Background: The importance of trust between patients and healthcare personnel is emphasised in nurses’ and physicians’ ethical codes. Trust is crucial for an effective healthcare personnel–patient relationship and thus for treatment and treatment outcomes. Cultural and linguistic differences may make building a trusting and positive relationship with ethnic minority patients particularly challenging. Although there is a great deal of research on cultural competence, there is a conspicuous lack of focus on the concepts of trust and distrust concerning ethnic minority patients, (...) particularly in relation to the concept of ‘othering’. Aim: To study which factors help build trust or create distrust in encounters between healthcare professionals and hospitalised ethnic minority patients, as well as study the dynamic complexities inherent within the process of ‘othering’. Research design: Qualitative design, in-depth interviews and hermeneutic analysis. Participants and research context: The interviewees were 10 immigrant patients (six women and four men – eight Asians, two Africans – ages 32–85 years) recruited from a south-eastern Norwegian hospital. Ethical considerations: Study approval was obtained from the hospital’s Privacy Ombudsman for Research and the hospital’s leadership. Participation was voluntary and participants signed an informed consent form. Conclusion: Distrust and othering may be caused by differences in belief systems, values, perceptions, expectations, and style of expression and behaviour. Othering is a reciprocal phenomenon in minority ethnic patient–healthcare personnel encounters, and it influences trust building negatively. Besides demonstrating general professional skill and competence, healthcare personnel require cultural competence to create trust. (shrink)

The first of its kind, this book provides a full account of 'referential expressions' in language. It offers an integrated framework, which combines perspectives from functional grammar and cognitive linguistics with psycholinguistic evidence. It is essential reading for academic researchers in syntax, discourse analysis and cognitive linguistics.

More than entertainment and beyond salutary reading to take a step back from the COVID-19 crisis, this novel by Martin Winckler is meant to be a source of inspiration and even a self-fulfilling prophecy of which it is up to us to become a part.

Co-authored by a Computer Scientist and a Digital Humanist, this article examines the challenges faced by cultural heritage institutions in the digital age, which have led to the closure of the vast majority of born-digital archival collections. It focuses particularly on cultural organizations such as libraries, museums and archives, used by historians, literary scholars and other Humanities scholars. Most born-digital records held by cultural organizations are inaccessible due to privacy, copyright, commercial and technical issues. Even when born-digital data are publicly (...) available, users often need to physically travel to repositories such as the British Library or the Bibliothèque Nationale de France to consult web pages. Provided with enough sample data from which to learn and train their models, AI, and more specifically machine learning algorithms, offer the opportunity to improve and ease the access to digital archives by learning to perform complex human tasks. These vary from providing intelligent support for searching the archives to automate tedious and time-consuming tasks. In this article, we focus on sensitivity review as a practical solution to unlock digital archives that would allow archival institutions to make non-sensitive information available. This promise to make archives more accessible does not come free of warnings for potential pitfalls and risks: inherent errors, "black box" approaches that make the algorithm inscrutable, and risks related to bias, fake, or partial information. Our central argument is that AI can deliver its promise to make digital archival collections more accessible, but it also creates new challenges - particularly in terms of ethics. In the conclusion, we insist on the importance of fairness, accountability and transparency in the process of making digital archives more accessible. (shrink)

ABSTRACTLawyers are increasingly called upon to deal with older clients and have ethical responsibilities to attest to their capacity for legal decision-making. As witnesses to enduring documents, the making of wills and other significant advance planning transactions, lawyers play a role in preventing elder abuse and in upholding the rights of older people. To date however, there has been very little empirical research examining how lawyers assess an older person’s legal decision-making capacity. This article presents research examining three years of (...) capacity complaints made to the New South Wales Office of Legal Services Commissioner. Four case studies from the complaint files expose some common failings in the way that lawyers interact with older clients who have experienced cognitive impairment. The process of capacity assessment is viewed through the theoretical lens of vulnerability to highlight how the actions of lawyers and regulators can exacerbate the inherent and situational vulnerability of o... (shrink)

Discussion about a dignified death has almost exclusively been applied to palliative care and people dying of cancer. As populations are getting older in the western world and living with chronic illnesses affecting their everyday lives, it is relevant to broaden the definition of palliative care to include other groups of people. The aim of the study was to explore the views on dignity at the end of life of 12 elderly people living in two nursing homes in Sweden. A (...) hermeneutic approach was used to interpret the material, which was gathered during semi-structured interviews. A total of 39 interviews were transcribed. The analysis revealed three themes: (1) the unrecognizable body; (2) fragility and dependency; and (3) inner strength and a sense of coherence. (shrink)

A recent single cell mRNA sequencing study by Dueck et al. compares neuronal transcriptomes to the transcriptomes of adipocytes and cardiomyocytes. Single cell ‘omic approaches such as those used by the authors are at the leading edge of molecular and biophysical measurement. Many groups are currently employing single cell sequencing approaches to understand cellular heterogeneity in cancer and during normal development. These single cell approaches also are beginning to address long‐standing questions regarding nervous system diversity. Beyond an innate interest in (...) cataloging cell type diversity in the brain, single cell neuronal diversity has important implications for neurotypic neural circuit function and for neurological disease. Herein, we review the authors’ methods and findings, which most notably include evidence of unique expression profiles in some single neurons. (shrink)

Adaptation demands effective responses to both recurrent and novel environmental challenges. Developmental plasticity and domain-general mechanisms have important consequences with respect to our human capacity for imagining, creating, and adapting to novel environments. They facilitate the evolution of any cognitive mechanism, no matter how opportunistic, flexible, or domain-general, that is able to solve new problems or achieve new goals.

Dans cet ouvrage collectif, l'article de Guy Bouchard intitulé "Féminisme, utopie, philosophie" offre d'abord une définition du féminisme et de ses tendances. Il examine ensuite les liens entre le féminisme et la philosophie, laquelle, historiquement, s'est révélée dans l'ensemble à la fois masculine et masculinise. Finalement, il explore les rapports du féminisme à l'hétéropolitique, c'est-à-dire au thème de la société idéalisée soit sur le mode de la fiction (utopie), soit sur celui de la discursivité théorique (para-utopie), afin de faire ressortir (...) les enjeux du rapport des femmes tant à la philosophie qu'à la société nouvelle. (shrink)

Résister à teinter l’information dans un monde polarisé, ainsi pourrait se résumer le principal défi des salles de presse contemporaines, soumises à la transmission rapide et à une circulation de l’information qui n’a pas toujours le luxe du temps et donc, du nécessaire recul pour bien témoigner des faits. Lise Millette, journaliste à la Presse Canadienne et rédactrice en chef de la revue Trente, croit que l’heure n’est plus à la hantise des médias sociaux, mais qu’en revanche, les journalistes (...) doivent s’imposer eux-mêmes des normes d’utilisation et assumer leurs responsabilités professionnelles. Les débats polarisés de la der­nière année ont plus que jamais divisé le Québec. Ces scissions ont pris d’assaut les réseaux sociaux, qui sont devenus le carrefour et le nerf d’une guerre de mots. Les journalistes ont été sur les lignes de front que sont le terrain et la couverture quotidienne, mais ils ont aussi été confrontés à leurs propres réflexions. La profession journalistique exige de la rigueur. Les responsabilités de la presse sont grandes, comme le sont les attentes du public. (shrink)

In recent years, policymakers have begun to problematize how legislation stands in the way of the digitalization of the public sector. We are witnessing the emergence of a new phenomenon, digital-ready legislation, which implies that, whenever possible, new legislation should build on simple rules and unambiguous terminology to reduce the need for professional discretion and allow for the extended use of automated case processing in public-sector organizations. Digital-ready legislation has potentially wide-ranging consequences because it creates the conditions for how public (...) organizations are digitalized. The processes, practices, choices, and responsibilities for drafting digital-ready legislation, however, are not well-described or debated. Digital-ready legislation is a dormant issue. This paper develops the notion of the “double darkness” of digitalization to account for this. Based on a qualitative study, the paper investigates how digital-ready legislation as a sociotechnical arrangement is shaped by policy tools and by a complex, collaborative process where responsibility for legislation is fragmented. It argues that although the policy tools are aimed at making actors responsible for digitalization and creating clarity about the process, actors seem to be reluctant to take on the responsibility for making political decisions related to digitalization. (shrink)

The value of diaconia is difficult to measure, its immaterial assets not easily grasped. In this article, I contribute to the area in analysing the perspective of 22 deacons on what is most important in their job and what could potentially be of greatest value if there were no restrictions of money and other resources. Data were collected in the midst of the Corona crisis in 2021 in the Porvoo diocese in the Evangelical Lutheran Church of Finland. The timing of (...) data collection therefore coincides with a unique chance to rethink ways of doing things. International research shows that the religious heritage of diaconia has changed from merely supporting people in need to also advocating marginalized groups and building bridges to other actors. This intangible heritage is sensitive to changes in society, whereby latent sources of value creation may be traced. Key contributions are identifying new areas of development of this religious heritage and assessing the value creation taking place – now and in a potential future. For this, understanding the changed role of diaconia in society and in the church are central. (shrink)

Paranormal beliefs (PBs), such as the belief in the soul, or in extrasensory perception, are common in the general population. While there is information regarding what these beliefs correlate with (e.g., cognitive biases, personality styles), there is little information regarding the causal direction between these beliefs and their correlates. To investigate the formation of beliefs, we use an experimental design, in which PBs and belief-associated cognitive biases are assessed before and after a central event: a magic performance (see also Mohr (...) et al., 2018 ). In the current paper, we report a series of studies investigating the “paranormal potential” of magic performances (Study 1, N = 49; Study 2, N = 89; Study 3, N = 123). We investigated (i) which magic performances resulted in paranormal explanations, and (ii) whether PBs and a belief-associated cognitive bias (i.e., repetition avoidance) became enhanced after the performance. Repetition avoidance was assessed using a random number generation task. After the performance, participants rated to what extent the magic performance could be explained in psychic (paranormal), conjuring, or religious terms. We found that conjuring explanations were negatively associated with religious and psychic explanations, whereas religious and psychic explanations were positively associated. Enhanced repetition avoidance correlated with higher PBs ahead of the performance. We also observed a significant increase in psychic explanations and a drop in conjuring explanations when performances involved powerful psychic routines (e.g., the performer contacted the dead). While the experimentally induced enhancement of psychic explanations is promising, future studies should account for potential variables that might explain absent framing and before–after effects (e.g., emotion, attention). Such effects are essential to understand the formation and manipulation of belief. (shrink)

A recent qualitative study published in Neuroethics by Schembs and colleagues explores how functional neurodiagnostics of consciousness inform surrogate decision making in cases of disorders of consciousness. In this commentary, we argue that the chosen methodology significantly limits the scope of the potential conclusions and suggest an embedded ethnographic approach of co-presence as an alternative.

This article employs the concept of respectability and the discursive representation of gender equality policies to discuss how surrogacy is represented in Nordic parliamentary debates and policy documents. The article’s objective is to study how respectability, problems and equality are represented and discursively and rhetorically produced through a comparative study of Finnish and Norwegian political discourses on domestic unpaid surrogacy and cross-border commercial surrogacy. The article uses rhetorical and discursive analysis to analyse the Finnish and Norwegian Parliaments’ bills, members’ initiatives (...) and proceedings from 2002 to 2018. Finland’s policy on surrogacy has evolved from an unregulated and permissive approach towards a more restrictive one, with discourses focusing on medicalisation, equality, altruism and safety concerning domestic surrogacy and problems and risks concerning cross-border surrogacy. Norway’s policy on surrogacy has been restrictive consistently, with discourses focusing on surrogacy as a transnational social problem involving exploitation of women and children, and biocentrism. Analysing surrogacy regulation in Nordic welfare states, the author concludes that policies and parliamentary debates in both countries have expressed expectations for inclusive health policies and social security for families. Cross-border surrogacy is characterised as an unwanted consequence of globalisation and marketisation of reproduction. Surrogate mothers’ respectability is constructed through rhetoric on differences in terms of nationality, class and binary representations of female caring and instrumentalism. (shrink)

Cette étude, qui s’inscrit dans le cadre de la Théorie des Opérations Énonciatives élaborées par A. Culioli, consiste en l’examen du fonctionnement du marqueur to, lorsque celui-ci intervient en position initiale détachée pour introduire un terme référant à un animé humain. Cet animé humain constitue alors la subjectivité de référence sur le contenu exprimé par la relation prédicative. Dans cet article, nous nous intéressons au statut de cet animé humain : s’agit-il d’une source énonciative ou d’un simple sujet point de (...) vue? Par ailleurs, nous confrontons to aux marqueurs according to et for, dans le but de dégager les spécificités de ce marqueur et le rôle qu’il joue dans la construction du sens de l’énoncé. (shrink)

This historiographical essay is based on a survey of fields of historical research capable of shedding light on the evolution of practices and representations of naked or undressed bodies. It sets out to explore the dialectical link between nakedness, gender identities and gender relationships in France during the second half of the nineteenth century. The variety of representations of nakedness, central to the construction of feminine and masculine archetypes, constitutes an essential element in the perpetuation of masculine domination. Paradoxically, by (...) the turn of the twentieth century, nakedness was a tool that enabled the individual liberation of female pioneers – actresses and swimmers – who embraced new representations of the human body, thus subverting the gender norms of bourgeois culture and achieving unprecedented access to autonomy and freedom. (shrink)

Στο άρθρο εκτίθενται τα αποτελέσματα των ανασκαφικών τομών που πραγματοποιήθηκαν κάτω από τα ΤΜ III στρώματα της Συνοικίας Ν των Μαλίων. Η ανεύρεση αρχιτεκτονικών λειψάνων της παλαιοανακτορικής εποχής δηλώνει ότι το τμήμα της πόλης που βρίσκεται μεταξύ της Συνοικίας Γ και της Συνοικίας Μ είχε κατοικηθεί από τη MM IIB. Προτείνεται η αποκατάσταση της κάτοψης ενός σπιτιού του οποίου ήλθαν στο φως ορισμένα δωμάτια. Τα δωμάτια αυτά παρουσιάζουν αρχιτεκτονικά χαρακτηριστικά της παλαιοανακτορικής περιόδου: τοίχους, θρανία και σκάλες από πηλόχωμα με επάλειψη (...) κονιάματος, δάπεδα από μεγάλες πλάκες σκληρού ασβεστόλιθου και αρμούς από κονίαμα κόκκινου χρώματος. Η συναφής κεραμική χρονολογείται στη MM IIB φάση, όταν το σπίτι καταστράφηκε από πυρκαγιά. Τα αρχιτεκτονικά λείψανα κάτω από το νότιο τμήμα της Συνοικίας Ν υποδηλώνουν την παρουσία μιας άλλης παλαιοανακτορικής οικίας. (shrink)

The authors of the "Saṃnyāsa Upaniṣads", manuals of ascetic lifestyle and practice, recommend that wanderers renounce behavioral standards of their formerly Brahmin householder life, including ritual purity and familial duties. Patrick Olivelle argues that these ascetics are thereafter considered impure and corpse- or ghoul-like, clearly lacking in dharma. However, these Upanisads counsel pursuing mental purity and moral behavior, and modeling oneself after the perfection of the Absolute. This essay investigates ascetic notions of purity and identity, and virtues such as non-violence (...) and kindness cultivated in forest isolation. Is ascetic dharma universal in intent, and is it conceptually opposed to householder dharma? What type of ethics is admired by the authors, what type deprecated? Olivelle's position is reevaluated, as is Jeffrey Kripal's notion that monistic mysticism does not support ethics adequately. (shrink)

Background: In this study, we aimed to investigate the effects of a mindfulness program including Mindfulness-Based Stress Reduction on the mental health of student teachers when offered at their educational institution in a real-life context.Methods: A parallel randomized controlled trial was conducted among self-selected student teachers at a Danish undergraduate program for teacher education in the autumns of 2019 and 2020. Participation was not recommended in case of clinical depression or a diagnosis of psychosis or schizophrenia, abuse of alcohol, drugs, (...) and/or medicine. Randomization was performed by a Statistician who was blinded to the identity of the students. Data was collected using self-reported questionnaires. The primary outcome was a change in perceived stress 3 months from baseline. Secondary outcome measures were symptoms of anxiety and depression, well-being, resilience, mindfulness, and thoughts and feelings during rest. The effects were analyzed according to the intention-to-treat principle using mixed-effect linear regression models. Mediating effects of mindfulness skills on the mental health outcomes were explored using structural equation modeling.Results: The study group included 67 student teachers with 34 allocated to the intervention group ; and 33 students allocated to a waiting list control group. At baseline, mean Perceived Stress Scale scores were 18.88 in the intervention group and 17.91 in the waiting list control group. A total of 56 students completed the questionnaire at a 3-month follow-up. Statistically significant effects of the intervention were found on perceived stress, symptoms of anxiety and depression, well-being, and on three of seven resting-state dimensions. No effects were found on resilience or mindfulness. Statistically significant mediated effects via resting-state dimensions were found.Conclusion The findings suggested that offering a mindfulness program at an undergraduate program for teacher education could significantly improve the mental health among self-selected students within 3 months. Results of mediation analysis supported the hypothesis that some of the effects might be explained by reduced distracting thoughts.Clinical Trial Registration: [www.ClinicalTrials.gov], identifier [NCT04558099]. (shrink)

Surgical castration of sex offenders has been used in several countries to prevent sexual recidivism and is still practiced in several states in the United States. In Europe, it has remained in limited use in Germany and in the Czech Republic (Douglas et al. 2013). Since the 1960s, most jurisdictions have replaced irreversible surgical castration of sex offenders with reversible chemical castration with anti-androgen drugs. In Denmark, use of surgical castration was stopped in 1970, and since the late 1980s, serious (...) sex offenders have on a trial basis been treated with anti-androgen drugs (Hansen and Lykke-Olesen 1997). In 1997, an official treatment program for sex offenders was introduced on a trial basis, and in 2011 this scheme was made permanent (Nielsen 2001).The first part of the scheme covers persons with a suspended sentence with conditions of sexological treatment. This program serves as an alternative to suspended sentences of up to one and a half years of prison for crimina. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy of Music Education Review 15.2 (2007) 177-179MuseSearchJournalsThis JournalContents[Access article in PDF]Reviewed byLise Vaugeois University of TorontoHildegard C. Froehlich, Sociology for Music Teachers:Perspectives for Practice (Upper Saddle River, NJ: Pearson Prentice Hall, 2007)Hildegard Froehlich's book, Sociology for Music Teachers, provides an important and much needed resource for undergraduate and advanced music education programs. Music students tend to see their interests and goals within a narrow framework, one that is (...) reinforced by the intensely personal nature of music-making as well as the material and psychological separation that inheres from our location in physically detached faculties of music. Froehlich's book provides a resource that directly addresses this tendency towards narrowness by inviting students to engage with sociological questions as they affect us personally, professionally, and in the context of questions much larger than ourselves.The book is organized into eight chapters, each of which explores a particular set of questions and introduces related studies and resources. She recommends that students actively engage with the material and provides suggestions for group discussion throughout the book. Each chapter introduces a comprehensive survey of related questions and the body of literature that investigates these questions. Thus, it can be used as the basis to structure an undergraduate course as well as a literature guide for graduate students.Undergraduate students are often resistant to exploring ideas beyond their [End Page 177] immediate conceptions of themselves as musicians and Froehlich addresses this resistance by discussing concepts about identity formation in the first chapter. Students are thus asked to consider a series of questions they can easily recognize as relevant to their own lives. She begins with the personal and the familiar and then brings in ideas that broaden the range of inquiry, gradually introducing concepts that challenge many of our assumptions about the meaning of music in different people's lives; the range of meanings possible within sounds and musical practices; the role of public education and various ways that music education functions within this larger system, and important questions about how we might conceive of ourselves as transmitters of extant cultural values or transformers of values and social relations.The chapter headings give an indication of the range of material introduced in her text: "The Performer and Teacher in You: A Matter of Identity"; "Teaching as Work: What Educational Sociologists Tell Us"; "Music Learning and Teaching as Socially Situated Acts"; "Music and Social Context: Macro, Micro, and Interactive Perspectives in Selected Texts on the Sociology of Music"; "Musical Meaning and Social Context: Thoughts by Selected Ethnomusicologists and Cultural Theorists"; "Sociology of Education: Major Theories and Their Connection to School Practice"; "Application of Sociological Constructs in Education to Music Schooling"; "Conclusion: You and the Big Picture." Each chapter gives a historical survey of the literature pertaining to the area of inquiry plus an introduction to contemporary writing. Competing discourses are introduced throughout.Froehlich's survey of disciplines that intersect with sociology is quite comprehensive. Amongst other disciplines, she includes foundational literature from musicology, philosophy of music education, sociology of education, and social psychology. The book is thus valuable as a resource for its bibliography alone. She also includes a glossary of terms, another feature that makes the book particularly helpful to undergraduate students. One writer I was surprised not to see included is Jacques Attali. His theoretical arguments on the relations of musical culture to economy provide a significant lens for considering the influence of music on social development and would have been an appropriate addition to the chapter on "Music and Social Context." I also missed work by musicologists and human geographers who have explored the role of race in music and music education.Related to these missing discourses, I have a major concern that is less a critique of Froehlich than an acknowledgement that this position has not yet been given sufficient consideration in our field, and to which Deborah Bradley refers as the "normative centering of whiteness."1 Froehlich bases her work on the assumption that her audience consists of a... (shrink)

A narrow focus on the jaw (or on motor generators) does not account for individual and language-specific differences in babbling and early speech. Furthermore, data from Yoshinaga-Itano's laboratory support earlier findings that show glottal rather than oral stops in deaf infants' babbling: audition is crucial for developing normal syllables.

BackgroundHealthcare professionals and surrogate decision-makers often face the difficult decision of whether to initiate or withhold antibiotics from people with dementia who have developed a life-threatening infection after losing decisional capacity.MethodsWe conducted a vignette-based survey among 1050 Quebec stakeholders (senior citizens, family caregivers, nurses and physicians; response rate 49.4%) to (1) assess their attitudes toward withholding antibiotics from people with dementia lacking decisional capacity; (2) compare attitudes between dementia stages and stakeholder groups; and (3) investigate other correlates of attitudes, including (...) support for continuous deep sedation (CDS) and medical assistance in dying (MAID). The vignettes feature a woman moving along the dementia trajectory, who has refused in writing all life-prolonging interventions and explicitly requested that a doctor end her life when she no longer recognizes her loved ones. Two stages were considered after she had lost capacity: the advanced stage, where she likely has several more years to live, and the terminal stage, where she is close to death.ResultsSupport for withholding antibiotics ranged from 75% among seniors and caregivers at the advanced stage, to 98% among physicians at the terminal stage. Using the generalized estimating equation approach, we found stakeholder group, religiosity, and support for CDS and MAID, to be associated with attitudes toward antibiotics.ConclusionsFindings underscore the importance for healthcare professionals of discussing underlying values and treatment goals with people at an early stage of dementia and their relatives, to help them anticipate future care decisions and better prepare surrogates for their role. Findings also have implications for the scope of MAID laws, in particular in Canada where the extension of MAID to persons lacking decisional capacity is currently being considered. (shrink)

The aim of this study was to synthesize the concepts from empirical studies and analyze, compare and interrelate them with normative ethics. The International Council of Nurses (ICN) and the Health and Medical Service Act are normative ethics. Five concepts were used in the analysis; three from the grounded theory studies and two from the theoretical framework on normative ethics. A simultaneous concept analysis resulted in five outcomes: interconnectedness, interdependence, corroboratedness, completeness and good care are all related to the empirical (...) perspective of the nurse’s interaction with the older patient, and the normative perspective, i.e. that found in ICN code and SFS law. Empirical ethics and normative ethics are intertwined according to the findings of this study. Normative ethics influence the nurse’s practical performance and could be supporting documents for nurses as professionals. (shrink)

Since the beginning of the last century, the Swiss school opened special classes to educate the most vulnerable students. Measures were put in place to develop specific practices related to the role assigned to the special education teacher. An investigation of interactional type has covered the process for reporting student at a preschool and elementary school levels. Qualitative analysis of teacher reports was conducted following the model of Goffman. The results highlight the role of the specialist teacher at the school. (...) This works as a barometer of the integration in school life, the practices of marginalization in regular classrooms and school exclusion of some students. (shrink)

Dans cet ouvrage collectif, l'article de Guy Bouchard intitulé "Comment émasculiniser l' écriture philosophique" met d'abord en lumière le sexisme qui a caractérisé tant la philosophie que le langage en général; il s'interroge ensuite sur les façons "d'émasculiniser" l' écriture philosophique et au niveau de la pensée, et à celui du langage.