In this study, we argue that contemporary nursing care has been overtaken by new public management strategies aimed at curtailing budgets in the public hospital sector in Australia. Drawing on qualitative interviews with 15 nurses from one public acute hospital with supporting documentary evidence, we demonstrate what happens to nursing work when management imposesroundingas a risk reduction strategy. In the case study outlined rounding was introduced across all wards in response to missed care, which in turn arose as a result (...) of work intensification produced by efficiency, productivity, effectiveness and accountability demands. Rounding is a commercially sponsored practice consistent with new public management. Our study illustrates the impact that new public management strategies such as rounding have on how nurses work, both in terms of work intensity and in who controls their labour. (shrink)

Australia, along with other countries, has introduced New Public Management (NPM) into public sector hospitals in an effort to contain healthcare costs. NPM is associated with outsourcing of service provision, the meeting of government performance indicators, workforce flexibility and rationing of resources. This study explores the impact of rationing of staffing and other resources upon delivery of care outside of business hours. Data was collected through semistructured interviews conducted with 21 nurses working in 2 large Australian metropolitan hospitals. Participants identified (...) four strategies associated with NPM which add to workload after‐hours and impacted on the capacity to deliver nursing care. These were functional flexibility, vertical substitution of staff, meeting externally established performance indicators and outsourcing. We conclude that cost containment alongside of the meeting of performance indicators has extended work traditionally performed during business hours beyond those hours when less staffing and material resources are available. This adds to nursing workload and potentially contributes to incomplete nursing care. (shrink)

Eighteenth-century England saw the rise of a "peculiarly English" art form—landscape gardening—and a corresponding change in attitudes toward the antural world. While the French, who lived under tyranny, had a tightly organized, restrictive gardens, the "free" English enjoyed gardens where they were at liberty to wander. John Dixon Hunt examines eighteenth-century letters, literary and critical works, biographies, paintings, prints, and drawings to trace the gradual movement from formal regularity toward a carefully calculated naturalness.

In this dissertation, I present Marx's conception of ideology as a counterpart of his critical analysis of society. I take exception to current Marxist notions of ideology, and I attempt to show that they correspond to Marxism's failure to develop an historical, material analysis of contemporary society, and its consequent reliance upon an idealist theory of social change. I am ultimately interested in utilizing Marx's theory of ideological critique as the basis for a return to a materially grounded social criticism. (...) ;The thesis begins with an analysis of Marx's early philosophical investigations, showing his concept of ideology emerge with his recognition of a pattern of philosophical abstractions from social movement. Marx's demonstration that nineteenth century economists reduced political economy to a static theory of social distribution and reproduction is contrasted with his theory of the dynamics of social production. ;Marx's anti-ideological methodology decrees, however, a continuing need to reassess the social organism, digging beneath prominent theoretical abstractions to reveal the processes of historical development immanent in present society. Modern Marxism shirks this responsibility, countering the abstractions of liberal theory with its own tired categories of class struggle and false consciousness, offering a moral critique rather than an alternative conception of capitalism. ;I present Althusser's theory of ideological practices as the basis for a renewed interest in the historically specific structures of present society. It grounds my critique of the ideological assumption, shared by Marxism and liberalism, that economic relations have priority in theories of social transformation. Applying Marx's materialist, historical methodology to the analysis of contemporary social relations, I conclude that a post-Marxist theory, emphasizing noneconomic contradictions as sources of instability and immanent social change, is now warranted. The traditional economic oppositions of class and consciousness have, I maintain, been superseded rather than merely conditioned by noneconomic social antagonisms. (shrink)

Separate reviews would ordinarily be required of disparate works. Here reviewed together are works as different as the new scholarly thesis of Prakken and a historically directed anthology of papers for students of rhetoric. Their joint consideration, however, is an occasion for serious comment on how the best work in AI and Law should be placed in longstanding traditions. It is an occasion for commenting on the directions of rhetoric in the past few decades.

Este articulo estudia la represalia y la vindicación en la regularización de la guerra y en la reglamentación de estrategias (como el canje de prisioneros) para mitigar los desmanes de una guerra sin límites como la Guerra de Independencia. En ese marco, el fusilamiento de los 38 prisioneros ordenado por Santander en octubre de 1819, se analiza como un hecho que provocó discusiones sobre filantropía y civilización y como hecho que motivó la firma de al Tratado de Trujillo entre Bolívar (...) y Morillo en 1820. (shrink)

In De usu partium, Galen argues that the parts of the human body are designed to fulfill functions that contribute to the continued existence and well-being of the organism as a whole. Synthesizing Plato’s and Aristotle’s views on teleology, Galen highlights the importance of a functional framework for anatomical research. For Galen, teleology is as much a method for anatomical inquiry as it is a metaphysical commitment. In particular, teleology guides the main tool of anatomical investigation: dissection. According to Galen, (...) the success of medical research and practice requires classifying, individuating, and explaining anatomical parts in light of their functional contributions. (shrink)

ABSTRACTTwo studies examined anger and shame, and their associated appraisals and behavioral intentions, in response to harm to an in-group's social-image. In Study 1, 37 British Muslims reported incidents in which they were devalued as Muslims. In Study 2, 108 British Muslims were presented with objective evidence of their in-group's devaluation: the controversial cartoons about Prophet Muhammad The appraisal of harm to social-image predicted anger and shame, whereas the appraisal of offense only predicted anger. Anger was a more empowering response (...) than shame, as anger predicted willingness for public confrontation, institutional punishment, and written disapproval. In contrast, shame only predicted written disapproval. Furthermore, independent of individual differences in identification as Muslim, a mediation model showed that individual differences in honor orientation pre... (shrink)

Le problème de la « légitimité » de la philosophie chinoise est lié à celui de la conception occidentale de la « philosophie » qui est apparue à l’époque moderne, et qui privilégie la forme spéculative de la pensée au détriment de l’autre, plus concrète et pratique, dans laquelle se reconnaissent les tendances spécifiques de la tradition chinoise. Selon les critères occidentaux, la « pensée » chinoise ne peut se voir accorder le statut de « philosophie ». Or, dès 1898,Maurice (...) Blondel (1861-1949) a dénoncé comme « illégitime » une philosophie exclusivement spéculative et conceptuelle ; il a remis en cause la « suffisance » d’une philosophie privilégiant indûment la pensée discursive, en même temps qu’il a montré la nécessité d’un recours à l’autre forme de pensée, celle qui est liée à la pratique, à la vie. Dans cette perspective, la philosophie occidentale, pas plus que la philosophie chinoise, ne « se suffit » à elle-même ; c’est unenécessité pour toutes deux de se compléter par leur « opposition » même, dans un dialogue authentique. La « philosophie intégrale », encore à venir, devra faire une part égale aux deux « aspectséléments » de la pensée, que Blondel qualifie de « noétique » et de « pneumatique ». (shrink)

Because of historical mistreatment of ethnic minorities by research and medical institutions, it is particularly important for researchers to be mindful of ethical issues that arise when conducting research with ethnic minority populations. In this article, we focus on the ethical issues related to the inclusion of ethnic minorities in clinical trials of psychosocial treatments. We highlight 2 factors, skepticism and mistrust by ethnic minorities about research and current inequities in the mental health care system, that researchers should consider when (...) developing psychosocial interventions studies that include ethnic minorities. (shrink)

"No philosophical dictum is better known than Descartes's assertion about the intimate relation between thinking and existing. What remains unknown is how we are to understand the 'I' who thinks and exists. This book is about the ways that the concept of an 'I' or a 'self' has been developed and deployed at different times in the history of Western Philosophy. It also offers a striking contrast case, the 'interconnected' self, who appears in some expressions of African Philosophy. Appealing to (...) philosophy to illuminate the concept of a 'self' may seem unnecessary. Anyone who can read this book is a self, so why can we not just tailor a concept to fit what we already know about ourselves? This objection has considerable force and provides a constraint on efforts to fashion a self-concept. Although there is a sense of 'self-knowledge' in which it is said to require a lifetime of serious effort to achieve, what is at issue here is simply knowing that one is a self"--. (shrink)

La actividad económica ha existido siempre, la pregunta es ¡qué leyes económicas deben regirla? Curiosamente debemos rescatar valores que hoy las escuelas de negocios dirían "antieconómicos".

This essay engages in a debate with Nancy Fraser and Dorothy Leland concerning the contribution of Lacanian-inspired psychoanalytic feminism to feminist theory and practice. Teresa Brennan's analysis of the impasse in psychoanalysis and feminism and Judith Butler's proposal for a radically democratic feminism are employed in examining the issues at stake. I argue, with Brennan, that the impasse confronting psychoanalysis and feminism is the result of different conceptions of the relationship between the psychical and the social. I suggest Lacanian-inspired feminist (...) conceptions are useful and deserve our consideration. (shrink)