This paper is aimed at investigating the differences in ethical perception between Mainland China and Hong Kong through qualitative analysis. The level of idealism and relativism of the informants are measured quantitatively. The qualitative analysis of the viewpoints of participants from Hong Kong and other Chinese cities offers a profound understanding of ethical perception. Contradicting previous studies, our research offers a fresh perspective, indicating that those with high idealism are not always the ones who condemn misconduct or advocate for whistle-blowing. (...) Interestingly, we noted that individuals with high relativism frequently consider and emphasize alternative perspectives, rather than merely condemning or advocating misconduct and whistle-blowing. Conversely, those with low relativism frequently exhibit more anger, regardless of their stance. This discovery suggests that high relativism could be beneficial for facilitating communication between conflicting parties. (shrink)

Background: Moral distress occurs when nurses experience ethical dilemmas. Issues related to these dilemmas are addressed in some nursing education courses. Nurses’ reaction to dilemma such as moral distress is relatively less noticed. Objective: This study aimed to identify and describe the various types of perceptions of moral distress exhibited by nurses. Research design: This study applied Q methodology to explore the perspectives of nurses regarding moral distress. Data were collected in two stages. First, in-depth interviews were conducted to collect (...) nurses’ opinions. Sentences that best fit the concepts of moral distress were extracted for the construction of Q statements. Second, nurses subjectively ranked these Q statements so that the relevant severity of moral distress could be determined using Q sorts. The study participants were nurses at a regional teaching hospital in northeast Taiwan. A total of 60 participants were invited to rank 40 moral distress Q statements. Ethical considerations: The study protocol was approved by the institutional review board of National Yang-Ming University Hospital. Only the participants who signed an informed consent form participated in the study. The respondents’ right to withdraw from the study was respected. Findings: Five types of responses were identified regarding the nurses’ perspectives. These types were “conflict with personal values,” “excessive of workload,” “curbing of autonomy,” “constraint engendered by organizational norms,” and “self-expectation frustration.” Conclusion: The findings regarding nurses’ experiences of moral distress can be used to construct multifaceted policies and solutions and to incorporate ethical education in training programs. (shrink)

ABSTRACTIn contrast to his contemporaries who take the heart–mind as the ruler of a person, Zhuangzi suggests that one’s action is guided by the spirit. Questions arise as one articulates the function of spirit and its relationship with the heart–mind. In this article, I articulate the relationship between heart–mind and spirit to show three points: first, spirit is a kind of qi 氣 that can be tied or run smoothly, or rather the mechanism triggered by the functioning of smooth qi. (...) This reading brings the skill passages together with the fasting of heart–mind passage. Second, the proceeding of spirit admits no fixed ways and is not confined to any particular organ or faculty, so it avoids the problem of self-assertion mentioned in Qiwulun. Third, the proceeding of spirit implies that one’s practice takes as many particularities of the context as possible into account, so the person has a higher chance to reduce conflict in interacting with things and other people and bring out their p.. (shrink)

One area of focus in contemporary debates on the Zhuangzi is whether the text endorses some kind of skepticism. For example, in chapter 2, Wang Ni expresses doubt toward "benevolence and rightness" and "the paths of right and wrong." He refuses to claim that there is something of which all things will agree to be right. However, the text repeatedly employs terms like "great knowledge" or "authentic knowledge", which hint at something endorsed or exalted by the text, if not right (...) in itself. Therefore, scholars have been trying to reconcile two sides of the Zhuangzi: the "guru" and the "skeptic."1 In the literature, scholars have refined their interpretation by differentiating skepticism into... (shrink)

This paper articulates the relationship between knowledge and qing 情 in the Zhuangzi. I argue that Zhuangzi has a twofold view of qing, which is structurally similar to his view of knowledge. I sta...

In Chinese pre-Qin period, Mohism was the first school that challenged Confucianism. A common view is that Mohists attacked Confucianism by proposing jian ai, often translated as “universal love,” that opposes Confucian “graded love”. The Confucian-Mohist debate on ethics is often regarded as a debate between Mohist “universal love,” on the one hand; and Confucian emphasis on family and kinship, on the other. However, it is misleading to translate jian ai as “universal love,” as it distorts our understanding of the (...) debate. The word jian in classical Chinese means “inclusive,” not “impartial”. The Jian Ai chapters in the Mozi do not object to the idea that our moral practices ought to vary according to our relationship with others and their social positions. Furthermore, Mohist jian ai was not proposed in the first instance to refute Confucian ideas. The Confucian-Mohist debate should not be understood as a battle between nepotism and excessive insistence on impartiality, because both of them advocate that we should care for people in general and that we should maintain close relational ties. (shrink)

Chenyang Li’s new book, The Confucian Philosophy of Harmony, challenges current interpretations of Confucianism by focusing on a long neglected idea — harmony. It also challenges an ideology, found in both the East and the West, that harmony is either static conformity or well-disguised conflict. As Li explains, the book is a reclamation of ‘harmony’ for its proper use in designating the kind of harmony advocated in traditional Chinese thought and, mainly, Confucianism.1 Li does this by carefully examining the status (...) of harmony in the Confucian classics, arguing that it is the most comprehensive and penetrating idea. Other Confucian values such as ren 仁, li 禮, zhong 中, and dao 道 are either intertwined... (shrink)

The Zhuangzi is a collection of ancient Chinese anecdotes and fables that serves as a foundational Daoist text. The style in which it is written is significant because it obscures rather than reveals the text’s philosophic positions. If the text cannot be translated into plain language while preserving its content, as the Mozi or the Mencius generally can be, then the writing style is not merely rhetorical. The style is itself indispensable to the content. In this study, I analyse a (...) linguistic device mentioned in the Zhuangzi and use it to reflect the text’s writing style—namely, “goblet words”. I argue that various logical forms of goblet words defy the act of fixing a definite answer in any conceptual distinction or disputation. The forms, which include dilemmatic questions, oxymora and double denial, all serve to preserve indeterminacy. Reading goblet words may affect readers by making them more open-minded towards distinctions. However, readers cannot ascertain that the text’s authors produced this effect intentionally. Therefore, the text may cause readers to be open-minded while the authors remain free of commitment. (shrink)

Contemporary Anglophone scholarship on the Zhuangzi 莊子 tends to reject intellectualism, the view that all knowledge is propositional. Scholars usually state that Zhuangzi values practical knowledge more than propositional knowledge. This valuation, however, seems to presuppose that the Zhuangzi or its interpreters must recognize the distinction between these two kinds of knowledge. In this article, I argue that Zhuangzi sees all knowledge as practical, and if we situate him in the contemporary philosophical field we can extract several ideas from the (...) text in arguing against the postulation of propositional knowledge. First, Zhuangzi’s idea of spontaneity and forgetting defy attempts to explain our practice in terms of propositional knowledge, because spontaneous acts admit different levels and can be improved by forgetting. Second, Zhuangzi’s perspectivism implies that the relationship between our language and the world is not fixed, and there is a theoretical price to pay if intellectualists want to avoid this indeterminacy. (shrink)

The attitude toward li 利 is often identified as a key difference between the Mencius 孟子 and the Mozi 墨子. A common view is that for the Mencius, rightness (yi 義) and li are incompatible; but for the Mozi they are not necessarily so. In this paper I argue that the Mencius and the Mozi are in broad agreement on the issue of li, and their attitudes toward li are not as different as may seem at first glance. If we (...) take a finer-grained understanding of li in two ways, namely the self-regarding li and the other-regarding li, then both the Mencius and the Mozi would criticize the former but encourage the latter. The term li in the Mencius has a range of meanings, and it is not clear whether the Mencius actually opposes all li-pursuing activities. Mencius would agree with Mozi that, at least in some cases, one is obligated to seek li for others. Furthermore, despite their criticism of self-regarding li, both Mencius and Mozi allow that in some cases it is morally permissible to act from the motive of self-regarding li, as long as this motive coexists with the motive of rightness. That is, self-regarding li and rightness are not always mutually exclusive, even for Mencius, who seems to be more critical of li. (shrink)

Since the beginning of the 21st century, China has been trying to establish its cultural image by drawing on its traditions. Various ideas from the past have been redefined to fit contemporary discourses and practises. ‘Harmony’ is certainly one such repurposed concept. Its popularity is highly controversial, especially because the PRC government has been trying to use the idea of ‘he xie ’ to justify many of its policies. Interest in the idea’s traditional meaning is growing as people seek to (...) understand its place in Chinese culture today. In this context, Chenyang Li’s new book merits attention.The book is divided into two equal parts. In Part I, the author analyses the meaning of ‘harmony’ and related ideas in Confucian texts. In Part II, Li discusses how the concept of harmony can serve as a guide for living to help Confucians reflect on and carry out their actions. This structure is in accordance with Confucian teachings: while Part I articul .. (shrink)

Section One - Principles and concepts of healthcare law and ethics -- Section Two - Complaints, disciplinary proceedings and indemnity insurance -- Section Three - Confidentiality, disclosure and apologies -- Section Four - Alternative dispute resolution and relationship with colleagues -- Section Five - Liabilities beyond healthcare practices.

1. It is common knowledge among scholars who are familiar with the Zhuangzi that Guo Xiang’s 郭象Commentary (henceforth the Commentary)1 written in the Xuanxue 玄學 era exerts tremendous influence on e...

Abstract:This paper examines the idea of xing 性 in Guo Xiang's Commentary on the Zhuangzi in order to show the distinctiveness of Guo's thought. I argue that, for Guo, xing is individualized and subject to no external standard, not even to the "normal" condition proposed by the primitivists in the Zhuangzi. Regarding the debate about xing's changeability, I argue that one's xing can change over time, even by learning, although this change is constrained within certain boundaries. The individualization of xing (...) and the need of holding to one's boundaries serve to explain the emergence of social norms, which can and should be established in a way that respects different xing. This dynamic between individuality and social organization contributes to our thinking about fundamental tensions in human life. (shrink)

Contemporary discussions of _xing_ are often inspired by the Confucian tradition, but recent studies have brought the _Zhuangzi_ 莊子 to the table as a viable alternative. In this essay, I present three different accounts of _xing_ 性 in the Outer Chapters: (1) the primitivists who emphasize body vitality and simple life, (2) the Huang-Lao 黃老 school that emphasizes the balance among different things and the overall cosmological order, and (3) skill stories that look at individual skill masters rather than people (...) in general or the role of the human species in the cosmos, entertain only the descriptive dimension of _xing_, and cast doubt on the normative status of _xing_. These three accounts can be read as responding to each other, and each shares certain themes with the Inner Chapters in different ways. Together, they demonstrate the complexity of the _Zhuangzi_’s view on _xing_ and complicate attempts of cross-textual comparison. (shrink)

With advances in technology and the popularity of the Internet, consumers increasingly rely on various sources of electronic word-of-mouth, such as online user reviews and critical reviews, in their decision-making processes. Despite general consensus on the importance of eWOM and the ability of critical reviews to influence product sales, very little is known about the mediation between critical reviews and user reviews. Therefore, we used path analysis to examine how critical reviews and user reviews simultaneously affect box office revenues using (...) eWOM data collected from Metacritic.com and IMDb.com, and box office revenue information collected from BoxOfficeMojo.com. The results showed that critical reviews valence not only directly affects box office revenues but also increases active postings in the community and user reviews volume, thus indirectly leading to greater box office revenues. The study provides strategic guidance and practical implications for eWOM communication management. (shrink)

Skill and Mastery: Philosophical Stories from the Zhuangzi presents an illuminating analysis of skill stories from the Zhuangzi, a 4th century BCE Daoist text. In this intriguing text that subverts conventional norms and pursuits, ordinary activities such as swimming, cicada-catching and wheelmaking are executed with such remarkable efficacy and spontaneity that they seem like magical feats. An international team of scholars explores these stories in their philosophical, historical and political contexts. Their analyses’ highlight the stories’underlying conceptions of agency, character and (...) cultivation; and relevance to contemporary debates on human action and experience. The result is a valuable collection, opening up new lines of inquiry in comparative East-West philosophical debates on skill, cultivation and mastery, as well as cross-disciplinary debates in psychology, cognitive science and philosophy. (shrink)

In this article, we present an account of ming 明 in the Zhuangzi's Neipian in light of the disagreements among the thinkers of the time. We suggest that ming is associated with the Daoist sage's vision: he sees through the debaters' attempts to win the debates. We propose that ming is primarily a meta-epistemological stance, that is, the sage understands the nature of the debates and does not enter the fray; therefore he does not share the thinkers' anxieties. The sage (...) takes his stance at the pivot of dao (daoshu 道樞) and, from there, responds to the different views limitlessly. (shrink)

Skill and Mastery: Philosophical Stories from the Zhuangzi presents an illuminating analysis of skill stories from the Zhuangzi, a 4th century BCE Daoist text. In this intriguing text that subverts conventional norms and pursuits, ordinary activities such as swimming, cicada-catching and wheelmaking are executed with such remarkable efficacy and spontaneity that they seem like magical feats. An international team of scholars explores these stories in their philosophical, historical and political contexts. Their analyses’ highlight the stories’underlying conceptions of agency, character and (...) cultivation; and relevance to contemporary debates on human action and experience. The result is a valuable collection, opening up new lines of inquiry in comparative East-West philosophical debates on skill, cultivation and mastery, as well as cross-disciplinary debates in psychology, cognitive science and philosophy. (shrink)

This paper reports on the long-term effectiveness of a non-formal co-curricular educational program based on a campus ecogarden at a Hong Kong university in developing pro-sustainability awareness, attitudes and behavior among undergraduate students. This service-based, nature-based experiential learning program, termed the Ecogarden Farmer and Biodiversity Surveyor, has been running at the university since 2015. The program is divided into two consecutive phases: a training phase comprising various learning activities and a successive internship phase consisting of the all-round practical tasks involved (...) in managing the garden. A retrospective evaluation of the program using phenomenographic approach and content analysis was adopted to reveal the diversity of students’ learning experience, as the indicators of the success of the program. Of 112 participants from 4 cohorts, 32 completed online questionnaires, and semi-structured interviews were successfully conducted with twelve participants, three from each of the four cohorts. The results indicated that the program’s outcomes could be categorized into five themes. Most outcomes fit into the theme ‘an increase in knowledge and skill level,’ followed by ‘rise in environmental awareness,’‘facilitation of personal growth,’ and ‘enhancement of career development.’ Many structural experiences revealed may suggest the success of the program. The longer the participants had participated in the program, the more in-depth and diversified reflection of the senior participants relating to personal development were mentioned. This study provides critical insights into the validity of retrospective program evaluation for assessing the long-term impact of EfS programs by introducing a cross-sectional study of different cohorts as a serial time-point sampling strategy. (shrink)

Background Caring practice begins with awareness of the suffering of patients in a given context. Understanding the interrelationship between the perceived ethical climate of the clinical environment and the ethical sensitivity and caring efficacy of nurses is crucial for strengthening the caring competency of nurses. Research aim This study aimed to examine the associations between the ethical climate of the clinical environment and the ethical sensitivity and caring efficacy of nurses and to investigate the mediating effect of ethical sensitivity on (...) the association between ethical climate and caring efficacy. Research design This was a quantitative study with a cross-sectional descriptive correlational design. The participants completed an online survey that measured the ethical climate, ethical sensitivity and caring efficacy using the Hospital Ethical Climate Survey, Moral Sensitivity Questionnaire-Revised and Caring Efficacy Scale, respectively. Participants and research context The study recruited 293 nurses from two general hospitals that provided acute in-patient and extended care in Hong Kong. Ethical considerations Ethical approval was obtained from the ethics committee of the university and the hospitals involved. Written consent was obtained from the participants. Results Ethical climate was associated with caring efficacy ( β = 0.340, p <.001) and ethical sensitivity ( β = 0.197, p <.001). After adjusting for ethical climate, ethical sensitivity was associated with caring efficacy ( β = 0.860, p <.001). Ethical sensitivity showed a significant mediating effect on the association between ethical climate and caring efficacy (indirect effect = 0.169, 95% confidence interval: 0.097 to 0.261), which accounted for 50% of the total effect. Conclusions The study reveals the complex and interwoven relationship between contextual and personal factors that affect nurses’ caring efficacy from an ethical perspective. It provides insights into the significant roles of ethical climate and ethical sensitivity in strengthening caring efficacy. The results suggest theoretical and clinical implications for professionalisation. (shrink)

Most neuroimaging research in stroke rehabilitation mainly focuses on the neural mechanisms underlying the natural history of post-stroke recovery. However, connectivity mapping from resting-state fMRI is well suited for different neurological conditions and provides a promising method to explore plastic changes for treatment-induced recovery from stroke. We examined the changes in resting-state functional connectivity (RS-FC) of the ipsilesional primary motor cortex (M1) in 10 post-acute stroke patients before and immediately after 4 weeks of robot-assisted bilateral arm therapy (RBAT). Motor performance, (...) functional use of the affected arm, and daily function improved in all participants. Reduced interhemispheric RS-FC between the ipsilesional and contralesional M1 (M1-M1) and the contralesional-lateralized connections were noted before treatment. In contrast, greater M1-M1 functional connectivity and disturbed resting-state networks were observed after RBAT relative to pre-treatment. Increased changes in M1-M1 RS-FC after RBAT were coupled with better motor and functional improvements. Mediation analysis showed the pre-to-post difference in M1-M1 RS-FC was a significant mediator for the relationship between motor and functional recovery. These results show neuroplastic changes and functional recoveries induced by RBAT in post-acute stroke survivors and suggest that interhemispheric functional connectivity in the motor cortex may be a neurobiological marker for recovery after stroke rehabilitation. (shrink)

Plum Shadows and Plank Bridge: Two Memoirs about Courtesans. Translated and edited by Wai-yee Li. New York: Columbia University Press, 2020. Pp. 328. $60, $20.

Skill and Mastery: Philosophical Stories from the Zhuangzi is part of Rowman & Littlefield International’s CEACOP (Center for East Asian and Comparative Philosophy) East Asian Comparative Ethics, P...

The most important term in Wang Yang-ming’s 王陽明 (1472-1528) philosophy, “liang-zhi 良知,” has been interpreted in various different ways. However, these different interpretations have failed to provide a satisfactory understanding of Wang Yang-ming’s philosophy. To give a reasonable interpretation of Wang Yang-ming’s idea of liang-zhi that coheres with his philosophy, we have to move beyond the approach of mentalism, no matter whether it be of a transcendental or nontranscendental type. In this paper, I elaborate the deep structure of liang-zhi and (...) demonstrate that liang-zhi cannot simply be described as non-empirical, more importantly, I show that it cannot be identified as any kind of knowledge or knowing capacity, enlightenment or enlightening capacity, intellectual intuition or mystical feeling. Liang-zhi is not an epistemic concept in any sense. To treat liangzhi as some kind of knowing faculty or mental capacity is to stray from Wang Yangming’s main philosophical train of thought. -/- The major purpose of this paper is to give a new and coherent interpretation of liang-zhi which is consistent with the doctrines of “xing-ji-qi 性即氣,” “xin-wai-wuwu/ shi 心外無物／事” (no things/events outside the mind), “xin-wai-wu-li 心外無理” (no orders/principles outside the mind) and “zhi-xing-he-yi 知行合一”1 (the unity of enlightenment and action/act). In this paper, I use the concepts of “realization” and “supervenience” to explain the relationship between xing and qi, on the one hand, and the relationship between zhi and xing, on the other. Based on this preliminary study, I conclude that Wang Yang-ming viewed all the things/events in the organic universe as being endowed with a (emergent) power or (functional) property of cosmic vitality or universal spirituality, i.e., the (functional) property of sheng-sheng 生生 (the cycling order of natural production). This universal power or property by itself is invisible, without trace, and does not have an independent ontological status. However, the actual function of the power or property can be found in phenomena because certain responsive mental events made by human beings can be recognized as the realization of this power or property. In turn, certain related physical events initiated by human beings can be understood as the bases on which the mental events are supervenient. Based on these two distinct relationships: realization and supervenience, we can elaborate a framework of three layers consisting of the layer of cosmic spirituality, the layer of the mental, and the layer of the physical. This framework of three layers is moreover situated in two domains: the internal domain of the human body and the external domain of human action. Based on this framework of three layers and two domains, I elaborate a theory concerning “heaven’s production” (tian-cheng 天成), or “accomplishment and assistance in the universal process of production and reproduction,” concluding that it can be understood as an important component of Wang Yang-ming’s philosophy. (shrink)

This study investigated students? perceptions of their own and their peers? academic dishonesty (AD), their reasons for this dishonesty, their achievement goals, and their willingness to report AD (WRAD) within a Chinese cultural context. The results identified students? belief that their peers had a greater likelihood of engaging in AD and had more motivation to do so than did the students themselves. Gender and academic major did not affect students? WRAD. However, students were significantly more willing to report classmates than (...) friends. In terms of the participants? self-perceptions and peer perceptions concerning motivations for AD, more female students cited the lack of penalties as the reason for their own and their peers? AD, whereas male students more frequently cited their lack of attention to schoolwork as the reason for their own AD. In contrast to students in the social sciences, business students more frequently cited inadequate capabilities as the reason for their AD, and engineering students more frequently attributed their AD to self-interest. Multiple regression analysis demonstrated that three motivations for AD (opportunism, inadequacy, and self-promotion) could positively predict AD, whereas mastery-approach goals could negatively predict AD. (shrink)

Previous research has shown implicit semantic processing of faces or pictures, but whether symbolic carriers such as words can be processed this way remains controversial. Here we examine this issue by adopting the continuous flash suppression paradigm to ensure that the processing undergone is indeed unconscious without the involvement of partial awareness. Negative or neutral words projected into one eye were made invisible due to strong suppression induced by dynamic-noise patterns shown in the other eye through binocular rivalry. Inverted and (...) scrambled words were used as controls to provide baselines at orthographic and feature levels, respectively. Compared to neutral words, emotion-described and emotion-induced negative words required longer time to release from suppression, but only for upright words. These results suggest that words can be processed unconsciously up to semantic level since under interocular suppression completely invisible words can lead to different processing speed due to the emotion information they carry. (shrink)

Background We aimed to examine the ethical concerns Singaporeans have about sharing health-data for precision medicine and identify suggestions for governance strategies. Just as Asian genomes are under-represented in PM, the views of Asian populations about the risks and benefits of data sharing are under-represented in prior attitudinal research. Methods We conducted seven focus groups with 62 participants in Singapore from May to July 2019. They were conducted in three languages and analysed with qualitative content and thematic analysis. Results Four (...) key themes emerged: nuanced understandings of data security and data sensitivity; trade-offs between data protection and research benefits; trust in the public and private sectors; and governance and control options. Participants were aware of the inherent risks associated with data sharing for research. Participants expressed conditional support for data sharing, including genomic sequence data and information contained within electronic medical records. This support included sharing data with researchers from universities and healthcare institutions, both in Singapore and overseas. Support was conditional on the perceived social value of the research and appropriate de-identification and data security processes. Participants suggested that a data sharing oversight body would help strengthen public trust and comfort in data research for PM in Singapore. Conclusion Maintenance of public trust in data security systems and governance regimes can enhance participation in PM and data sharing for research. Contrary to themes in much prior research, participants demonstrated a sophisticated understanding of the inherent risks of data sharing, analysed trade-offs between risks and potential benefits of PM, and often adopted an international perspective. (shrink)

Threshold- and signal-detection-based models have dominated theorizing about recognition memory. Building upon these theoretical frameworks, we have argued for a dual-process model in which conscious recollection and familiarity contribute to memory performance. In the current paper we assessed several memory models by examining the effects of levels of processing and the number of presentations on recognition memory receiver operating characteristics . In general, when the ROCs were plotted in probability space they exhibited an inverted U shape; however, when they were (...) plotted inzspace they exhibited a U shape. An examination of the ROCs showed that the dual-process model could account for the observed ROCs, but that models based solely on either threshold or signal-detection processes failed to provide a sufficient account of the data. Furthermore, an examination of subjects' introspective reports using the remember/know procedure showed that subjects were aware of recollection and familiarity and were able to consistently report on their occurrence. The remember/know data were used to accurately predict the shapes of the ROCs, and estimates of recollection and familiarity derived from the ROC data mirrored the subjective reports of these processes. (shrink)

Background Supporting physicians in Intensive Care Units s as they face dying patients at unprecedented levels due to the COVID-19 pandemic is critical. Amidst a dearth of such data and guided by evidence that nurses in ICUs experience personal, professional and existential issues in similar conditions, a systematic scoping review is proposed to evaluate prevailing accounts of physicians facing dying patients in ICUs through the lens of Personhood. Such data would enhance understanding and guide the provision of better support for (...) ICU physicians. Methods An SSR adopts the Systematic Evidenced Based Approach to map prevailing accounts of caring for dying patients in ICUs. To enhance the transparency and reproducibility of this process, concurrent and independent use of tabulated summaries, thematic analysis and directed content analysis is adopted. Results Eight thousand three hundred fifty-eight abstracts were reviewed from four databases, 474 full-text articles were evaluated, 58 articles were included, and the Split Approach revealed six categories/themes centered around the Innate, Individual, Relational and Societal Rings of Personhood, conflicts in providing end of life care and coping mechanisms employed. Conclusion This SSR suggests that caring for dying patients in ICU impacts how physicians view their personhood. To resolve conflicts within individual concepts of personhood, physicians use prioritization, reframing and rely on accessible, personalized support from colleagues to steer coping strategies. An adapted form of the Ring Theory of Personhood is proposed to direct timely personalized, appropriate and holistic support. (shrink)

This excellent collection contains 13 essays from Gadamer's _Kleine Schriften, _dealing with hermeneutical reflection, phenomenology, existential philosophy, and philosophical hermeneutics. Gadamer applies hermeneutical analysis to Heidegger and Husserl's phenomenology, an approach that proves critical and instructive.