Background: Although attention to healthcare ethics in rural areas has increased, specific focus on rural palliative care is still largely under-studied and under-theorized. The purpose of this study was to gain a deeper understanding of the values informing good palliative care from rural individuals' perspectives. Methods: We conducted a qualitative ethnographic study in four rural communities in Western Canada. Each community had a population of 10, 000 or less and was located at least a three hour travelling distance by car (...) from a specialist palliative care treatment centre. Data were collected over a 2-year period and included 95 interviews, 51 days of field work and 74 hours of direct participant observation where the researchers accompanied rural healthcare providers. Data were analyzed inductively to identify the most prevalent thematic values, and then coded using NVivo. Results: This study illuminated the core values of knowing and being known, being present and available, and community and mutuality that provide the foundation for ethically good rural palliative care. These values were congruent across the study communities and across the stakeholders involved in rural palliative care. Although these were highly prized values, each came with a corresponding ethical tension. Being known often resulted in a loss of privacy. Being available and present created a high degree of expectation and potential caregiver strain. The values of community and mutuality created entitlement issues, presenting daunting challenges for coordinated change. Conclusions: The values identified in this study offer the opportunity to better understand common ethical tensions that arise in rural healthcare and key differences between rural and urban palliative care. In particular, these values shed light on problematic health system and health policy changes. When initiatives violate deeply held values and hard won rural capacity to address the needs of their dying members is undermined, there are long lasting negative consequences. The social fabric of rural life is frayed. These findings offer one way to re-conceptualize healthcare decision making through consideration of critical values to support ethically good palliative care in rural settings. (shrink)

Joan Robinson was one of the greatest economists of the twentieth century and a fearless critic of free-market capitalism. A major figure in the controversial 'Cambridge School' of economics in the post-war period, she made fundamental contributions to the economics of international trade and development. In Economic Philosophy Robinson looks behind the curtain of economics to reveal a constant battle between economics as a science and economics as ideology, which she argued was integral to economics. In her (...) customary vivid and pellucid style, she criticizes early economists Adam Smith and David Ricardo, and neo-classical economists Alfred Marshall, Stanley Jevons and Leon Walras, over the question of value. She shows that what they respectively considered to be the generators of value - labour-time, marginal utility or preferences - are not scientific but 'metaphysical', and that it is frequently in ideology, not science, that we find the reason for the rejection of economic theories. She also weighs up the implications of the Keynesian revolution in economics, particularly whether Keynes's theories are applicable to developing economies. Robinson concludes with a prophetic lesson that resonates in today's turbulent and unequal economy: that the task of the economist is to combat the idea that the only values that count are those that can be measured in terms of money. This Routledge Classics edition includes a new foreword by Sheila Dow. (shrink)

Contributors to this volume demonstrate how the ethics of care factors into a variety of social policies and institutions, and can indeed be useful in thinking about a number of different social problems. Divided into two sections, the first looks at care as a model for an evaluative framework that rethinks social institutions, liberal society, and citizenship at a basic conceptual level. The second explores care values in the context of specific social practices or settings, as a framework that should (...) guide thinking. (shrink)

Background The impact of healthcare ethics educational interventions on participants’ ethical development is rarely reported on and assessed; even less attention is paid to educational interventions that focus on end-of-life ethical issues. Aim To evaluate the impact of the Ethical Framework for End-of-Life Care Study Sessions Programme ( EOLCSS) on the moral development of healthcare staff who are delivering end-of-life care. Methods The EOLCSS was delivered to 20 multi-disciplinary health care staff in Ireland in May 2013. Effect on moral reasoning (...) was measured pre and post education using the Defining Issues Test 2 (DIT2). Inferential statistics were used to examine the relationships between change in DIT2 scores and demographic variables. Results Participants experienced moral reasoning development following receipt of EOLCSS. Age and previous ethics education contributed to the observed changes in moral reasoning. Conclusions Receipt of the EOLCSS may contribute to moral reasoning development in practicing healthcare professionals. (shrink)

1. This paper contributes to the broader debate about how elite school institutions manage to remain alert and responsive to changing education market conditions, locally and globally, by explicitl...

Increasingly, palliative care is being referred to as an essential programme and in some cases as a human right. Once it is recognized as such, it becomes part of the lexicon of social justice in that it can be argued that all members of society should have access to such care. However, this begs the question of how that care should be enacted, particularly in rural and remote areas. This question illustrates some of Friedrich Hayek's critiques of social justice. Hayek (...) has likened social justice to a ‘moral stone’ arguing that social justice is meaningless to the extent that society is impersonal and as such cannot be just, only those individuals who make up that society can be just. When responsibility for justice is assigned to an impersonal society, ideas of social justice can become a clarion call for whom no one is directly accountable. This opens the door for questionable macro‐level political agendas that have no capacity to enact the ideal, and worse, may suppress individual moral acts towards the desired end. Further, acts of interference at the macro level with the ideal of equal opportunity run the risk of disadvantaging other members of society. Instead, he has argued that a better approach lies in finding ways to induce and support individual moral acts that promote the human good. Hayek's arguments are particularly compelling for rural palliative care. In this paper we draw upon data from an ethnographic study in rural palliative care to illustrate the potential misfit between the ethical ideal of palliative care as expressed by rural participants and the narratives of social justice. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Epistemological Warfare and Hope in Critical Dystopia by Emrah AtasoyClaire P. CurtisEmrah Atasoy. Epistemological Warfare and Hope in Critical Dystopia. Ankara: Nobel Bilimsel Eserler, 2021. vii+ 167 pp. ISBN: 978-625-7589-04-8This book is an application of the idea of critical dystopia to three understudied novels and the beginning of an argument about utopian desire itself. Emrah Atasoy, a prolific author who reviewed Turkish speculative fiction in a well-received 2021 (...) Utopian Studies article, is modeling a search for hope in dystopian texts. In this book, derived from his dissertation, he examines three British novels written in three different eras of the twentieth century: Katherine Burdekin's Swastika Night (1937), Anthony Burgess's The Wanting Seed (1962), and P. D. James's The Children of Men (1992). In each novel, Atasoy argues, the protagonists move from an ignorance that served the interest of the dystopian forces to a resistant knowledge that should be read as offering hope, both as resistance and as knowledge.The book is organized in a straightforward way, with an introduction, conclusion, and then three analytical chapters, one for each of the novels. The introduction is expansive, offering both brief surveys of the nature of utopia and dystopia and a recounting of a number of themes taken up by dystopian texts: education, politics, gender roles, family life, and more. Layered onto this is a discussion of theorizing around knowledge and power and the transition from ignorance to understanding. The chapters focused on the individual novels are all similarly expansive. Atasoy offers biographical information about the authors along with considerations of the primary social and political events to which the authors might be responding. The analyses of the novels focus primarily on the motivations of the protagonists, but interspersed in the plot summaries are narrative cul-de-sacs explaining particular textual details (for example, the discussion of Theo's choice of the Greek statue of Diadoumenos as allocation to leave a note for the Warden [James, 37]). These [End Page 519] little detours are often interesting but can be distracting from the primary analytic focus.The analyses themselves also cover a lot of territory. The middle section of the chapter on The Children of Men (118–34) includes discussions of power, eugenics, religion, sexuality, punishment, assisted suicide, and immigration. Each of these is used to elucidate modes of social and political control wielded by the Warden, but the sheer number of issues included in the fast-moving analysis left me wanting more. Atasoy's analysis of Quietus nicely captures the ways in which James has created a world where the elderly are both encouraged and manipulated to end their lives for the good of the whole. This discussion fits especially well with the larger focus of his analysis on modes of social engineering. Fewer themes and more close readings like this one would have deepened the reading experience. But for anyone beginning a project on one of these novels, this book is a good place to start.This book begins and ends with the interesting contention that times of catastrophe diminish the literary production of utopia, and potentially the capacity for hope itself. While the point of this book is not to defend this claim empirically, it is one worth considering for any scholar of utopia, or any person interested in the potential of future change for the better. The book may underplay the fact of twentieth-century literary utopias (there is a brief discussion of the feminist utopias written in the 1970s and 1980s), but it is surely correct that there is an imbalance in the production of utopia in favor of dystopia. Utopias are more challenging to construct and potentially (especially in this day and time) less formulaic than dystopia, which is an increasingly popular (and marketable) genre.Kim Stanley Robinson noted in a recent interview that "[utopias] shape people's conception of what's possible that could be good in the future."1 Atasoy's book offers the possibility that a close reading of dystopian texts might well help us uncover other ways of finding out what future good is possible. By extolling the value of finding the... (shrink)

Forsyth (J Pers Soc Psychol 39(1): 175-184, 1980) argued that ethical ideology includes the two orthogonal dimensions of relativism and idealism. Relativists determine morality by looking at the complexities of the situation rather than relying on universal moral rules, while idealists believe that positive consequences can always be obtained without harming others. This study examined the role of ethical ideology as a moderator between justice and constructive and deviant reactions to injustice. Students with work experience (N = 200) completed Bennett (...) and Robinson's (J Appl Psychol 85(3): 349-360, 2000) measure of Workplace Deviance, Gill's (Reactions to injustice: Development and validation of a measure. Unpublished doctoral dissertation, University of Western Ontario, 2005) Reactions to Injustice measure, and the Ethics Position Questionnaire (Forsyth, 1980), and provided ratings of justice in their own workplace. Hierarchical regressions revealed a significant main effect of idealism on deviance and constructive behaviors, and three-way interactions between idealism, relativism, and some types of justice. These findings suggest that ethical ideology plays a significant role in predicting responses to injustice. (shrink)

"Joan Robinson: One Woman's Story' is a cinéma vérité style record of a woman's losing struggle against ovarian cancer. The film has been shown now twice on the American Public Television Network. It has received good notices primarily from the lay press. Yet the film depicts much that is out-of-date and much that is debatable. In general, we feel that it presents a depressing picture of the cancer patient. This was not Joan Robinson's intention and her (...) bravery only serves to highlight this picture of suffering with cancer. We point to specific flaws in the film. We then go on to account for why many reviewers seem to have been blind to these flaws. It is suggested that criteria for good works of art, for good public health information, and for admirable personal traits were confused. (shrink)

In 1937 Joan Robinson proposed that “when capitalism is rightly understood, the rate of interest will be set at zero and the major evils of capitalism will disappear”. A permanent zero rate would abolish capitalist profit except in limited cases, leaving nearly all output to be claimed by labour as wages. It would allow capital to be allocated on the basis of prospective social benefit rather than short-term profitability and a collateral basis that favours the wealthy. It would (...) remove some of the economic pressure to use resources unsustainably. So why not do this? I argue that the few available philosophical arguments for positive interest rates are unsatisfactory. Those who want a just and sustainable form of capitalism should target net zero for the interest rate. (shrink)

Topics in Cognitive Science, Volume 14, Issue 2, Page 388-399, April 2022.

Contraception works by preventing fertilization of an egg or preventing implantation of a fertilized embryo. For those who believe pregnancy begins at implantation, contraceptives preventing implantation are not abortifacient. However, for those who assert that pregnancy begins at fertilization, any agent causing the intentional loss of an embryo, even prior to implantation, is abortifacient, both morally and for lack of a different term to describe the postfertilization, preimplantation loss. In the debate on this topic, much of the discourse on both (...) sides wrongly focuses on the opposing side's perceived ignorance in denying scientifically proven definitions rather than on the substance of the conflict. Indeed, both sides accuse the other of prioritizing its “subjective” views over “objective” facts. In this essay, we unpack the scientific, cultural, and religious factors that underlie this debate. We argue that the only way to move forward is to clarify our terminology and engage with the substance of the argument, rather than merely the rhetoric. (shrink)

In this book, Claire Horisk argues that the real problem with so-called offensive jokes-such as racist, sexist, and ethnic jokes-is not that they are offensive but that they are harmful, because they transmit and reinforce stereotypes and ideas that contribute to a network of unjust disadvantage for the derogated group. She distinguishes between belittling jokes, which shore up unjust disadvantage for social groups, and disparaging jokes, which derogate powerful groups such as doctors but do not contribute to unjust disadvantage. (...) She uses philosophy of language and linguistics to argue that both belittling and disparaging jokes communicate ideas by generalized conversational implicature, and to argue that defenses of derogatory remarks as 'just a joke' are inadequate, because jokes can be used to convey what people believe to be true. She focuses on jokes in ordinary conversation, showing that canonical accounts of cooperative conversation need to be enriched: Some people have greater power to shift the common ground of a conversation, and to introduce new presuppositions, than others, and there are alliances that exclude some parties to the conversation, and yet are powerful in setting the future course of the conversation. She also gives a new account of the morality of listening, arguing that sometimes people who listen to derogatory speech may be culpable for doing so. Throughout, she draws on a wealth of interdisciplinary evidence to support the book's claims and to explain why humor is an especially effective means of unjust discrimination. (shrink)

This paper explores the potential for an international political theory of care as an alternative to liberalism in the context of contemporary global politics. It argues that relationality and interdependence, and the responsibilities for and practices of care that arise therewith, are fundamental aspects of moral life and sites of political contestation that have been systematically denied and obfuscated under liberalism. A political theory of care brings into view the responsibilities and practices of care that sustain not just ‘bare life’ (...) but all social life, from nuclear and extended families to local, national and transnational communities. It disrupts and challenges the individualism of liberalism, and the associated valorization of ‘freedom’, ‘autonomy’, and ‘toleration’. Instead, it emphasizes an ontology of relationality and interdependence that accepts the existence of vulnerability without reifying particular individuals, groups or states as ‘victims’ or ‘guardians’. Furthermore, by demonstrating the gendered and raced nature of caring in the contemporary world—from the household to the transnational level—an international political theory of care challenges our received assumptions about ‘dependence’ in world politics, and opens up space to interrogate politically not only gender but race and other aspects of inequality in the global political economy. (shrink)

This text is the first Polish translation of Joan Riviere’s renowned article Womanliness as a Masquerade, first published in 1929 in The International Journal of Psychoanalysis. The title of the work refers to the dreams of a patient whose story Riviere recounts in the article. In her dreams, figures appear wearing masks to avoid disaster and harm. The titular “womanliness,” according to Riviere, is akin to such a mask—adopted to conceal masculinity and prevent retribution should its presence be revealed. (...) Riviere posits that women desiring masculinity might don a “mask of womanliness” to evade anxiety and potential punishment from men. The text is particularly significant as it blurs the boundary between what could be considered authentic womanliness and masquerade. Riviere further argues that both masquerade and womanliness serve as defensive mechanisms to protect against anxiety and should not be seen as primary forms of sexual enjoyment. This work has resonated profoundly within psychoanalytic and philosophical circles. It influenced Jacques Lacan—both in his early and later teachings—regarding femininity and its connections to castration and the phallus. Sixty years after its publication, the article became a cornerstone of third-wave feminist thought, inspiring scholars like Judith Butler and her poststructuralist perspective on gender performativity. Today, the text continues to be a critical reference not only in feminist, queer, and gender studies but also for philosophical and psychoanalytic inquiries. Thinkers like Alenka Zupančič, exploring the philosophical dimensions of sex, frequently draw upon Riviere's analyses, even when critically engaging with them. (shrink)

Franz Anton Mesmer (1734–1815), a physician who graduated from the University of Vienna, invented a therapy based on the concept of a universal fluid, similar to electricity, that flowed through all living things. By restoring the circulation of this fluid in the nerves of human bodies, he believed he could cure illness without resorting to medication. Few medical theories have enjoyed as great success as Mesmer's, first among French high society and then in Germany, Switzerland, the Netherlands, Italy, Sweden, Russia, (...) Britain, and the US. Mesmerism was the circulatory phenomenon par excellence. Its success was founded not only on the hypothesis of the circulation of a fluid common to human physiology and the entire universe, but also on the scientific practices of the time—correspondence, translations, and periodicals—and some ardent and highly active supporters who ensured its spread. However, far from functioning along the lines of direct exportation–importation from one country to another, or a centre to the periphery, mesmerism's dissemination was the work of diffuse institutions and individual mobilities influenced by the modalities of communication. In seeking to reconstitute the wellsprings of these circulations, the first sources that come to mind are printed matter: the many pamphlets and especially the articles and reviews that appeared in periodicals, as well as the Romantic literature that flourished after 1810. Such documents are foundational for authoritative studies of mesmerism in Germany, which proceed from the thesis of successive “waves” of reception. Such sources, however, are somewhat misleading. Rather than taking them as our starting point, it would be better to reconstitute the channels of information by using many sources, both printed and handwritten. The complexity of the circulation of knowledge generated by mesmerism is implicitly testament to the difficulties arising from the institutionalization of this current. (shrink)

'Toute philosophie existante est militante' (La Nature ou le monde du silence) - Loin de constituer un paradoxe pour Merleau-Ponty, philosophie et militantisme se conjuguent au sein de son projet intellectuel. Sans renoncer à l'exigence et la rigueur phénoménologiques, il développe une pensée originale du politique où le philosophe a un rôle à jouer. Philosophie et militantisme sont renvoyés à leur source commune et originaire, l'engagement immémorial en un monde par le corps et la foi qui l'accompagne. Considérant à parts (...) égales philosophie et politique, cet ouvrage entend redessiner les contours de la pensée de Merleau-Ponty à égale distance de l'idéologie de l'idéal militant et de la philosophie de survol désengagée du monde qui l'entoure. Intransigeant, l'effort merleau-pontien le conduit à élaborer une forme neuve d'expression dans ses essais politiques habituellement délaissés par ses commentateurs et ici resitués dans l'économie générale de l'œuvre. Déconstruisant les figures d'autorité symbolique, le philosophe dévoile les sources vives des institutions. L'empiètement de la philosophie et de la politique, dont Merleau-Ponty interroge le bon usage, fait ainsi de la philosophie un contre-pouvoir permanent. Corps-à-corps avec l'événement, inclassable, la philosophie militante de Merleau-Ponty s'avère riche d'instruction pour le présent de l'action et de la pensée."--Page 4 of cover. (shrink)

The HOU-based analysis of ellipsis was shown byDalrymple et al. (1991) and Shieber et al. (1996) to correctly capture thecomplex interaction of VP-ellipsis, scope and anaphora and claimed toextend to further related phenomena. When applied to deaccenting, theanalysis makes a strong prediction, namely that all anaphors occurringin the deaccented part of a deaccented utterance are parallelanaphors, i.e., anaphors that resolve to their parallel counterpart inthe source. I argue that this prediction is supported by the data andshow that it correctly captures (...) the interaction of deaccenting withanaphora, (in)definiteness and focus. (shrink)

Prior research on sustainability suggests that ambitious sustainability strategies are often turned into “business-as-usual” practices. Although ecological embeddedness—that is, actors’ physical and cognitive anchoring in their ecological environment—can help maintain sustainability ambitions, its collective dynamics and pluralistic moral foundations remain understudied. We rely on the economies of worth framework and the revelatory case of a biodynamic farm business experiencing sustained commercial growth to explore these blind spots by analyzing how ecological embeddedness was maintained despite this growth. We found that moral (...) threats moved the organization away from its initial sustainability commitment and demonstrated how the farm maintained its ecological embeddedness through three mechanisms that involved multiple moral foundations: nurturing ecological inspiration, networking green projects, and unifying a green ethos. By inducing such mechanisms of moral recombination, our analysis advances sustainability studies by clarifying and bridging individual and collective dynamics of ecological embeddedness while revealing their multiple moral foundations; we also extend economies of worth research by demonstrating the role of ecological materiality in the alignment of organizations with the green world. (shrink)

Major depressive disorder is a highly prevalent psychiatric disorder, and recurrent depression is associated with severe and chronic impairment. Identifying markers of risk is imperative to i...

Cet article traite des stratégies de lecture inductive spécifiques que les lecteurs du Novum Organum sont invités à mettre en place afin de mieux saisir le sens que Bacon donne à l’induction dans cet ouvrage : un exercice d’apprentissage cognitif au cours duquel des inférences générales sont construites en faisant l’expérience directe des choses. Conséquence supplémentaire, le lecteur a également accès par l’induction à une forme de connaissance des composantes ultimes de l’être, car il découvre que toutes les choses de (...) la nature, animées et inanimées, sont mues par des stratégies inductives de survie conformes à l’idée de Bacon selon laquelle les mouvements sont des appétits. (shrink)

RESUMEN:Este trabajo tiene por objeto analizar la articulación entre la afirmación del carácter racional de la fe, esto es, su dimensión latitudinaria, el escepticismo epistemológico, y su derivación práctica en un concepto de tolerancia restringido al interior del protestantismo. Se subrayará, en este sentido, el carácter estratégico de la articulación entre racionalidad de la fe y escepticismo, en cuanto permite apelar a la ignorancia con vistas a la tolerancia, sin por ello dejar de sostener la interpretación protestante del cristianismo, en (...) detrimento de la interpretación católica.PALABRAS CLAVE:LOCKE - LATITUDINARISMO - ESCEPTICISMO - TOLERANCIA - PROTESTANTISMOABSTRACT:This paper aims to analyze the articulation between faith rationality assertion, i.e. its latitudinarian aspect, its epistemological skepticism, and its practical implication in a restricted concept of tolerance within Protestantism. In this regard, we will emphasize the strategic feature of the link between faith rationality and skepticism, as it allows appealing to ignorance towards tolerance, without dropping the Protestant interpretation of Christianity, to the detriment of Catholic interpretation.KEYWORDS:LOCKE - LATITUDINARIANISM - SKEPTICISM - TOLERATION - PROTESTANTISM. (shrink)

"[This book is] an... examination of how we can respond to suffering, live our fullest lives, and remain open to the full spectrum of our human experience"--Amazon.com.

This essay explores the problem of trust and truth in states of emergency. Drawing on Giorgio Agamben’s theory of biopolitics and his objections to political managerialism I argue that the real problem exposed by the pandemic was not a lack of trust in authority but an unscientific and uncritical attachment to expertise.