Background: Decisions regarding whether or not to institute mechanical ventilation during the later stages of chronic obstructive pulmonary disease is challenging both ethically, emotionally and medically. Caring for these patients is a multifaceted process where nurses play a crucial role. Research question and design: We have investigated how nurses experienced their own role in decision-making processes regarding mechanical ventilation in later stages of chronic obstructive pulmonary disease and how they consider the patients’ role in these processes. We applied a qualitative (...) approach, with six focus-group interviews of nurses (n = 26). Ethical considerations: The Regional Committees for Medical and Health Research Ethics approved the study. Voluntary informed consent was obtained. Findings: The nurses found themselves operating within a cure-directed treatment culture wherein they were unable to stand up for the caring values. They perceived their roles and responsibilities in decision-making processes regarding mechanical ventilation to patients as unclear and unsatisfactory. They also experienced inadequate interdisciplinary cooperation. Discussion: Lack of communication skills, the traditional hierarchical hospital culture together with operating in a medical-orientated treatment culture where caring values is rated as less important might explain the nurses’ absence in participation in the decision about mechanical ventilation. Conclusion: To be able to advocate for the patients’ and their own right to be included in decision-making processes, nurses need an awareness of their own responsibilities. This requires personal courage, leadership who are capable of organising common interpersonal meetings and willingness on the part of the physicians to include and value the nurses’ participation in decision-making processes. (shrink)

O propósito deste artigo é comparar duas perspectivas analíticas que interpretaram as possibilidades de democra-tização das organizações internacionais (OIGs) nos anos 1990 e 2000. A primeira dessas perspectivas é sustentada por autores como Robert Dahl e Philippe Schmitter que consideram improvável a realização da democracia fora do espaço dos Estados nacionais. Eles seriam “céticos”, para empregar o termo utilizado por Dahl para se referir à sua perspectiva. De outro lado, David Held sustentou uma interpretação mais otimista ao defender (...) que a natureza da democracia contemporâ-nea sofreu alterações resultantes do processo de globalização econômica. Por essa razão, Held considerou possível tanto a democratização das OIGs como o desenvolvimento de uma “cidadania cosmopolita”, situada acima dos limites dos Estados. Para desenvolver o contraponto entre estas duas perspectivas, este artigo realizará uma revisão bibliográfica da produção dos dois autores e estará dividido em duas seções principais. A primeira delas examinará a perspectiva “cética” de Robert Dahl com relação à possibilidade de democratização das organizações internacionais. A segunda seção examinará a pers-pectiva cosmopolita de David Held. Nas considerações finais, o artigo identificará os elementos de reflexão gerados pelas duas perspectivas a respeito do sentido da democracia no contexto da globalização. (shrink)

This essay reviews three books—Histories of the Electron: The Birth of Microphysics, Flash of the Cathode Rays: A History of J. J. Thomson's Electron, and The Science of Energy: A Cultural History of Energy Physics in Victorian Britain—broadly concerned with the history of discovery in the physical sciences, two of which focus on the history of the discovery of the electron. The author finds that discovery is a difficult concept at best for contemporary historians of science, and suggests a broader (...) view of discovery may be more productive of useful historical analysis. -/- Review of: Histories of the Electron: The Birth of Microphysics, edited by Jed Z. Buchwald and Andrew Warwick (Cambridge, MA: MIT Press, 2001); Flash of the Cathode Rays: A History of J. J. Thomson's Electron by Per F. Dahl (Bristol and Philadelphia: Institute of Physics Publishing, 1997); The Science of Energy: A Cultural History of Energy Physics in Victorian Britain by Crosbie Smith (Chicago: University of Chicago Press, 1998). -/- . (shrink)

Tocqueville pessimistically predicted that liberty and equality would be incompatible ideas. Robert Dahl, author of the classic _A Preface to Democratic Theory,_ explores this alleged conflict, particularly in modern American society where differences in ownership and control of corporate enterprises create inequalities in resources among Americans that in turn generate inequality among them as citizens. Arguing that Americans have misconceived the relation between democracy, private property, and the economic order, the author contends that we can achieve a society of (...) real democracy and political equality without sacrificing liberty by extending democratic principles into the economic order. Although enterprise control by workers violates many conventional political and ideological assumptions of corporate capitalism as well as of state socialism. Dahl presents an empirically informed and philosophically acute defense of "workplace democracy." He argues, in the light of experiences here and abroad, that an economic system of worker-owned and worker-controlled enterprises could provide a much better foundation for democracy, political equality, and liberty than does our present system of corporate capitalism. (shrink)

Tocqueville pessimistically predicted that liberty and equality would be incompatible ideas. Robert Dahl, author of the classic _A Preface to Democratic Theory,_ explores this alleged conflict, particularly in modern American society where differences in ownership and control of corporate enterprises create inequalities in resources among Americans that in turn generate inequality among them as citizens. Arguing that Americans have misconceived the relation between democracy, private property, and the economic order, the author contends that we can achieve a society of (...) real democracy and political equality without sacrificing liberty by extending democratic principles into the economic order. Although enterprise control by workers violates many conventional political and ideological assumptions of corporate capitalism as well as of state socialism. Dahl presents an empirically informed and philosophically acute defense of "workplace democracy." He argues, in the light of experiences here and abroad, that an economic system of worker-owned and worker-controlled enterprises could provide a much better foundation for democracy, political equality, and liberty than does our present system of corporate capitalism. (shrink)

This book identifies a need to move beyond discussions of ownership, power and control in favour of exploring new kinds of partnerships between museums and the peoples or countries of origin, partnerships based on equitability and reconciliation.

Written by the preeminent democratic theorist of our time, this book explains the nature, value, and mechanics of democracy. In a new introduction to this Veritas edition, Ian Shapiro considers how Dahl would respond to the ongoing challenges democracy faces in the modern world. “Within the liberal democratic camp there is considerable controversy about exactly how to define democracy. Probably the most influential voice among contemporary political scientists in this debate has been that of Robert Dahl.”—Marc Plattner, _New (...) York Times_ “An excellent introduction for novices, as well as a trusty handbook for experts and political science mavens.”—_Publishers Weekly_. (shrink)

While Henry and Levinas are often juxtaposed, little attention has been given to their shared views on pain and pleasure. Both phenomenologists converge on the argument that an adequate account of pain and pleasure requires a critical confrontation with the theory of intentionality. This raises further questions. What roles do interiority and exteriority play in pain and pleasure? Should they be conceived as different tonalities of one essence or as heterogenous phenomena? Despite their shared critique of intentionality, Henry and Levinas (...) respond differently to these questions. We argue that Henry’s account suffers from an imprisonment in immanence, leading to a homogenous account of pain and pleasure as derivatives of one essence. In our view, Levinas points toward a more fruitful phenomenological account, both in so far as he does not divorce pain and pleasure from exteriority, and also in the way his phenomenology preserves the heterogeneity of pleasure and pain. (shrink)

In this paper I argue that it’s impossible for there to be a single universal theory of meaning for a language. First, I will consider some minimal expressiveness requirements a language must meet to be able to express semantic claims. Then I will argue that in order to have a single unified theory of meaning, these expressiveness requirements must be satisfied by a language which the semantic theory itself applies to. That is, we would need a language which can express (...) its own meaning. It has been well-known since Tarski that theories of meaning whose central notion is truth can’t be expressed in a language which they apply to. Here, I develop Quine’s formulation of the Liar Paradox in grammatical terms and use this to extend Tarski’s result to all theories of meaning. This general version of the paradox can be formalised as a special case of the Lawvere Fixed-Point Theorem applied to a categorial grammar. Taken together with the initial arguments, I infer that a universal theory of meaning is impossible and conclude the paper with a brief discussion on what alternatives are available. (shrink)

Draws on classical and recent philosophical studies to show how religious ideas bear on the phenomenology of the body in pain.

In her paper, The case for physician assisted suicide: not proven, Bonnie Steinbock argues that the experience with Oregon’s Death with Dignity Act fails to demonstrate that the benefits of legalising physician assisted suicide outweigh its risks. Given that her verdict is based on a small number of highly controversial cases that will most likely occur under any regime of legally implemented safeguards, she renders it virtually impossible to prove the case for physician assisted suicide. In this brief paper, we (...) suggest some ways that may enable us to weigh the risks and benefits of legalisation more fairly and, hopefully, allow us to close the case for physician assisted suicide. (shrink)

In modern urbanized and densely populated societies - such as the contemporary Netherlands, which forms the geographical setting of the present analysis - hunting has lost its meaning as a mode of subsistence to become a symbolic strategy. Hunting is a cultural enclave in which the boundaries between humans and animals are blurred and the relations of dominance and submission symbolically reversed. Hunting challenges the legitimacy of apparently "given" power relations between humans and animals. Hunters construct, reproduce and legitimize hunting (...) by crossing the boundaries between humans and animals. Hunting "for pleasure" is regarded as truly pleasurable only if it allows a reversal of the asymmetrical power relations between humans and animals, attributing almost human characteristerics to the game-species. In theircognitive schemes hunters measure their power and abilities with strong, cunning and preferably male opponents. Game-species share an ambivalent status between the human and the animal realms, the tame and the wild, and between their instrumental and expressive signifccance. Hunting "for pleasure" is justified by this very ambivalence. (shrink)

The American philosopher Stanley Cavell is a secular Jew who by his own admission is obsessed with Christ, yet his outlook on religion in general is ambiguous. Probing the secular and the sacred in Cavell’s thought, Espen Dahl explains that Cavell, while often parting ways with Christianity, cannot dismiss it either. Focusing on Cavell's work as a whole, but especially on his recent engagement with Continental philosophy, Dahl brings out important themes in Cavell’s philosophy and his conversation with (...) theology. (shrink)

Although there may be many questions about the meaning of life that will ultimately prove intractable, I think that there are some questions that can be answered. Furthermore, I think that progress towards answering them can be made through work that has and will be done in moral philosophy. In support of this I shall articulate a set of questions that I think are often at issue when people ask about the meaningfulness of life. These questions give rise to a (...) set of conditions that a fully adequate answer must satisfy. Among other things, these conditions explain why a familiar theological answer to the meaningfulness of life seems so attractive. However, they also create problems for this answer, as well as for an answer that has appeared attractive to a number of contemporary philosophers, that the meaning of life is created by the choices that people make and the desires that they have. I shall suggest that work in moral philosophy may provide an answer that falls between these two camps – that a moral life is a meaningful life. I shall sketch a theory of morality that satisfies the conditions that have been set out. H this sketch can be filled out, then a moral life will be at least part of what can make a life meaningful. Whether this account of the moral life leaves out anything important for the meaningfulness of life will be the subject of some concluding remarks. (shrink)

Virtually everyone will agree that according to Aristotle, for a particular substance to be is at least for it to be a thing of a certain kind. Every particular substance falls under a substance kind, where the essence of that particular substance at least includes the essence of its substance kind. For example, for a particular man to be is at least for him to be characterized by those predicates that make something a man. More generally, if A is said (...) of a particular A kath’ hauto, then the essence of that particular A will at least include the essence of the kind A. Let us call the first of these essences the essence of a particular A, and the second the essence of the kind A. The question now is whether Aristotle would maintain that the essence of a particular A includes the essence of the kind A for every kind A. In particular, would he maintain this when A is said of a particular subject kata sumbebêkos? For example, would he say that what it is for a particular pale man to be includes what it is to fall under the kind pale man? (shrink)

Some fundamental aspects of the lived body only become evident when it breaks down through illness, weakness or pain. From a phenomenological point of view, various breakdowns are worth analyzing for their own sake, and discussing them also opens up overlooked dimensions of our bodily constitution. This book brings together different approaches that shed light on the phenomenology of the lived body—its normality and abnormality, health and sickness, its activity as well as its passivity. The contributors integrate phenomenological insights with (...) discussions about bodily brokenness in philosophy, theology, medical science and literary theory. Phenomenology of the Broken Body demonstrates how the broken body sheds fresh light on the nuances of embodied experience in ordinary life and ultimately questions phenomenology’s preunderstanding of the body. (shrink)

In a time when worlds, communities and subjects are increasingly presented as ‘vulnerable’, much remains to be said about the distinctly feminine shapes of ‘vulnerability’; weakness, softness, permeability, a sense of being affected, imprinted upon, or entered and shattered. While this presumed vulnerability of the feminine body has often been the basis of feminist sexual politics, feminist goals of autonomy often presume an internal and external undoing of vulnerability as such. Drawing on ethnographic research with queer femmes and building on (...) Sara Ahmed’s (2004a) idea that vulnerability is a ‘particular kind of bodily relation to the world’, this experimental article challenges the popularised idea that to queer femininity requires action, intention, agency and strength. Extending the work of femme authors Dorothy Allison and Ann Cvetkovich, the article considers the cracks in such femme politics, and focuses on how femme feelings of vulnerability take shape and figure in movements, and become what sticks between femme bodies of flesh and knowledge. Attending to the sensuous canvas of skin, to high-heeled movement and desire for both sex and sisterhood, these are notes on the work of affect in what is here called femmebodiment towards a somatechnical understanding of femininity. (shrink)

L’article aborde le rôle de l’intellectuel dans la société moderne par rapport à l’engagement activiste de la recherche. Un groupe de recherche de l’Université de Roskilde au Danemark constitué par Jacob Dahl Rendtorff et Sandra Frost, en collaboration avec Reidar Due de l’Université d’Oxford, vient d’obtenir une subvention de la Fondation danoise pour la recherche indépendante afin d’effectuer des recherches sur « L’éthique et la politique de la libre pensée. Le rôle de l’intellectuel public ». Ce projet doit être (...) considéré dans un contexte de discussion croissante sur le rôle du chercheur dans la société, qui s’accompagne d’une étude approfondie de l’intellectuel public au sein des sociétés démocratiques. (shrink)

This article discusses the importance of geopolitical specificity in discussions about waves in feminism and investigates the queer potential of Marilyn Frye's second-wave work on sexism and white supremacy. It argues that Frye's understanding of sexism relies on the figure of the genderqueer individual and that Frye's critique of reproductive heterosexuality has implications for analyses of both sexism and racism. Finally, it asks what would happen to the contemporary #metoo movement in Sweden if it returned to Frye's radical lesbian feminism (...) as emblematic of the second wave, rather than to the figure of the white, middle-class, heterosexual woman. (shrink)

This account of evil takes the Book of Job as its guide. The Book of Job considers physical pain, social bereavement, the origin of evil, theodicy, justice, divine violence, and reward. Such problems are explored by consulting ancient and modern accounts from the fields of theology and philosophy, broadly conceived. Some of the literature on evil - especially the philosophical literature - is inclined toward the abstract treatment of such problems. Bringing along the suffering Job will serve as a reminder (...) of the concrete, lived experience in which the problem of evil has its roots. (shrink)

In recent years, multifetal pregnancy reduction (MFPR) has increasingly been the subject of debate in Norway, and the intensity reached a tentative maximum when Legislation Department delivered the interpretative statement § 2 - Interpretation of the Abortion Act in 2016 in response to the Ministry of Health (2014) requesting the Legislation Department to consider whether the Law on abortion allows for MFPR of healthy fetuses in multiple pregnancies. The Legislation Department concluded that current abortion laws allow MFPR within the framework (...) the law otherwise stipulates. The debate has not subsided, and during autumn 2018, it was further intensified in connection with the Christian Democrat "crossroads" and signals from the Conservatives to consider removing §2.3c and to forbid MFPR. -/- Many of the arguments in the MFPR debate appear seemingly similar to arguments pending in the general abortion debate, and an analysis of what sets MFPR apart from other abortions is wanting. The aim of this article is, therefore, to examine whether there is a moral distinction between abortion and MFPR of healthy fetuses. We will cover the typical arguments of the Norwegian debate, and highlight them with scholarly articles from the literature. The most important arguments against MFPR that we have identified we have dubbed the harm argument, slippery-slope argument, intent argument, grief argument, psychological long-term effects for the woman and sorting argument. We conclude that counter-arguments do not measure up in terms of detecting a morally relevant difference between MFPR of healthy fetuses and abortions. Our conclusion is therefore that—despite what several debaters seem to think—there is no morally relevant difference between the two. Therefore, when we allow abortion, we should also allow MFPR. (shrink)

The world today is facing unprecedented challenges of governance far beyond what the United Nations, established more than 70 years ago, was designed to face. The grave effects of global climate change are already manifesting themselves, requiring rapid, far-reaching and unprecedented changes in all aspects of society if we are to arrest catastrophic and probably irreversible consequences. Science has uncovered the frightening and rapid collapse in global biodiversity, threatening ecosystems across the planet that maintain the correct functioning of the biosphere, (...) upon which we rely for survival. But there is more; there are other global catastrophic risks. We live in a world in which a diminished faith in our political leaders and governmental structures, public disillusionment with partisan politics and a willingness to believe populist promises, disturbing trends in income inequality, human rights violations and the spread of corruption have coincided with the rise of autocratic leaders, often intent on awakening the voices of nationalisms which have been so destructive during the 20th century. The rejection by some nations of the benefits of multilaterism and international cooperation, which have been at the center of the postwar global order, has heightened the risks of fundamental instabilities that could precipitate a range of major crises, disregarding the lessons of the past. (shrink)