The present study had two goals: to test the validity of Planned Happenstance Career Inventory in the Italian context and to explore the relations between PHC skills and vocational identity processes within a sample of 472 undergraduate students attending university in the southern of Italy. Moreover, we examined relations between the PHCI and measures of vocational identity processes. With regard to the first goal, results show that for the Italian version of the instrument was confirmed the multifactor structure of the (...) original version. The multi-group analyses showed that invariance between genders is supported. Convergent validity and divergent validity of the measure were reported. Concerning the second goal, the skills of planned happenstance show different associations with Vocational Identity Dimensions. As hypothesized, the exploration and commitment dimensions of vocational identity status are positive related to Planned Happenstance Skills. These findings suggest implications for career guidance and counseling. (shrink)

Tracing the concept of hexis contained in the Nicomachean Ethics, Jacopo Zabarella assumes that no disposition is a natural faculty originally present in man, and considers habitus as an acquired attitude that can be applied to ethical and theoretical virtues. With regard to the different mode of acquisition, Zabarella distinguishes theoretical habits, which are related to demonstrative procedures concerning necessary objects and transmitted through teaching, from ethical habits dealing with the contingent sphere of praxis, and consolidated through the reiteration of (...) good actions. As far as habits are forged by individual behaviour, leading to the consolidation of permanent dispositions, a problematic issue emerges, concerning repeated actions that can be virtuous or vicious as the result of personal moral choices. Through his re-reading of Aristotle, Zabarella underlines the role of personal responsibility in action. Although not new to the philosophical tradition, this approach is particularly significant, if considered as a philosophical answer to the issues on free will and self-determination raised by the theological approach of Reformation. The presence in the 16th century of the concept of habitus, which is characteristic of the Nicomachean Ethics, also testifies the persistence of Aristotelian practical philosophy. (shrink)

We show that modal logics characterized by a class of frames satisfying the insertion property are suitable for Reiter's default logic. We refine the canonical fix point construction defined by Marek, Schwarz and Truszczyński for Reiter's default logic and thus we addrress a new paradigm for nonmonotonic logic. In fact, differently from the construction defined by these authors. we show that suitable modal logics for such a construction must indeed contain K D4. When reflexivity is added to the modal logic (...) used for the fix point construction then we come to the Marek Schwarz and Truszczyński framework for Reiter's default logic. Our framework, in fact, is appropriate also to the family of modal logics in between S4 and S4f. If, instead, reflexivity is dropped, then we show that a new family of modal logics is gained, namely the modal logics in between KD4 and KD4Z. The upper bound can be extended to the modal logic KD4LZ whenever the propositional language taken into account is finite. (shrink)

Representatives from eight European countries compared the legal, ethical and professional settings within which decision making for neonates takes place. When it comes to limiting treatment there is general agreement across all countries that overly aggressive treatment is to be discouraged. Nevertheless, strong emphasis has been placed on the need for compassionate care even where cure is not possible. Where a child will die irrespective of medical intervention, there is widespread acceptance of the practice of limiting aggressive treatment or alleviating (...) suffering even if death may be hastened as a result. Where the infant could be saved but the future outlook is bleak there is more debate, but only two countries have tested the courts with such cases. When it comes to the active intentional ending of life, the legal position is standard across Europe; it is prohibited. However, recognising those intractable situations where death may be lingering and unpleasant, Dutch paediatricians have reported that they do sometimes assist babies to die with parental consent. Two cases have been tried through the courts and recent official recommendations have set out standards by which such actions may be assessed. (shrink)

Since the earliest formalisation of default logic by Reiter many contributions to this appealing approach to nonmonotonic reasoning have been given. The different formalisations are here presented in a general framework that gathers the basic notions, concepts and constructions underlying default logic. Our view is to interpret defaults as special rules that impose a restriction on the juxtaposition of monotonic Hubert-style proofs of a given logicL. We propose to describe default logic as a logic where the juxtaposition of default proofs (...) is subordinate to a restriction condition . Hence a default logic is a pair (L, ) where properties of the logic , like compactness, can be interpreted through the restriction condition . Different default systems are then given a common characterization through a specific condition on the logicL. We also prove cumulativity for any default logic (L, ) by slightly modifying the notion of default proof. We extend, in fact, the language ofL in a way close to that followed by Brewka in the formulation of his cumulative default system. Finally we show the existence of infinitely many intermediary default logics, depending on and called linear logics, which lie between Reiter's and ukaszewicz' versions of default logic. (shrink)

In this paper we address the problem of combining a logic with nonmonotonic modal logic. In particular we study the intuitionistic case. We start from a formal analysis of the notion of intuitionistic consistency via the sequent calculus. The epistemic operator M is interpreted as the consistency operator of intuitionistic logic by introducing intuitionistic stable sets. On the basis of a bimodal structure we also provide a semantics for intuitionistic stable sets.

Background: End-of-life decision-making for terminally ill neonates raises important legal and ethical issues. In Greece, no recent data on nurses’ attitudes and involvement in end-of-life decisions are available. Research question/aim: To investigate neonatal nurses’ attitudes and involvement in end-of-life decisions and the relation to their socio-demographic and work-related background data. Research design: A survey was carried out in 28 neonatal intensive care units between September 2018 and January 2019. A structured questionnaire was distributed by post. Participants and research context: The (...) questionnaire was answered anonymously by 312 nurses (response rate, 71.1%) and returned to the investigators. Ethical considerations: The study was approved by the Bioethics and Research Committee of Aretaieio Hospital in accordance with the Helsinki Declaration. Findings: Nurses more often reported involvement in various end-of-life decisions, such as continuation of treatment without adding further therapeutic interventions for terminally ill neonates, while less reported were mechanical ventilation withdrawal and drug administration to end life. Nurses with a high attitude score, reflecting a more quality-of-life approach, were more likely to be involved in setting limits to intensive care. α low score was consistent with life preservation. Nurses’ religiousness ( p = 0.097), parenthood ( p = 0.093), involvement in daily practice ( p = 0.03), and position on the existing legal framework ( p < 0.002) influenced their attitude score. Discussion: The likelihood of nurses to support interventions in neonates with poor prognosis in neonatal intensive care units was related to their attitudes. After adjusting for potential confounders, the most important predictors for nurses’ attitudes were parenthood, involvement in daily practice, and position supporting current legislation reform. Conclusion: Variability in involvement in end-of-life decisions among nurses exists on a national level. (shrink)

Next SectionObjectives A statute enacted in 2005 modified the legislative framework of the rights of terminally ill persons in France. Ten years after the EURONIC study, which described the self-reported practices of neonatal caregivers towards ethical decision-making, a new study was conducted to assess the impact of the new law in neonatal intensive care units (NICU) and compare the results reported by EURONIC with current practices. Setting and design The study was carried out in the same two NICU as in (...) the EURONIC qualitative study. A third centre was added to increase the sample size. From February to October 2007, 19 physicians and 17 nurses participated in semistructured interviews very similar to those for EURONIC. Content analysis identified the recurring themes emerging from the interviews. Results Compared with the EURONIC results, the caregivers reported that they pay greater attention to the views of parents and provided respectful support to the neonates when life-sustaining treatment is withdrawn. Active termination of life has become exceptional. The possibility of withdrawal of treatment, the administration of sedatives to control pain even at the risk of hastening death, the emphasis on sparing parents the burden of decision, and the relative ignorance of the law were very similar to the EURONIC findings. Conclusion Both the medical and the legal regulation of practices has allowed more dialogue with the parents and more humane care for dying newborns. A new European study is necessary to investigate the possible changes in practices and attitudes also in other countries. (shrink)

Background End-of-life decisions for neonates with adverse prognosis are controversial and raise ethical and legal issues. In Greece, data on physicians’ profiles, motivation, values and attitudes underlying such decisions and the correlation with their background are scarce. The aim was to investigate neonatologists' attitudes in Neonatal Intensive Care Units and correlate them with self-reported practices of end-of-life decisions and with their background data. Methods A structured questionnaire was distributed to all 28 Neonatal Intensive Care Units in Greece. One hundred and (...) sixty two out of 260 eligible physicians answered anonymously the questionnaire. Demographic and professional characteristics, self-reported practices and opinions were included in the questionnaire, along with a questionnaire of 12 items measuring physicians’ attitude and views ranging from value of life to quality of life approach. Results Continuation of treatment in neonates with adverse prognosis without adding further therapeutic interventions was the most commonly reported EoL practice, when compared to withdrawal of mechanical ventilation. Physicians with a high attitude score were more likely to limit, while those with a low score were more likely for continuation of intensive care. Physicians’ educational level, involvement in research, religion and position on the existing legal framework were factors that affected the attitude score. Conclusions Physicians presented with varying end-of-life practices. Limiting interventions in neonates with poor prognosis was strongly related to their attitudes. The most important predictors for physicians' attitudes were religiousness and belief for Greek legal system reform. (shrink)

This cross-sectional survey aimed to investigate nurses’ opinions and practices regarding information and consent in the context of a large Italian teaching hospital and to explore potential influences of gender, age, university education, length of professional experience, and care setting. A questionnaire was administered to 282 nurses from six different care settings (Emergency Room, Emergency Medicine, Surgery, Hematology–Oncology, Geriatrics, and Internal Medicine). Overall, 84% (n = 237) of nurses returned the questionnaire (men: 24%; mean age: 36.2 ± 8 years; university (...) degree: 35%; mean length of professional experience: 12 ± 8.2 years). Most respondents regularly informed patients about medications and nursing procedures and asked for consent prior to invasive procedures, but some provided information to relatives instead of patients. Lack of time or opportunity was the main difficulty in informing patients. The work setting was the foremost factor significantly associated with participants’ opinions and practices. Further investigations are needed to confirm these findings in similar and other care settings. (shrink)

ObjectiveEven if the relationship between adverse childhood experiences and intimate partner violence has already been established, there are no sufficient studies examining the relationships between these factors and attachment representations, specifically attachment disorganization. Thus, this study aimed to explore, in a sample of women who experienced IPV the presence of interpersonal adversities during childhood, and attachment representations, with a particular focus on disorganization.MethodsWomen’s representations of attachment experiences were investigated through the Adult Attachment Interview, while the presence of various forms of (...) interpersonal adversities during childhood was assessed using the Complex Trauma Questionnaire. The results of the IPV group were compared with those of women with no history of IPV.ResultsWomen in the IPV group showed higher values of multiple forms of adverse experiences within their caregiving system. They presented significantly higher rates of disorganized states of mind regarding attachment, indicative of a lack of resolution regarding traumatic experiences, and of disorganized working models resulting from complex trauma. Our results highlighted that, more than the presence of traumatic experiences, it is their irresolution – reflected in the disorganized states of mind regarding attachment at the Adult Attachment Interview – to be a significant predictor of IPV.ConclusionThese results suggest underline the significance of offering a trauma- and attachment-informed therapy to those who experience IPV. Such results could help both clinicians and researchers in formulating clearer guidelines for IPV interventions. (shrink)

In this article, we use the principlist approach to identify, analyse and attempt to solve the ethical problem raised by a pregnant woman's request for cesarean delivery in absence of medical indications.We use two different types of premises: factual (facts about cesarean delivery and specifically attitudes of obstetricians as derived from the EUROBS European study) and value premises (principles of beneficence and non-maleficence, respect for autonomy and justice).Beneficence/non-maleficence entails physicians' responsibility to minimise harms and maximise benefits. Avoiding its inherent risks (...) makes a prima facie case against cesarean section without medical indication. However, as vaginal delivery can have unintended consequences, there is a need to balance the somewhat dissimilar risks and benefits. The principle of autonomy poses a challenge in case of disagreement between the pregnant woman and the physician. Improved communication aimed to enable better informed choice may overcome some instances of disagreement. The principle of justice prohibits unfair discrimination, and broadly favours optimising resource utilisation.Available evidence supports vaginal birth in uncomplicated term pregnancies as the standard of care. The principlist approach offered a useful framework for ethical analysis of cesarean delivery on maternal request, identified the rights and duties of those involved, and helped reach a conclusion, although conflict at the individual level may remain challenging. (shrink)

A partire dalla metà del Novecento, dopo una modernità dominata da prospettive di stampo deontologistico o utilitaristico, la filosofia pratica contemporanea ha visto il sorgere di una ripresa di interesse per un’etica “in prima persona”, in grado di offrire una prospettiva integrale sul soggetto e centrata sullo sviluppo del suo carattere e della sua personalità; in breve, si è assistito a un nuovo potente ingresso in scena dell’idea del bene, e, con essa, della virtù quale via maestra per conseguire il (...) fine adeguato della vita umana. Il volume si propone di rendere conto – anche in correlazione al ruolo delle emozioni, ma non solo – del percorso filosofico della virtù: dall’indagine delle sue fonti “classiche”, all’inizio del suo declino nella modernità, al risorgere della sua vitalità negli ultimi decenni nelle diverse aree linguistico-culturali, tenendo anche conto delle differenti discipline con cui si è interfacciata. Esso non pretende di esaurire i percorsi e le suggestioni che una tematica così vasta presenta, né di coprirne tutta la storia; piuttosto, vuole rappresentare uno stimolo alla ricerca, ponendo in connessione tagli disciplinari e metodologici differenti per offrire una riflessione a tutto campo, che metta in dialogo studiosi provenienti da ambiti diversi ed apra nuove prospettive.Saggi di: Francesco Camera, Angelo Campodonico, Elisabetta Cattanei, Michel Croce, Elisa Cuttini, Marco Damonte, Elisa Grimi, Simona Langella, Alberto Masala, Alma Massaro, Letterio Mauro, Giacomo Samek Lodovici, Maria Silvia Vaccarezza, Paolo Vignola, Lodovica Maria Zanet, Matteo Zoppi. (shrink)