Background: The global COVID-19 pandemic has imposed challenges on healthcare systems and professionals worldwide and introduced a ´maelstrom´ of ethical dilemmas. How ethically demanding situations are handled affects employees’ moral stress and job satisfaction. Aim: Describe priority-setting dilemmas, moral distress and support experienced by nurses and physicians across medical specialties in the early phase of the COVID-19 pandemic in Western Norway. Research design: A cross-sectional hospital-based survey was conducted from 23 April to 11 May 2020. Ethical considerations: Ethical approval granted (...) by the Regional Research Ethics Committee in Western Norway (131421). Findings: Among the 1606 respondents, 67% had experienced priority-setting dilemmas the previous two weeks. Healthcare workers who were directly involved in COVID-19 care, were redeployed or worked in psychiatry/addiction medicine experienced it more often. Although 59% of the respondents had seen adverse consequences due to resource scarcity, severe consequences were rare. Moral distress levels were generally low (2.9 on a 0–10 scale), but higher in selected groups (redeployed, managers and working in psychiatry/addiction medicine). Backing from existing collegial and managerial structures and routines, such as discussions with colleagues and receiving updates and information from managers that listened and acted upon feedback, were found more helpful than external support mechanisms. Priority-setting guidelines were also helpful. Discussion: By including all medical specialties, nurses and physicians, and various institutions, the study provides information on how the COVID-19 mitigation also influenced those not directly involved in the COVID-19 treatment of patients. In the next stages of the pandemic response, support for healthcare professionals directly involved in outbreak-affected patients, those redeployed or those most impacted by mitigation strategies must be a priority. Conclusion: Empirical research of healthcare workers experiences under a pandemic are important to identify groups at risks and useful support mechanisms. (shrink)

Backgrounds Most countries are facing increased pressure on healthcare resources. A better understanding of how healthcare providers respond to new demands is relevant for future pandemics and other crises. Objectives This study aimed to explore what nurses and doctors in Norway reported as their main ethical challenges during two periods of the COVID-19 pandemic: February 2021 and February 2022. Research design A longitudinal repeated cross-sectional study was conducted in the Western health region of Norway. The survey included an open-ended question (...) about ethical challenges among doctors and nurses in hospital departments. Free-text comments were analysed using Systematic Text Condensation and also presented in a frequency table. Ethical considerations Ethical approval was granted by the Regional Research Ethics Committee in Western Norway (131,421). All participants provided consent when participating in the study. Results In 2021, 249 and in 2022, 163 healthcare professionals responded to the open-ended question. Nurses and doctors reported three main categories of ethical challenges related to the COVID-19 pandemic: (1) barriers that hindered them in acting as they ethically would have wanted to do; (2) priority-setting dilemmas linked to overtreatment, transfer of resources and ranking patient needs; and (3) workload expansion threatening work–life balance and employees’ health. Category one comprised of resource barriers, regulatory barriers, system barriers, and personal barriers. Regulatory barriers, especially visitor restrictions for next-of-kin, were the most frequently reported in 2021. Resource barriers, related to the increased scarcity of qualified staff, were most frequently reported in 2022. Clinicians stretched themselves thin to avoid compromising on care, diagnostics, or treatment. Conclusions Developing clinicians’ ability to handle and cope with limited healthcare resources is necessary. To foster resilience and sustainability, healthcare leaders, in collaboration with their staff, should ensure fair priority-setting and initiate reflections among doctors and nurses on what it implies to provide ‘good enough’ care. (shrink)

One important aspect of the nurse-patient relationship is nurses’ attitudes towards their patients. Nurses’ attitudes towards people with dementia have been studied from a wide range of approaches, but few authors have focused on the structure of these attitudes. This study aimed to identify a structure in licensed practical nurses’ attitudes towards people with dementia. Twenty-one group dwelling units for people with dementia at 11 nursing homes participated in the study. A total of 1 577 assessments of 178 patients were (...) sent out to 181 respondents and 1 237 answers were returned. The semantic differential technique was used. The scale had 57 bipolar pairs of adjectives that estimate an unknown number of dimensions of nurses’ attitudes towards an identified patient. The assessments were analysed using entropy-based measures of association combined with structural plots. The analysis revealed four dimensions, which related to licensed practical nurses’ opinions of the patients: an ethical and aesthetic dimension; an ability to understand; an ability to experience; and an ability for social interaction. The results of the study indicated that, on the positive to negative attitude continuum, the nurses’ attitudes fell at the positive to neutral end. This is an important finding owing to the personhood perspective, from which it is reasonable to assume that, with a more positive attitude to people with dementia, the prerequisites for person-centred care will improve. (shrink)

The essays in this provocative collection survey and assess institutional arrangements that offer possible alternatives to capitalism as it exists today. The point of departure agreed upon by the contributors is that on the one hand, capitalism produces unemployment, a lack of autonomy in the workplace, and massive income inequalities; while on the other, central socialist planning is characterized by underemployment, inefficiency, and bureaucracy. In Part I of the volume, various alternatives are proposed: profit-sharing systems, capitalism combined with some central (...) planning, worker-owned firms in a market economy into a centrally planned economy, as has occurred recently in Hungary. Part II provides a theoretical analysis and assessment of these systems. This book is the first to cover such a wide range of subjects as central planning, market socialism, and profit sharing. It will prove indispensable to political and social scientists, and economists. (shrink)

In this paper I seek to answer two interrelated questions about pleasures and pains: (i) The question of unity: Do all pleasures share a single quality that accounts for why these, and only these, are pleasures, and do all pains share a single quality that accounts for why these, and only these, are pains? (ii) The question of commensurability: Are all pleasures and pains rankable on a single, quantitative hedonic scale? I argue that our intuitions draw us in opposing directions: (...) On the one hand, pleasures and pains seem unified and commensurable; on the other hand, they do not. I further argue that neither intuition can be abandoned, and examine three different paths to reconciliation. The first two are response theory and split experience theory. Both of these, I argue, are unsuccessful. A third path, however—which I label “dimensionalism” —succeeds. Dimensionalism is the theory that pleasure and pain have the ontological status as opposite sides of a hedonic dimension along which experiences vary. This view has earlier been suggested by C. D. Broad, Karl Duncker, Shelly Kagan, and John Searle, but it has not been worked out in detail. In this paper I work out the dimensionalist view in some detail, defend it, and explain how it solves the problem of the unity and commensurability of pleasures and pains. (shrink)

This article investigates how the Norwegian author Karl Ove Knausgård in My struggle uses his existential reading of 1914 and World War I to nuance our general understanding of the war. Knausgård wants to demonstrate that the collective enthusiasm, which took millions of men by storm, was existentially motivated. The war was able to give the soldiers a sense of meaning, a project and a community; feelings they needed in their civilian lives. Furthermore, Knausgård uses his reading of World (...) War I to make a connection between the soldier’s fight and his own struggle. On the basis of his existential reading of World War I, Knausgård is able to formulate a literary poetics and existential experience. Therefore, Knausgård is able to actualize World War I. (shrink)

Artiklens fokus er begrebet folk, der udgør et af sprogets mest komplekse og kon- fliktfyldte begreber. Artiklen belyser den semantiske og idehistoriske transforma- tionsproces, som begrebet folk undergår: fra primært at være forbundet med hus- stand og slægt til at blive knyttet sammen med nation og demokrati. I det ældre danske sprog blev ordet folk anvendt om samfundets laveste stand, bondestand og brugt synonymt med begreber som almue, tyende, tjenere, hob og mængde. Men fra slutningen af 1700-tallet og frem blev (...) begrebet gradvist omdefineret og ordet folk knyttet sammen med begreber som nation, kultur, sprog og folkesuverænitet. Der er tale om en langstrakt proces, hvor et gammelt sprogligt paradigme efter- hånden bliver overtrumfet af et nyere. Dog uden at den ældre betydning af ordet folk forsvinder. Transformationsprocessen belyst ved hjælp af ordbøger og politiske tænkere som Jean-Jacques Rousseau, Johann Gottfried Herder, Karl Marx og Frie- drich Engels såvel som N.F.S. Grundtvig. (shrink)

A conceptual analysis of falsificationism is performed, in which the central falsificationist thesis is divided into several components. Furthermore, an empirical study of falsification in science is reported, based on the 70 scientific contributions that were published as articles in Nature in 2000. Only one of these articles conformed to the falsificationist recipe for successful science, namely the falsification of a hypothesis that is more accessible to falsification than to verification. It is argued that falsificationism relies on an incorrect view (...) of the nature of scientific inquiry and that it is, therefore, not a tenable research methodology. (shrink)

A profound, original, and accessible book that argues that a faith not in God or eternal life, but in the finite, temporal life we lead here on earth is one that gives that life far greater depth of meaning. A manifesto for a truly secular faith that speaks eloquently to both believers and agnostics alike. The philosopher and critic Martin Hägglund believes that we need a new way of thinking about faith. In contrast to the traditional religious faith in eternity, (...) he proposes a secular faith in the value of living in time. He argues that the concept of an eternal heaven actually renders our mortal life meaningless since it assumes that our ultimate aims should be to escape it. Engaging writers and thinkers as diverse as C. S. Lewis, Kierkegaard, St. Augustine, Nietzsche, Martin Luther, and even Karl Ove Knausgaard, Hägglund provides not only a critique of religious ideals, but also a positive, alternative understanding of the beliefs and values that can motivate us to live lives of meaning in the here and now. (shrink)

The concept of “the body without organs” takes up a great part of the oeuvre of Deleuze and Guattari. Yet, it is difficult to answer their question–“How do you make yourself a body without organs?”–or to understand their answer. In this paper I propose that the body without organs is an ethical concept. To support this assertion, I relate, especially, Deleuze’s thought on the Norwegian author Karl Ove Knausgård’s auto-fictive project, My Struggle, suggesting that My Struggle can be read (...) as a body without organs. By doing so, I aim at two things: first, to illustrate a possible application of Deleuze’s ethic, and second, to show how such an ethic may guide us regarding what we ought to do. (shrink)

These days there are many different understandings and definitions of the term aesthetics. Sometimes it is regarded as identical to the pleasing or the sensual, other times it has a more workaday meaning, being associated with e.g. a well-stocked lunch table. The common denominator, however, is that aesthetics is understood as something that can be recorded in the real world, having been assigned an independent existence. The concept has thus undergone ‘ontological dumping’, by which we understand that an analytical concept (...) has become a “thing in the world”, i.e. an epistemological state has been transformed into an ontological state. The problem with this is that what can potentially be used to understand has instead turned into something to be understood. In the endeavour not to downgrade the epistemological dimension in favour of the experiential dimension, we attempt in this article to re-establish aesthetics as an analytical concept: Something to be seen with – instead of something that is seen. In addition, we put it into perspective alongside culture and art, which we feel has undergone the same ontological dumping. The article concludes with some reflections on the implications this may have for educational practice. As its theoretical springboard, the article takes the philosopher Jean-François Lyotard, drawing its exemplary material from the Norwegian author Karl Ove Knausgård. (shrink)

Quoting Flaubert through time, Mieke Bal and Michelle Williams Gamaker’s Madame B brings Madame Bovary’s reflections on love and emotions to the present day, in a productive anachronism. Their work produces an intertemporal space where the past is relevant for the present, and the present enables us to understand the past. Intimacy and routine are central in their exploration of Flaubert’s contemporaneity. Those issues are precisely one of the keys in Karl Ove Knausgård’s project of literary autobiography, where he (...) expands narration foreclosing the ellipsis and giving visibility to small things and emotions; a project with some resonances with Munch’s crude-obscene uses of intimacy. This essay explores how both proposals, Bal and Williams Gamaker in film, and Knausgård in literature, can serve us to connect present and past sensibilities and, more than that, demonstrate resistances to the hegemonic discourses of temporality. (shrink)

In a contemporary world where political, environmental, and personal crises succeed one another without respite, it is no surprise that many resort to either nihilism or despair. From the Heart gives us reasons why we should still care--about anything. It finds support in authors as diverse as Friedrich Nietzsche and Saint Augustine, Soren Kierkegaard and Karl Ove Knausgaard, and in modern and contemporary artists such as Tehching Hsieh, Bas Jan Ader, and Christian Boltanski-all of whom provide material for a (...) rich, rewarding, heartfelt meditation. It speaks personally about "big questions," drawing on memoir, the arts, philosophy, religious traditions, and science. What does it mean for a heart to fail, to break, and what does it take to recover? Jeffrey Kosky shows us that attentive immersion in the natural and social worlds brings joy in both sickness and health, dying and living. (shrink)

Jack Miles, a former member of the Society of Jesus (Jesuits), and Mark Taylor, a philosophical atheist, have both in different ways brought religious and philosophical concerns into the wider world. Approaching the end of their careers as well as the end of their lives, they were prompted by the advent of a deadly pandemic amid worldwide political crises to think through matters of "ultimate concern": what is the human self, embedded as it is in a cosmos of nonhuman and (...) artificial intelligences? Within this larger ecology, what is the meaning of individual death? And can philosophy help us intellectually, emotionally, and spiritually understand and accept our fundamental impermanence? The authors' sense of urgency about their impending mortality, the worth of a life, the grief of loss and what was left undone, the fragility of existence, the uncertainty of the ending permeate their conversations. Readers will be drawn into the inner lives, the hidden fears and emotions, the existential dread experienced by these two exceptional philosophers facing life's close in extraordinary times when both annihilation and revolutionary new beginnings seem equally possible. The authors glean insight from Kierkegaard and Weil, Dickinson and Baldwin, Nagarjuna and Mahavira, Bateson and El Greco, leavened with a little Gluck, Auden, Borges, Ella Fitzgerald, and Hamilton. Reminiscent of the intimate conversations in "My Dinner with Andre," they confront an unknown future. Combining the diary's closeness to the self with the reflection of the personal letter much as Karl Ove Knausgaard combines diary with novelistic realism, these two distinctive voices are uncompromising, immediate, and raw. At the book's end they decide that their dialogue "will continue to change us even after one of us, perhaps both of us, dies." Ghosts may not be holy spirits, but even an atheist can believe that they are real. (shrink)

The goal of the present study was to examine the hypothesis that the ability to construct vivid mental images of the future involves sampling the contents of memory. In two experiments, participants envisioned future scenarios occurring in contextual settings that were represented in memory in varying degrees of perceptual detail. In both experiments, detailed contextual settings were associated with more detailed images of the future and a stronger subjective experience. Our findings suggest that the contents of memory are routinely sampled (...) during the construction of personal future scenarios. (shrink)

Argues that there are two distinct senses in which knowledge is incompatible with accidental truth - each of which can be traced to a distinct role played by everyday knowledge attributions.

The third in a series, this volume is a reference book of summaries of the main works in the Advaita tradition during the primary phase of its development in the sixth and seventh centuries A.D., up to and including the works of Samkara and his pupils. Originally published in 1981. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of (...) these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905. (shrink)

Karl Britton; The Truth of Religious Propositions, Analysis, Volume 3, Issue 1-2, 1 October 1935, Pages 21–27, https://doi.org/10.1093/analys/3.1-2.21.

Theoria, Volume 87, Issue 1, Page 3-6, February 2021.

One of the most important texts for understanding the early work of Karl Barth.

No aConsiders the question of how far the different ‘closeness’ relations, indexed by worlds, in a given model for counterfactual conditionals may be derived from a common source. Counterbalancing some well-known negative observations, we show that there is also a strong positive answer.

Karl Britton; VII*—Concepts of Action and Concepts of Approval, Proceedings of the Aristotelian Society, Volume 73, Issue 1, 1 June 1973, Pages 105–118, https:/.

A primer of the often overlooked yet significant writings of Marx on religion.

Der heftige Streit um Hannah Arendts 'Eichmann in Jerusalem' stiess 1963 Karl Jaspers' Versuch über Sinn und grenzen unabhängigen Denkens an. Die Fragment gebliebenen Texte bezeugen ein zentrales, jedoch bislang wenig bekanntes Anliegen seines gesamten Philosophierens im Spannungsfeld zwischen Metaphysik, Existenzphilosophie und politischer Philosophie. Gerade in seiner Unabgeschlossenheit spiegelt sich der offene und prekäre Übungscharakter eines Ringens um Freiheit an den Grenzen einer stets bedrohten Solidarität, das sich nicht zuletzt in philosophischer Polemik aussert."--Dust jacket.

This paper discusses various problems of explanations by mechanisms. Two positions are distinguished: the narrow position claims that only explanations by mechanisms are acceptable. It is argued that this position leads to an infinite regress because the discovery of a mechanism must entail the search for other mechanisms etc. Another paradoxical consequence of this postulate is that every successful explanation by mechanisms is unsatisfactory because it generates new ``black box'' explanations. The second – liberal – position that is advanced in (...) this paper regards, besides explanations by mechanisms, also the discovery of bivariate correlations as a first step of an explanation by mechanisms as meaningful. It is further argued that there is no contradiction between causal analysis and the explanation by mechanisms. Instead, explanations by mechanisms always presuppose the analysis of causal structures (but not vice versa). The final point is that an explanation by mechanisms is not inconsistent with the Hempel-Oppenheim scheme of explanation. (shrink)