Objectives During the COVID-19 pandemic, healthcare resources including staff were diverted from paediatric services to support COVID-positive adult patients. Hospital visiting restrictions and reductions in face-to-face paediatric care were also enforced. We investigated the impact of service changes during the first wave of the pandemic on children and young people (CYP), to inform recommendations for maintaining their care during future pandemics. Design A multi-centre service evaluation was performed through a survey of consultant paediatricians working within the North Thames Paediatric Network, (...) a group of paediatric services in London. We investigated six areas: redeployment, visiting restrictions, patient safety, vulnerable children, virtual care and ethical issues. Results Survey responses were received from 47 paediatricians across six National Health Service Trusts. Children's right to health was largely believed to be compromised by the prioritisation of adults during the pandemic (81%; n = 33). Sub-optimal paediatric care due to redeployment (61%; n = 28) and the impact of visiting restrictions on CYP's mental health (79%; n = 37) were reported. Decreased hospital attendances of CYP were associated with parental fear of COVID-19 infection-risks (96%; n = 45) and government ‘stay at home’ advice (89%; n = 42). Reductions in face-to-face care were noted to have disadvantaged those with complex needs, disabilities and safeguarding concerns. Conclusion Consultant paediatricians perceived that paediatric care was compromised during the first wave of the pandemic, resulting in harm to children. This harm must be minimised in subsequent pandemics. Recommendations for future practice which were developed from our findings are provided, including maintaining face-to-face care for vulnerable children. (shrink)

Face-to-face meetings are often preferred over other forms of communication because meeting in person provides the “richest” way to communicate. Face-to-face meetings are so rich because many ways of communicating are available to support mutual understanding. With the progress of digitization and driven by the need to reduce personal contact during the global pandemic, many face-to-face work meetings have been shifted to videoconferences. With webcams turned on, video calls come closest to the richness of face-to-face meetings. However, webcam use often (...) remains voluntary, and some participants choose not to turn their cameras on. In order to find ways to support webcam use—when desired—we analyzed how social norms in groups affect the decision to activate a webcam in a specific meeting. Based on an online survey with N = 333 participants, we found that social norms are related to an individual’s decision to turn on the webcam, even when controlling for group size. If the number of participants with activated webcams in a university meeting increased by 25%, it was 5.92 times more likely that an individual decided to turn their webcam on, too. Furthermore, 81.84% of respondents indicated they would turn on their webcam if participants in a meeting were explicitly asked to do so. The results demonstrate a strong relation between social norms and the decision to activate a webcam in online meetings. They build a basis for enhancing webcam use and enable a greater richness of communication in online meetings. (shrink)

Star Trek is a successful popular cultural endeavor because it allows for exactly different kind of imaginative escapism, the possibility of joining in on an alternative narrative. In “The City on the Edge of Forever”, the Enterprise orbits a mysterious planet, where on its surface someone or something is causing temporal and spatial displacement. This chapter uses Romanticism as a philosophical gateway to the sublime experience that is the Guardian of Forever. The Guardian of Forever is the cause of the (...) spatial displacement and ripples in time that shake the Enterprise at the episode's beginning. Friedrich Nietzsche in his writings on Greek history, adopted the Romantic attitude toward the past by suggesting there are certain meaningful archetypes in the Greek past: in the context of “City on the Edge”, James T. Kirk represents the Tragic Hero, Spock the Apollonian figure, and McCoy the Dionysian figure. (shrink)

Work defines the lives of most people. Many people work overtime, work second jobs, or bring work home with them. It is often difficult to know when work stops and the rest of life begins. In a culture where work is central to our identities, good work is increasingly difficult to find. This article argues that one of the impediments to imagining a future beyond work is the productivist logic that predominates today, which determines labor and production to be key (...) activities and values. To sketch a path beyond work, the author turns to Marx, arguing that Marx provides an important critique of productivism and gestures toward a postwork future in his own writings. To do so, the author defends Marx against critiques of productivism. (shrink)

The present work explores interspecies intersubjectivity, including its content and limitations, through the paradigmatic instances of such relationships that are present among companion species. I aim to defend the claim that meaningful relationships are possible and do in fact occur between humans and nonhuman animals by appealing to both philosophical and empirical literature. I will also begin to delineate the content and limitations of these interspecies relationships.

Much of leftist political philosophy has uncritically accepted the logic of capitalism, which is a logic of conservation that presents itself as a logic of “production.” Many leftist political philosophers subscribe to capitalism’s fundamental myth—that capitalism produces the new. This appearance of proliferation, however, masks an underlying stasis. This article interrogates this trend in the apparently disparate projects of contemporary accelerationism and Jacques Rancière. The accelerationist project of immanence allows for newness only in quantity and not in quality, while Rancière, (...) coming closer to thinking radical newness in his account of politics, forecloses the possibility of a radically emancipatory society. I suggest an open ontology, which Marx offers, provides a better framework for thinking revolutionary newness. (shrink)

Constitution d’un grand corpus d’écrits émergents et novices : principes et méthodes Cette contribution propose une réflexion sur la construction d’un vaste corpus d’écrits qui permet d’approfondir notre compréhension des processus en jeu dans l’accès à la littératie dans sa diversité, au travers de la pluralité des genres et des types discursifs qui la constituent et chez des apprenants de profils divers : enfants/adultes, langue 1 / langue 2, entendants/sourds. La réflexion sur la mise en place de ce corpus s’inscrit (...) dans une perspective fonctionnaliste et énonciative et fait fond sur deux ensembles théoriques complémentaires. Du point de vue de l’acquisition des langues, nous souscrivons à la conception selon laquelle les productions d’apprenants ne constituent pas une déviance par rapport à la norme mais sont des manifestations (idiolectales) de systèmes linguistiques per se dont il s’agit de dégager les normes propres. Du point de vue de la littératie, nous nous inscrivons dans la tradition des travaux, d’inspiration bakhtinienne, qui considèrent l’hétérogénéité comme constitutive de toute production verbale. Ainsi, nous expliquons et justifions nos choix en matière de profils d’apprenants et de tâches rédactionnelles, en relation avec la perspective théorique adoptée, ainsi que les options retenues en matière d’outillage du corpus. (shrink)

This paper considers the justifications for adhering to a principle of confidentiality within medical practice. These are found to derive chiefly from respect for individual autonomy, the doctor/patient contract, and social utility. It is suggested that these will benefit more certainly if secrecy is rejected and the principle of confidentiality is removed from the area of health care.

Well-being advocates state that it provides a more holistic, humanistic focus for public policy. Paradoxically, however, well-being debates tend to be dominated by highly quantitative, de-contextualised statistical methods accessible to only a minority of technical experts. This paper argues the need to reverse this trend. Drawing on original primary mixed method research in Zambia and India it shows the critical contribution of qualitative methods to the development of a quantitative model of subjective perspectives on well-being. Such contributions have a political, (...) ethical and practical urgency if subjective measures of well-being are to be used in policy. (shrink)

To isolate, analyze and explain their most basic commitments, theories of justice typically idealize. They assume for theoretical purposes, for example, that human beings possess far greater knowledge than they do, or that society's members strictly comply with just laws. Yet because it falsifies, idealization undermines the practical applicability of an ideal theory's principles. ;Although ideal theories are unsatisfactory as they stand, their fundamental principles may be invaluable in addressing our problems of justice. From such basic principles we may derive (...) intermediate ones that bridge the gap between ideal world and real, and allow us to determine what ideal theory demands in actual circumstances. ;Going beyond others who recognize the need, but themselves offer only ideal theories, I develop a set of these intermediate principles. I examine Kant's theory of justice as a paradigm, and identify problems it cannot address because they have their source in non-ideal features, including limited knowledge, imperfect will and preexisting social injustice. I then appeal to a modified version of the perspective of the ideal citizen that Kant employs in the Rechtslehre. This modified perspective enables us to articulate principles that give effect to Kant's universal law of justice and categorical imperative in non-ideal circumstances. Illustrating its use in addressing issues such as prison reform and exclusionary zoning, I argue that augmented ideal theory can play a crucial role in our pursuit of social justice. (shrink)

The essays in this volume all ask what it means for human beings to be embodied as desiring creatures—and perhaps still more piercingly, what it means for a philosopher to be embodied. In taking up this challenge via phenomenology, psychoanalysis, hermeneutics, and the philosophy of literature, the volume questions the orthodoxies not only of Western metaphysics but even of the phenomenological tradition itself. We miss much that has philosophical import when we exclude the somatic aspects of human life, and it (...) is therefore the philosopher’s duty now to rediscover the meaning inherent in desire, emotion, and passion—without letting the biases of any tradition determine in advance the meaning that reveals itself in embodied desire. Continental philosophers have already done much to challenge binary oppositions, and this volume sets out a new challenge: we must now also question the dichotomy between being at home and being alienated. Alterity is not simply something out there, separate from myself; rather, it penetrates me through and through, even in my corporeal experience. My body is both my own and other; I am other than myself and therefore other than my body. Additionally, this book is a conversation, not a presentation of a new orthodoxy. Thus, the hope is that these essays will open the way for further dialogue that will continue to radically rethink our understanding of embodied desire. Gathered together here are twelve essays that address these issues from deeply interrelated albeit unique perspectives from within the field. (shrink)

After a brief summary of Mackenzie's major claims, I offer questions to promote ongoing conversation, most especially regarding they‐ and we‐narratives.

In their 1978 paper, psychologists David Premack and Guy Woodruff posed the question, “Does the chimpanzee have a theory of mind?” They treated this question as interchangeable with the inquiry, “Does a chimpanzee make inferences about another individual, in any degree or kind?” Here, we offer an alternative way of thinking about this issue, positing that while chimpanzees may not possess a theory of mind in the strict sense, we ought to think of them as enactive perceivers of practical and (...) social affordances. As such, we reframe the question: “Are chimpanzees socially enactive?”. (shrink)

Thomas Szasz has wrestled with the following question: Does mental illness even exist? Here, I sketch two provocative papers by Szasz and detail his reasons for criticizing the concept ‘mental illness.’ I will proceed to highlight where I think Szasz’s writing is philosophically dubious, despite its role in forcing us to think critically about ‘mental illness.’ I will conclude that his argument is best left behind as an antiquated take on neurodivergence. Finally, I will propose what I think is a (...) more promising alternative to Szasz’s view that there is a myth around mental illness. There is a myth indeed, and it involves what is often meant by ‘mental.’ With new developments in embodied cognition, I will ask us to revisit the concept of ‘mental illness,’ to correctly diagnose the problematic myth that must be confronted by the psychiatric community, and to explore what the myth of the mental means for neurodivergence. (shrink)

Thomas Szasz has wrestled with the following question: Does mental illness even exist? Here, I sketch two provocative papers by Szasz and detail his reasons for criticizing the concept ‘mental illness.’ I will proceed to highlight where I think Szasz’s writing is philosophically dubious, despite its role in forcing us to think critically about ‘mental illness.’ I will conclude that his argument is best left behind as an antiquated take on neurodivergence. Finally, I will propose what I think is a (...) more promising alternative to Szasz’s view that there is a myth around mental illness. There is a myth indeed, and it involves what is often meant by ‘mental.’ With new developments in embodied cognition, I will ask us to revisit the concept of ‘mental illness,’ to correctly diagnose the problematic myth that must be confronted by the psychiatric community, and to explore what the myth of the mental means for neurodivergence. (shrink)

This article responds to the critique of productivist essentialism, which is the view that the human is the productive animal, made against Marx. The author argues against this view and holds that Marx introduces a dialectical account of human essence with the notion of species being in the 1844 Manuscripts, which he then develops in The German Idology. This account of essence includes a static and dynamic moment, and in capitalism, the dialectic of essence has resulted in the appearance of (...) the human as the productive animal. Finally, the author argues that Marx’s critique of production and dialectical account of human essence allow us to better think the possibilities for a post-work future. (shrink)

In this thesis I determine what is required in an account of money. I compare John’s Searle’s idea of institutions, as ontologically subjective, to Francesco Guala’s idea of an institution as a functional, rule-based equilibrium. I find both, as accounts of money, to be inadequate on their own. In response, I develop a new account of money which has functional components akin to Guala’s but with the addition of intentionality. This adds mind-dependence back into the account of money but, if (...) Khalidi’s theory of social kinds is correct, my account of money is still open to scientific investigation, because it might be kind of natural. (shrink)

I denne artikel undersøges kroniske patienters beslutninger om forsøgsdeltagelse og betydningen af deltagerinformation. På baggrund af et års feltarbejde på fire danske forskningsklinikker argumenterer jeg for, at de observerede patienter opererer efter andre logikker, når de tager beslutninger om at deltage i kliniske forsøg, end hvad der antages i den gældende forskningsetiske regulering. Feltarbejdet fulgte et klinisk lægemiddelforsøg og inkluderede observationer af forsøgskonsultationer; interviews med investigatorer, projektsygeplejersker, forsøgsdeltagere og virksomhedsrepræsentanter; samt en mindre spørgeskemaundersøgelse blandt de danske forsøgsdeltagere. Resultaterne indikerer, at (...) for en gruppe af erfarne forsøgsdeltagere handler beslutningerne om forsøgsdeltagelse ikke om forsøget i sig selv, men om at opretholde en nær relation til forskningspersonalet. Disse patienter orienterer sig ikke efter deltagerinformation, men i forhold til tillidsrelationer. De agerer ikke som autonome individer, men oplever, at de er afhængige af sundhedssystemet. De udtrykker altruistiske motiver, men håber samtidig, at forsøgsdeltagelse vil give dem bedre helbredskontrol. For dem er forsøgsdeltagelse blevet en måde at leve med kronisk sygdom. Mulige implikationer af denne situation diskuteres, idet det understreges, at tillidsfulde relationer er en forudsætning både for god behandling og god forskning, men at de tætte relationer samtidig kan bevirke, at patienter bliver mindre kritiske, i forhold til hvilke forsøg de accepterer at deltage i, og at en bevidsthed om forsøgsrelaterede risici fortrænges fra forsøgssituationen.Nøgleord: informeret samtykke, deltagerinformation, deltagermotivation, kliniske forsøg, kronisk sygdom, DanmarkEnglish summary: Informed consent in clinical trials: technicalities, trust and intimate relationshipsThis article explores decisions about clinical trial participation in a group of patients with chronic conditions, focusing especially on motivation for trial participation and trial information. Based on ethnographic research in four Danish hospitals in conjunction with a clinical drug trial, I argue that these patients’ decisions follow logics other than those anticipated in research ethics regulations. I build on observations, interviews with physician-investigators, project nurses, patient-participants and trial sponsors, and a survey of the participants. The results indicate that for a group of experienced trial participants, trial information plays a very limited role because their decisions do not concern the trial per se but the sustainment of a close relationship with the research staff. They do not act as autonomous individuals weighing pros and cons based on the written information they receive. Rather, they feel dependent on the healthcare system and navigate in trust relations. For them, trial participation has become a way of living with chronic disease. I discuss implications of this situation underlining that trustful relationships constitute a precondition for high quality chronic care and research, yet the social dynamics may also lead patients to pay less attention to risks associated with trial participation. (shrink)

Tips and tricks for capturing your canine's personality withevery click of the camera Simply snapping a picture may not capture the playfulness orspontaneity of a dog. Knowing what kind of equipment, angle, andcomposition to use while photographing a dog can make all thedifference in the character captured in the photo. DogPhotography For Dummies gives you practical and fun guidancefor capturing your dog's personality and turning ordinary shotsinto priceless memories that will last a lifetime. Covering all the latest and greatest gadgets (...) and accessoriesavailable to capture and alter photos of your favorite pooch,Dog Photography For Dummies offers techniques that amateursand intermediates alike can use to improve their photographyskills. This hands-on guide features great examples of dogportraiture, plus tons of ideas for fun new places to pose yourfurry friend, such as the beach, the park, the car, in the snow,and more. Detailed discussions of color versus black-and-white, indoorsversus outdoors, composition, and capturing movement Advice on how to get a dog to sit still Considerations for photographing a shy dog who is scared of thecamera Guidance on making the most of natural light Tips for photographing dogs with black coats How to photograph people and dogs together Whether for decorating, memories, or holiday cards, DogPhotography For Dummies makes it easy to capture the best ofyour four-legged friend. (shrink)

Counsel for Kings: Wisdom and Politics in Tenth-Century Iran. By Louise Marlow. 2 vols. Edinburgh Studies in Classical Arabic Literature. Edinburgh: Edinburgh University Press, 2016. Pp. xv + 344, viii + 384. $220, £150.

In this paper, I defend the claim that the determination conditions for thought must include absences.