The concept of moral distress comes from nursing ethics, and was initially defined as ‘…when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action’. There is a large body of literature associated with moral distress, yet multiple definitions now exist, significantly limiting its usefulness. We undertook a systematic review of the argument-based bioethics literature on this topic as the basis for a critical appraisal, identifying 55 papers for analysis. (...) We found that moral distress is most frequently framed around individual experiences of distress in relation to local practices and constraints, and understood in terms of power relations and workplace hierarchies. This understanding is directly derived from, and often still seen as specific to, nursing. Frequently the perspective of the morally distressed individual is privileged. Understandings of moral distress have evolved towards an ‘occupational health approach’, with the assumption that moral distress should be measured and prevented. Counter-perspectives were identified, highlighting conceptual problems. Based on our review, we propose a redefinition of moral distress: ‘Ethical unease or disquiet resulting from a situation where a clinician believes they have contributed to avoidable patient or community harm through their involvement in an action, inaction or decision that conflicts with their own values’. This definition is specific enough for research use, anchored in clinicians’ professional responsibilities and concerns about harms to patients, framed relationally rather than hierarchically, and amenable to multiple perspectives on any given morally distressing situation. (shrink)

Supported decision-making has been promoted at a policy level and within international human rights treaties as a way of ensuring that people with disabilities enjoy the right to legal capacity on an equal basis with others. However, little is known about the practical issues associated with implementing supported decision-making, particularly in the context of dementia. This study aimed to understand the experiences of people with dementia and their family members with respect to decision-making and their views on supported decision-making. Thirty-six (...) interviews were undertaken with fifty-seven participants across three states in Australia. Interpretative Phenomenological Analysis was used as the methodological approach, with relational autonomy as a theoretical perspective. We identified two overarching themes relating to participants’ experiences with decision-making: “the person in relationship over time” and “maintaining involvement.” Participant views on the practical issues associated with supported decision-making are addressed under the themes of “facilitating decision-making,” “supported decision-making arrangements,” “constraints on decision-making,” and “safeguarding decision-making.” While participants endorsed the principles of supported decision-making as part of their overarching strategy of “maintaining involvement” in decision-making, they recognized that progressive cognitive impairment meant that there was an inevitable transition toward greater involvement of, and reliance upon, others in decision-making. Social and contextual “constraints on decision-making” also impacted on the ability of people with dementia to maintain involvement. These themes inform our proposal for a “spectrum approach” to decision-making involvement among people living with dementia, along with recommendations for policy and practice to assist in the implementation of supported decision-making within this population. (shrink)

Working within a framework of environmental philosophy and environmental ethics, this book describes and postulates alternative understandings of nature in Indian traditions of thought, particularly philosophy. The interest in alternative conceptualizations of nature has gained significance after many thinkers pointed out that attitudes to the environment are determined to a large extent by our presuppositions of nature. This book is particularly timely from that perspective. It begins with a brief description of the concept of nature and a history of the (...) idea of nature in Western thought. This provides readers with a context to the issues around the concept of nature in environmental philosophy, setting a foundation for further discussion about alternate conceptualizations of nature and their significance. In particular, the work covers a wide array of textual and non-textual sources to link and understand nature from classical Indian philosophical perspectives as well as popular understandings in Indian literary texts and cultural practices. Popular issues in environmental philosophy are discussed in detail, such as: What is ‘nature’ in Indian philosophy? How do people perceive nature through landscape and mythological and cultural narratives? In what ways is nature sacred in India? To make the discussion relevant to contemporary readers, the book includes a section on the ecological and ethical implications of some philosophical concepts and critical perspectives on alternate conceptualizations of nature. (shrink)

This article calls for an end to the use of the term ‘invasive species’, both in the scientific and public discourse on wildlife conservation. There are two broad reasons for this: the first problem with the invasive species narrative is that this demonisation of ‘invasives’ is morally wrong, particularly because it usually results in the unjust killing of the animals in question. Following on from this, the second problem is that the narrative is also incoherent, both from scientific and philosophical (...) perspectives. At the heart of both of these issues is the problem that the invasive species narrative oversimplifies what are in fact very complex biological processes. As a result, the policies carried out with the stated aim of ‘controlling’ these animals are often unethical. In light of the current global species decline, this article asserts that the way we think and talk about these animals should be changed and the term ‘invasive species’ should be discontinued, in the hope that this leads to changes in practice. (shrink)

The rapid developments in technologies -- especially computing and the advent of many 'smart' devices, as well as rapid and perpetual communication via the Internet -- has led to a frequently voiced view which Nicholas Agar describes as 'radical optimism'. Radical optimists claim that accelerating technical progress will soon end poverty, disease, and ignorance, and improve our happiness and well-being. Agar disputes the claim that technological progress will automatically produce great improvements in subjective well-being. He argues that radical (...) optimism 'assigns to technological progress an undeserved pre-eminence among all the goals pursued by our civilization'. Instead, Agar uses the most recent psychological studies about human perceptions of well-being to create a realistic model of the impact technology will have. Although he accepts that technological advance does produce benefits, he insists that these are significantly less than those proposed by the radical optimists, and aspects of such progress can also pose a threat to values such as social justice and our relationship with nature, while problems such as poverty cannot be understood in technological terms. He concludes by arguing that a more realistic assessment of the benefits that technological advance can bring will allow us to better manage its risks in future. (shrink)

Indian intellectuals influenced by postmoderism such as Ashis Nandy and Vandana Shiva, put local folk beliefs on a par with science. Hindu nationalists, especially members of the Vishwa Hindu Parishad, following the lead of the historical figure Swami Vivekananda and the contemporary Subhash Kak, have developed what they call “Vedic Science”, including Vedic astrology and Vedic creationism. Although India welcomes new technology, it has for the most part rejected the values of modern science, thus embracing a stance of what might (...) be called reactionary modernism. (shrink)

How does one teach dissent in a classroom which is a disciplinary space? As a pedagogue whose work is to instil philosophical and critical thinking in students, in this article I reflect on the modalities of teaching dissent versus teaching about dissent. While it is very possible that teaching about dissent may create a model for students to emulate, teaching dissent must involve a proactive learning process within the classroom that may depend on the ethical and compassionate stand of the (...) teacher. I draw from Indian philosophical traditions of argumentation and the tradition of debate and teaching to posit a methodology of two forms of dissent called Vimati, intellectual dissent and Upeksha, performative dissent. One notes that conceptualisations such as doubt, questioning, evidence, and advocacy are some of the epistemic ideas from Indian philosophical systems that can be adapted to contemporary pedagogy. Additionally, a form of performative dissent that involves ‘turning away’ from norms becomes a form of performative dissent. Such dissent is described through texts as practices in the lived worlds of people in the stories of epics and folk traditions. Finally, I conclude with similar concepts gleaned from contemporary thinkers in India to emphasise the ethical values of compassion and love that make teaching dissent possible. (shrink)

The female East–West encounter often pivoted upon the motherhood role played by the representatives of the empire. This article aims to explore the complexities of the construction and enactment of this role. The analysis focuses on a cameo of triangular interpersonal relationships formed by Pandita Ramabai, an Indian Brahmin scholar who converted to Christianity in 1883 during her stay in England for higher studies, her little daughter Manorama who was baptized at the same time and Ramabai's spiritual mother, the Anglican (...) Sister Geraldine who was deeply and possessively attached to Manorama. After situating motherhood in its international discursive context, the article examines the two tension-filled sets of motherhood and daughterhood inherent in this triad, with the help of Ramabai's published letters and correspondence which were compiled and edited by Geraldine (who made Ramabai's maternal inadequacies her dominant subtext) and of Manorama's unpublished letters to Geraldine, her ‘grandmother’. The article argues that a British missionary nun's successful exercise of the motherhood role which she spontaneously assumed towards an Indian convert was contingent upon the convert's adherence to the racially and culturally inferior stereotype and unquestioning submission to the new faith as well as to colonial authority. Such conformity and acceptance alone allowed deep ‘maternal’ bonding (overlooking racial differences) which was too fragile to withstand any contestation or exercise of agency by the convert. The overarching patriarchal ethos of the Church, internalized by the missionary nun, was also a significant determinant of her treatment of the women converts in various ways. (shrink)

This beautiful, inspiring book features 160 impactful, practical ways to transform everyday tasks into enjoyable, indulgent moments that reduce stress and leave you feeling balanced, connected, and ready to take on the day. In Rituals for Life, you’ll discover how to transform everyday activities such as waking, bathing, eating, and walking into mindfulness exercises. With 160 rituals throughout, you’ll learn how to infuse meaning into your daily life and improve your sense of health, empowerment, peace, prosperity, gratitude, intentionality, groundedness, and (...) renewal. Examples of rituals include: -Greet the dawn -Walk through green space to reflect, refresh, and restore healthy well-being -Heat or cool your body with Ayurvedic spices -Use your breath to find bliss -Create a personal ceremony to bless your healthy body and creative mind Within each chapter, you’ll find suggested ritual sequences to further guide and structure your days. You’ll also discover how to select rituals from the book to create your own unique routines that fit your mood, needs, interests, and desires. With Rituals for Life, you’ll transform mundane tasks into inspiring, enriching ways to savor life and enhance your overall well-being. (shrink)

Anti-caste movements in India have a long history. Cultural heritage became and remains a site of political contestation by excluded communities searching for identity and equality, and gender remains at the core of their engagements. The meanings underlying the more homogenous term of ‘Dalit’ used today are part of a historical process of self-definition. Moreover, diverse Dalit countercultures suggest varied social domains in which Dalit communities are located. South Asian historiographies have been critiqued as denying histories and historical agency to (...) Dalits. Yet Dalit studies have developed epistemologies, bringing articulations and ideas from the margins to the centre of writings on history, leading to debates around caste that have transformed notions of politics. This paper draws from one such trajectory through a nonlinear narrative, juxtaposing the intergenerational contexts of engagements: my mother Dakshayani's political and life experiences, as narrated in her autobiography (1912–1978), and my own experience in the Dalit women's and other movements in the 1980s and 1990s. While my experience saw the onset of liberalisation and the emergence and growth of ‘new social movements’, the context of Dakshayani's narrations is the Pulaya (agrestic slave caste) community in the early 1900s in Cochin, a community in the process of transforming itself. Both narratives highlight how radical traditions within the Dalit women's movement over time have consciously and critically addressed anti-caste movements, social reform, the state, peoples’ movements and the nation within a conceptual framework of equality, liberty and non-discrimination. (shrink)

Vulval development in the Caenorhabditis elegans hermaphrodite represents a simple, genetically tractable system for studying how cell signaling events control cell fata decisions. Current models suggest that proper specification of vulval cell fates relies on the integration of multiple signaling systems, including one that involves a receptor tyrosine kinase (RTK)→Ras→mitogen activated protein kinase (MAPK) cascade and one that involves a LIN‐12/Notch family receptor. In this review, we first discuss how genetic strategies are being used to identify and analyze components that (...) control vulval cell fate decisions. We then describe the different signaling systems that have been elucidated and how they relate to one another. Finally, we highlight several recently characterized genes that encode positive regulators, negative regulators or potential targets of the RTK→Ras→MAPK cascade involved in vulval induction. (shrink)

Literary trauma theory has traditionally been a humanist concern, and the concept of witnessing, so central to the theorization of trauma, has focused on human experience and relationships. This article stages an interdisciplinary intervention by conceptualizing trans-“species” trauma testimony as a literary encounter involving a double-layered witnessing; the human artist witnessing nonhuman animals’ witnessing to the failings and crises brought about by human society. Focusing on a selection of contemporary Australian poems, a view emerges of poetic witnessing and testimony that (...) exceeds and complicates the sub-genre lenses of old such as “nature poetry,” “ecopoetry,” and “protest poetry.” I propose a new conceptual category that testifies to traumatic structures and consequences of human practices. I explore how this testimony proceeds through a two-way channel of witnessing in which nonhuman animals are active witnessing agents and not merely witnessed by humans. I concentrate on witnessing as primarily experiential, as a corporal, affective operation in which the senses figure centrally. I argue that when poets witness nonhuman animal experience in poetry, testimony advances as an ethical engagement in an act of solidarity and advocacy. Poetry offers productive potential in this respect due to its affinity for engagement with the senses, its capacity to communicate heightened affect, and its scope for expression, articulation, and evocations of meaning outside of conventional sense-making and the limits of rational understanding. (shrink)

Discover simple ways to live a more purposeful, peaceful, and enjoyable life with this empowering guidebook to intentional and mindful living. It’s time to put intention behind all of your actions and live a focused and fearless life! In this accessible guide, you’ll learn easy ways to infuse everyday activities—from waking and bathing to eating and walking—with a sense of purpose. Each act is designed to improve your sense of health, peace, prosperity, gratitude, and renewal. Examples include: —Eliminate thoughts of (...) what is lacking —Move past perfection —Fire up your authentic voice —Strengthen love bonds —Learn to be precise Each chapter contains ritual sequences to help you carry your intentions throughout your day. With a wide and varied range of activities, you’ll be able to create a unique routine to fit every mood, need, interest, and desire. With How to Live with Intention, you’ll transform ordinary tasks into purposeful ways to relish each moment, live your best life, and experience true happiness. (shrink)

Nicholas Agar offers a more nuanced view of the transformative potential of genetic and cybernetic technologies, making a case for moderate human enhancement—improvements to attributes and abilities that do not significantly exceed what ...

Proposals to make us smarter than the greatest geniuses or to add thousands of years to our life spans seem fit only for the spam folder or trash can. And yet this is what contemporary advocates of radical enhancement offer in all seriousness. They present a variety of technologies and therapies that will expand our capacities far beyond what is currently possible for human beings. In _Humanity's End,_ Nicholas Agar argues against radical enhancement, describing its destructive consequences. Agar (...) examines the proposals of four prominent radical enhancers: Ray Kurzweil, who argues that technology will enable our escape from human biology; Aubrey de Grey, who calls for anti-aging therapies that will achieve "longevity escape velocity"; Nick Bostrom, who defends the morality and rationality of enhancement; and James Hughes, who envisions a harmonious democracy of the enhanced and the unenhanced. Agar argues that the outcomes of radical enhancement could be darker than the rosy futures described by these thinkers. The most dramatic means of enhancing our cognitive powers could in fact kill us; the radical extension of our life span could eliminate experiences of great value from our lives; and a situation in which some humans are radically enhanced and others are not could lead to tyranny of posthumans over humans. (shrink)

In this provocative book, philosopher Nicholas Agar defends the idea that parents should be allowed to enhance their children’s characteristics. Gets away from fears of a Huxleyan ‘Brave New World’ or a return to the fascist eugenics of the past Written from a philosophically and scientifically informed point of view Considers real contemporary cases of parents choosing what kind of child to have Uses ‘moral images’ as a way to get readers with no background in philosophy to think about (...) moral dilemmas Provides an authoritative account of the science involved, making the book suitable for readers with no knowledge of genetics Creates a moral framework for assessing all new technologies. (shrink)

A complex process of place-making by Vedic and Purāṇic primary narratives and localized oral secondary narratives shows how nature in India is perceived from a deeply humanized worldview. Some form of cosmic descent from other place-worlds or lokas are used to account for the sacredness of a landscape in the primary narrative called stala purāṇa, while secondary narratives, called stala māhāṭmya, recount the human experience of the sacred. I suggest that sacred geography is not geography of “terrestrial” but of implaced (...) otherworldly materials––rivers, mountains or forests. An ecological ethics based on sacred geography must therefore take into account the sacred aspects of such narratives and encourage normative values that could apply to both the sacred and the ecological for such places. (shrink)

Most philosophical engagements with science have been focused on the methods of science, epistemological concerns, nature of scientific methods or natural laws. New disciplines such as Science Studies and History of science have emerged from these inquiries and address any concerns on the relationship of science to society and knowledge. In this essay, the attempt is to clarify how scientific thought is not excluded from the moral domain. While a scientific fact itself cannot be subjected to moral or aesthetic judgement, (...) since it is only, the aims and objects of scientific research can be a concern for philosophical ethics. Particularly the development of applied sciences that are focused on the exploitation of the natural world and unsustainable practices must become not only subject to moral supervision but also must be answerable to society and humanitarian interests. An analysis of the purpose of science and philosophy posits what should be the areas of science that should be subject to ethical judgements. (shrink)

The scope of social policy today is extensive. With the changing global scenario, there is a rediscovery of “social” in it. Indubitably, there is a gender perspective on social policy globally. The world Economic Forum states that there are only six countries in the world (Belgium, Denmark, France, Latvia, Luxembourg and Sweden) where women have equal work rights to men. It is noted that the situation in different countries varies when it comes to the working benefits of different genders whether (...) for native or expatriate workers in those places. Though there are rooms to enjoy attractive income and favourable working conditions such as job security, generous retirement plan, and other welfare benefits, there are still various factors that might lead to gender-based differences or gender discrimination in the unique labour market context of the GCC countries. The scenario is distinct in many Scandinavian nations like Sweden. Those countries are often considered the role model for gender equal work allowances. When it comes to India there is still disparity and difference in many areas despite the social security system the country offers in its policies. This paper aims at a descriptive and qualitative study on the causes, consequences and conclusion of the gender disparity in employee allowances in these nations. The study would imply a simple random method of interrogation to examine gender differences empirically within the labour market of the mentioned nations. The economic benefits of a gender-equal nation in the framing of social policy will be emphasized and focused on. (shrink)

El artículo ofrece una interpretación de la controversial y aparentemente inaceptable caracterización de la poesía desarrollada por Platón en la República. Los objetivos principales de la discusión son: aclarar las motivaciones de dicha caracterización, desentrañar los múltiples y discontinuos argumentos que la componen, y evaluar críticamente sus aciertos y sus límites. Se concluye que no todas las posturas que adopta Platón frente a la poesía son insostenibles, y que cuando sí lo son las razones para ello resultan particularmente esclarecedoras. The (...) article offers an interpretation of the controversial and apparently unacceptable characterization of poetry developed in Plato's Republic. The main objectives of the discussion are: to clarify the motivations for such characterization, to disentangle the various and discontinuous arguments that compose it, and to critically evaluate its limitations and the extent of its defensibility. It is concluded that not all the positions adopted by Plato with respect to poetry are unsustainable, and that when they are, this is due to reasons which result particularly revealing. (shrink)

“The day the Enlightenment went out”, is how Gary Wills described the re-election of President George W. Bush in an op-ed column in the New York Times (November 4, 2004). Reflecting upon the conservative religious vote that put Bush back in the White House, Wills wondered if there was any connection between the fact that many more Americans believe in the Virgin Birth than in Darwin’s theory of evolution and that 75 percent of Bush supporters actually believed—without an iota of (...) credible evidence— that Iraq was directly responsible for the terrorist attack on 9/11. Wills asks if a people that have lost respect for evidence and critical reasoning can still be called an enlightened nation. “Belief that does not require proof or evidence” is how the Webster New World Dictionary defines the word “faith”. It also defines “faith” as “faith in God”. The American elections, then, turned out to be a massive faith-based initiative in both these senses of the word. Belief and policies backed not by evidence, but by religious values wedded to an aggressive nationalism are driving American politics. In this America is not alone. India, the subject matter of much of what follows, has had its own brush with faith-driven politics in which an aggressive Hindu nationalism came to color public policies, including science education.1 The question is: how do secular democracies like the United States and India (the world’s first and the world’s largest democracies, respectively), manage to square off their official commitment to enlightened values of openness and religion–state separation with the realities of faith-based politics? How do matters of fact—that is, questions that in principle can be decided by empirical evidence—end up getting decided on the basis of religious faith. This alchemy of turning secular matters of fact into religiouscivilizational matters holds the key to understanding the democratic-populist route to religious fundamentalism.. (shrink)

The concept of marriage has undergone a transition presently when compared with the past. Norms, customs and traditions have also changed. Attitudes, choices and preferences of individuals contribute to these changes accompanied by education and modernization. Equality of women, social changes, and liberalized economy can be a few determinants contributing to the choices and preferences, yet fertility issues remain a nagging problem after marriage. The present trend highlights late marriages, and stress at home and works front for both genders, contributing (...) to instability in marriages. These being certain issues, on one hand, increase in divorce cases, maintenance and custody of children, single parenting is another set of challenges, on the other hand. Hence, marriages are also riskier and those who embark on this journey are the successful lot. This paper primarily aims to identify the perception of youth about marriage as terminologies such as “Live in relationships”, “Friends with benefits”, etc., are in vogue. Secondly, the objective of this paper is also to study if “mid-life crisis” in both the genders accompanied by emotional, physical and psychological issues can be the causal determinants for various issues in marriage. Thirdly, the paper aims to study the causal effects between marriage issues, family laws and the country’s economy as there is a direct nexus between the three forces using appropriate research methodology tools and techniques. (shrink)

Sydney Shoemaker has claimed that functionalism, a theory\nabout mental states, implies a certain theory about the\nidentity over time of persons, the entities that have\nmental states. He also claims that persons can survive a\n"Brain-State-Transfer" procedure. My examination of these\nclaims includes description and analysis of imaginary\ncases, but--notably--not appeals to our "intuitions"\nconcerning them. It turns out that Shoemaker's basic\ninsight is correct. But there is no implication that it is\nnecessary. (edited).

These days a good dose of Hope is good for all of us. Anyone will enjoy this spiritual and inspirational journey filled with reflections and pictures instilling hope and reminding us how challenges can be turned into opportunities. This book is encouraging to anyone who is struggling. It's a companion that can help us learn more about ourselves and life. This book is born out of a "dark night of the soul". The author has survived two cancers and is sharing (...) writings from this difficult time as well as the joy and gratitude of being alive. Some of the writings are powerful heart touching poems. Some are more philosophical, conversational investigations on different topics. Some are sparks of Light. The beautiful inspiring pictures will add to the deep messages. One can read this book in the order of the pages or just open the book anywhere, trusting that the most supportive message for that particular day will present itself. It includes practices that are helpful in turning the pain of the challenges into personal growth. Since it's a small and simple book any layperson who is sick, grieving or struggling with any life challenges can find hope from it. The book can be in on the coffee table of any family or individual's night table. It is also relevant for professionals who can recommend it to their clients as well as to have in their waiting rooms. Also, hospice and hospitals can have this book available for their clients. The main purpose of this book is to instill hope and bring light to people's lives. It is also an invitation to look at things with a wider perspective and to see that we can learn from the challenges in life. This book can be a supportive companion for challenging times and will enlighten anyone's day. (shrink)

Critics of human cloning allege that the results of the process are likely to suffer from compromised identities making it near impossible for them to live worthwhile lives. This paper uses the account of the metaphysics of personal identity offered by Derek Parfit to investigate and support the claim of identity-compromise. The cloned person may, under certain circumstances, be seen as surviving, to some degree, in the clone. However, I argue that rather than warranting concern, the potential for survival by (...) cloning ought to help protect against the misuse of the technology. (shrink)

Book Information The Ethics of Killing: Problems at the Margins of Life. By Jeff McMahan. Oxford University Press. New York. 2002. Pp. xiii + 540. Aus$110.

Are bacteriophage T4 and the long-nosed elephant fish valuable in their own right? Nicholas Agar defends an affirmative answer to this question by arguing that anything living is intrinsically valuable. This claim challenges received ethical wisdom according to which only human beings are valuable in themselves. The resulting biocentric or life-centered morality forms the platform for an ethic of the environment. -/- Agar builds a bridge between the biological sciences and what he calls "folk" morality to arrive at (...) a workable environmental ethic and a new spectrum--a new hierarchy--of living organisms. The book overturns common-sense moral belief as well as centuries of philosophical speculation on the exclusive moral significance of humans. Spanning several fields, including philosophy of psychology, philosophy of science, and other areas of contemporary analytic philosophy, Agar analyzes and speaks to a wide array of historic and contemporary views, from Aristotle and Kant, to E. O. Wilson, Holmes Rolston II, and Baird Callicot. The result is a challenge to prevailing definitions of value and a call for a scientifically-informed appreciation of nature. (shrink)

This chapter contains section titled: Two Kinds of Eugenics Technological Possibilities Moral Perplexities Hither Posthumanity?

Francis Fukuyama's controversial new book, Our Posthuman Future: Consequences of the Biotechnology Revolution, has elicited varied reactions, but like it or not, it seems likely to be influential. Here are three opinions. —Ed.