RésuméLe livre ambitieux et nuancé de Sophia Moreau défend une vision pluraliste de la discrimination injuste. Je soutiens trois points. Premièrement, je soutiens que le compte rendu de Moreau sur la liberté délibérative ne fournit pas de motif distinct pour s'opposer à la discrimination. Deuxièmement, je soutiens qu'il n'y a pas, entre sa vision et l'expressivisme, un écart aussi important qu'elle le suggère. Troisièmement, j'avance qu'une lacune intrigante dans l'argument mérite une exploration plus poussée : Moreau (...) ne nous fournit jamais de description détaillée des situations où la subordination sociale est immorale ni des raisons qui expliquent pourquoi elle le devient. (shrink)

RésuméSophia Moreau, dans son livre important, offre un compte rendu instructif de l'un des aspects de la discrimination répréhensible, soit celui basé sur le fléau de la subordination. Ma contribution au symposium vise à clarifier la structure de la présentation de Moreau sur la subordination et son statut normatif et axiologique. La première interprétation plausible veut que la subordination soit fondamentalement mauvaise ou immorale. La seconde est à l'effet que la subordination est un phénomène social distinctif, qui (...) n'est mauvais ou immoral que de manière dérivée. Je décrirai chaque point de vue et examinerai les implications de chacun pour certaines questions au cœur de l'ouvrage de Moreau. (shrink)

Across 13 essays "e; 12 of which were previously unavailable in English "e; Deleuze specialist Anne Sauvagnargues reveals the continuing potential of Deleuze, Guattari and Simondon to invent new concepts and new modes of creativity and existence. She redeploys their work, together with other key philosophers including Bergson, Lacan, Deligny and Ruyer, to create new concepts including geophilosophy, the artmachine, the ritornello, schizoanalysis and the machinic assemblage.

Our contributors explore a rich variety of aesthetic problems that bring about the self-reflexive re-evaluation of ideas.

This article explores emerging ethical questions that result from knowledge development in a complex, technological age. Nursing practice is at a critical ideological and ethical precipice where decision-making is enhanced and burdened by new ways of knowing that include artificial intelligence, algorithms, Big Data, genetics and genomics, neuroscience, and technological innovation. On the positive side is the new understanding provided by large data sets; the quick and efficient reduction of data into useable pieces; the replacement of redundant human tasks by (...) machines, error reduction, pattern recognition, and so forth. However, these innovations require skepticism and critique from a profession whose mission is to care for and protect patients. The promise of technology and the new biological sciences to radically and positively transform healthcare may seem compelling when couched in terms of safety, efficiency, and effectiveness but their role in the provision of ethical nursing care remains uncertain. Given the profound moral and clinical implications of how today’s knowledge is developed and utilized, it is time to reconsider the relationship between ethics and knowledge development in this new uncharted area. (shrink)

Person‐centred practice indubitably seems to be the antithesis of technology. The ostensible polarity of technology and person‐centred practice is an easy road to travel down and in their various forms has been probably travelled for decades if not centuries. By forging ahead or enduring these dualisms, we continue to approach and recede, but never encounter the elusive and the liminal space between technology and person‐centred practice. Inspired by Haraway's work, we argue that healthcare practitioners who critically consider their cyborg ontology (...) may begin the process to initiate and complicate the liminal and sought after space between technology and person‐centred practice. In this paper, we draw upon Haraway's idea that we are all materially and ontologically cyborgs. Cyborgs, the hybridity of machine and human, are part of our social reality and embedded in our everyday existence. By considering our cyborg ontology, we suggest that person‐centred practice can be actualized in the contextualized, embodied and relational spaces of technology. It is not a question of espousing technology or person‐centred practice. Such dualisms have been historically produced and reproduced over many decades and prevented us from recognizing our own cyborg ontology. Rather, it is salient that we take notice of our own cyborg ontology and how technological, habitual ways of being may prevent (and facilitate) us to recognize the embodied and contextualized experiences of patients. A disruption and engagement with the habitual can ensure we are not governed by technology in our logics and practices of care and can move us to a conscious and critical integration of person‐centred practice in the technologized care environments. By acknowledging ourselves as cyborgs, we can recapture and preserve our humanness as caregivers, as well as thrive as we proceed in our technological way of being. (shrink)

Volume 19, Issue 11, November 2019, Page 71-73.

Research involving and impacting Indigenous Peoples is often of little or no benefit to the communities involved and, in many cases, causes harm. Ensuring that Indigenous research is not only ethical but also of benefit to the communities involved is a long-standing problem that requires fundamental changes in higher education. To address this necessity for change, the authors of this paper, with the help of graduate and Indigenous community research assistants, undertook community consultation across their university to identify the local (...) and national ethical needs of Indigenous researchers, communities, and Elders. This paper provides an overview of the consultation process, the themes that emerged from the consultations, and a model of the Wholistic Indigenous Research Framework that emerged. (shrink)

Adults have been shown to attribute certain properties more frequently than others to the dead. This category-specific pattern has been interpreted in terms of simulation constraints, whereby it may be harder to imagine the absence of some states than others. Afterlife beliefs have also shown context-sensitivity, suggesting that environmental exposure to different types of information might influence adults? reasoning about post-death states. We sought to clarify category and context effects in adults afterlife reasoning. Participants read a story describing the death (...) of a human protagonist after exposure to a biological prime, an emotional prime, or no prime. Emotions, desires, and epistemic states were more frequently attributed to the dead character than biological, psychobiological, and perceptual states, partially replicating previous findings. The biological prime decreased the attribution of certain post-death states relative to the control condition, whereas the emotional prime had no effect. Simulation theory does not provide a satisfactory explanation of the present findings, which may be better accounted for by conflict between different cognitive systems that are engaged in thinking about the dead. (shrink)

This Handbook addresses Chaucer's poetry in the context of several disciplines, including late medieval philosophy and science, Mediterranean culture, comparative European literature, vernacular theology, and popular devotion.

Indonesia, an archipelagic country with 17 000 islands with 281 million inhabitants, is a democratic country with Islam as the major religion. Currently, Indonesia is the second country with the largest Muslim population in the world. The Islamic tradition in Indonesia has assimilated and intersected with the richness and diversity of Indonesian culture. This is reflected in the use and meaning of Islamic concepts in Indonesia, such as ikhtiar. Ikhtiar is important to Indonesian Muslims and may have profound ethical implications (...) in palliative care situations. This makes it a relevant term to understand for healthcare professionals and adds to our vocabulary in medical ethics. This column will demonstrate the meaning and origin of ikhtiar, how it may be used in a palliative care setting, and its relationship with other concepts. The word ikhtiar is etymologically derived from Arabic اِخْتِيَار ( iḵhtiyār ) and is included in the Official Dictionary of Bahasa Indonesia. It means ‘free choice’ in Arabic, emphasising the capacity of mankind to determine their own course of action rather than predestination. However, in Indonesia, ikhtiar has a more specific nuance as a verb, meaning ‘making an effort’. It denotes that, as a consequence of having free will, humans can choose the goal which they perceive to be the best, and subsequently, make an effort to reach that goal. Ikhtiar is commonly used among Indonesian …. (shrink)

Background: The use of therapeutic untruths raises a number of ethical issues, which have begun to be explored to some extent, particularly in dementia care services, where their use has been found to be high. Little is known, however, about their use by health professionals working in learning disability services. Research question: The study aimed to explore the frequency of use of therapeutic untruths by student learning disability nurses, and by their colleagues; how effective the students perceived them to be (...) as a means of responding to behaviours that challenge; and their level of comfort with using them. Research design: A correlational design was used to gather data from an online version of the Best Interest Scale, adapted for a learning disability context. Participants were 30 learning disability student nurses studying at a university in the North-East of England. Ethical considerations: The study was reviewed and received ethical approval from the first author’s university ethics committee. Findings: Overall, 96% of participants reported using therapeutic untruths. ‘Omission’ was the most frequently used type of therapeutic untruths, the most effective and the type that the students felt most comfortable using. Frequency of use of therapeutic untruths correlated significantly and positively with perceived effectiveness and the level of comfort that the students felt when using them, for all types of therapeutic untruths. Conclusion: The use of therapeutic untruths by the student nurses was consistent with that found in research in dementia care services in the United Kingdom and abroad. Further research to explore the generalisability of the results to the wider context of learning disability services is needed. The study highlights that there may be a need for more formal guidance and educational input to student nurses in the use of therapeutic untruths with people with a learning disability. (shrink)

At his death, Spinoza left two major works, very different from one another. The first is the Ethics, rigorously set out in geometrical terms, with definitions, axioms, and theorems. In the Ethics, Spinoza takes the reader down the path of reason to an ultimate beatitude, a rational salvation, a kind of peace of mind attained through the true knowledge of God, oneself, and one's place in the world. The other is of a very different sort. The Tractatus theologico-politicus is set (...) out in twenty chapters. It begins with a discussion of prophecy and revelation, followed by a detailed description of Scripture, and what we can learn from it, the message of scripture. And that message is to be obedient to God, and to love our neighbours as ourselves. Two books, two styles of argument, two very different paths to salvation, arguably two Gods and arguably two very different kinds of kinds of salvation at the end. But one author. The challenge is evident: how do these books fit together? One is about reason, the other about revelation, one is about personal salvation, the other more focused on how we live together. Spinoza's writing has always drawn strong reactions, both positive and negative: he was accepted by some as a kind of secular prophet offering us a guide to life, and rejected by others as a kind of atheist and heretic. In this book, a diverse international group of seventeen scholars confronts these two central works in the philosophical canon, and explores what Spinoza is trying to tell us about life, the world, and our place in it. (shrink)

Gesundheitssorge ist von Natur aus eine moralische Angelegenheit. Gute Pflege ist normativ geprägt und beinhaltet stets, entweder explizit oder implizit, das Wählen einer moralischen Position. Dies ist nicht immer einfach. In dem Prozess, der gute Pflege mit sich bringt, werden Mitarbeiter regelmäßig mit schwierigen moralischen Fragen und Situationen konfrontiert. Dies trifft auf alle Pflegebereiche zu, auch auf den Umgang mit Langzeit- und Demenzpatienten.

Although the most common understanding of suicide is intentional self-killing, this conception either rules out someone who lacks mental capacity being classed as a suicide or, if acting intentionally is meant to include this sort of case, then what it means to act intentionally is so weak that intention is not a necessary condition of suicide. This has implications in health care, and has a further bearing on issues such as assisted suicide and health insurance. In this paper, I argue (...) that intention is not a necessary condition of suicide at all. Rather, I develop a novel approach that deploys the structure of a homicide taxonomy to classify and characterise suicides to arrive at a conceptually robust understanding of suicide. According to my analysis of suicide, an agent is the proximate cause of his death. Suicide is ‘self-killing,’ rather than ‘intentional self-killing.’ Adopting this understanding of suicide performs several functions: We acquire an external standard to assess diverging analyses on specific cases by appealing to homologous homicides. Following such a taxonomy differentiates types of suicides. This approach has application in addressing negative connotations about suicide. As a robust view, adding intention is an unnecessary complication. It is more consistent with psychological and sociological assessments of suicide than ‘intentional self-killing.’ It has useful applications in informing public policy. This paper’s focus is on classifying types of suicides, rather than on the moral permissibility or on underlying causes of suicidal ideation and behaviour. (shrink)