Furthermore, in an (...) era of growing social problems and political unrest, humanism became increasingly associated with moral sentiments. Accordingly, this article suggests that its new political meanings and emotional underpinnings made humanism culturally contagious, particularly immediately before and during the 1848/49 revolutions. (shrink)

The recent success in generating live offspring from embryonic stem cell –derived gametes in mice sparked visions of growing tailor-made sperm for men faced with infertility. However, although this development will almost certainly lead to new insights into the processes underlying spermatogenesis and thus in the possible causes of male infertility, it is less certain if deriving sperm from ES cells, which are in turn derived from a sterile man, can make someone a genetic parent. As the gap between newly (...) envisioned reproductive technologies and natural reproduction widens, the question thus needs to be asked if these possible therapies still lead to genetic parenthood. (shrink)

Shame is a painful emotion concerned with failure to live up to certain standards, norms, or ideals. The subject feels that she falls in the regard of others; she feels watched and exposed. As a result, she feels bad about the person that she is. The most popular view of shame is that someone only feels ashamed if she fails to live up to standards, norms, or ideals that she, herself, accepts. In this paper, I provide support for a different (...) view, according to which shame is about failure to live up to public expectations. Such a view of shame has difficulties explaining why an audience is central to shame, why shame concerns the self as a whole, and why the social rank of someone affects their ability to shame others. These features, I argue, are best explained by reference to the descent of shame in the emotion connected with submission in nonhuman animals. The function of submission—to appease relevant social others—also throws light on the sort of emotion that shame is. From the point of view of other people, a subject who experiences shame at her own failing is someone who is committed to living together with others in a socially sanctioned way. The argument is not that we must understand the nature of shame in terms of what it evolved for, but that its heritage is important to understanding the emotion that shame has become. (shrink)

Feminist philosophers of science have been prominent amongst social epistemologists who draw attention to communal aspects of knowing. As part of this work, I focus on the need to examine the relations between scientific communities and lay communities, particularly marginalized communities, for understanding the epistemic merit of scientific practices. I draw on Naomi Scheman's argument (2001) that science earns epistemic merit by rationally grounding trust across social locations. Following this view, more turns out to be relevant to epistemic assessment than (...) simply following the standards of "normal science". On such an account, philosophers of science need to attend to the relations between scientific communities and various lay communities, especially marginalized communities, to understand how scientific practices can rationally ground trust and thus earn their status as "good ways of knowing". Trust turns out to involve a wide set of expectations on behalf of lay communities. In this paper I focus on expectations of knowledge sharing, using examples of "knowledge-sharing whistleblowers" to illustrate how failures in knowledge sharing with lay communities can erode epistemic trust in scientific communities, particularly in the case of marginalized communities. (shrink)

In this paper, I argue that standard psychological continuity theory does not account for an important feature of what is important in survival – having the property of personhood. I offer a theory that can account for this, and I explain how it avoids the implausible consequences of standard psychological continuity theory, as well as having certain other advantages over that theory.

Fictional names present unique challenges for semantic theories of proper names, challenges strong enough to warrant an account of names different from the standard treatment. The theory developed in this paper is motivated by a puzzle that depends on four assumptions: our intuitive assessment of the truth values of certain sentences, the most straightforward treatment of their syntactic structure, semantic compositionality, and metaphysical scruples strong enough to rule out fictional entities, at least. It is shown that these four assumptions, taken (...) together, are inconsistent with referentialism, the common view that names are uniformly associated with ordinary individuals as their semantic value. Instead, the view presented here interprets names as context-sensitive expressions, associated in a context of utterance with a particular act of introduction, or dubbing, which is then used to determine their semantic value. Some dubbings are referential, which associate names with ordinary individuals as their semantic values; others are fictional, which associate names, instead, with sets of properties. Since the semantic values of names can be of different sorts, the semantic rule interpreting predication must be complex as well. In the body of the paper, I show how this new treatment of names allows us to solve our original puzzle. I defend the complexity of the semantic predication rule, and address additional worries about ontological commitment. (shrink)

_Sustainable development, as explained through the three pillars of environment, society and economy, is a well-known concept and has been used extensively in recent decades. There is finally a growing acknowledgement that environmental sustainability is the prerequisite for achieving the other two pillars of societal and economic sustainability. Nevertheless, there is a tendency to not explicate the negative interactions between the pillars of sustainability, as in the interlinkages between the UN’s sustainable development goals. In this paper, we draw attention to (...) a method for explicating both reinforcing and counteracting goals. This is a conceptual paper but with short, illustrative examples from different levels of the R&D sphere on how this method can be used: one example is at the project level, two are from financiers of R&D projects, and the other is at the UN level. Finally, a longer discussion on relevant ethical guidelines is presented. This paper addresses the responsibility to recognize when and how sustainability goals counteract each other through two key actions. The first action is to identify transgressions of global ecological system boundaries and the resulting serious consequences for trading on environmental sustainability. The second involves bringing to the fore relevant ethical guidelines from the Norwegian National Research Ethics Committee. An update of these guidelines is suggested to reflect recent research on the transgression of planetary boundaries and the consequences for a safe operating space for humans on Earth_. _Keywords:_ Environmental sustainability, ethical guidelines for research, UN sustainable development goals, counteracting goals. (shrink)