Fecal microbiota transplantation has demonstrated efficacy and is increasingly being used in the treatment of patients with recurrent Clostridium difficile infection. Despite a lack of high-quality trials to provide more information on the long-term effects of FMT, there has been great enthusiasm about the potential for expanding its applications. However, FMT presents many serious ethical and social challenges that must be addressed as part of a successful regulatory policy response. In this article, we draw on a sample of the scientific (...) and bioethics literatures to examine clusters of ethical and social issues arising in five main areas: informed consent and the vulnerability of patients; determining what a “suitable healthy donor” is; safety and risk; commercialization and potential exploitation of vulnerable patients; and public health implications. We find that these issues are complex and worthy of careful consideration by health care professionals. Desperation of a patient should not be the basis for selecting treatment with FMT, and the patient's interests should always be of paramount concern. Authorities must prioritize development of appropriate and effective regulation of FMT to safeguard patients and donors, promote further research into safety and efficacy, and avoid abuse of the treatment. (shrink)

This article investigates Charles Peirce’s development of logical calculi for classical propositional logic in 1880–1896. Peirce’s 1880 work on the algebra of logic resulted in a successful calculus for Boolean algebra. This calculus, denoted byPC, is here presented as a sequent calculus and not as a natural deduction system. It is shown that Peirce’s aim was to presentPCas a sequent calculus. The law of distributivity, which Peirce states in 1880, is proved using Peirce’s Rule, which is a residuation, inPC. The (...) transitional systems of the algebra of the copula that Peirce develops since 1880 paved the way to the 1896 graphical system of the alpha graphs. It is shown how the rules of the alpha system reinterpret Boolean algebras, answering Peirce’s statement that logical graphs supply a new system of fundamental assumptions to logical algebra. A proof-theoretic analysis is given for the connection betweenPCand the alpha system. (shrink)

Finance ethics have drawn increasing attention from both government regulators and academic researchers. This paper addresses the issue of insider trading ethics. Previous studies on insider trading ethics have failed to provide convincing arguments and consistent results. In particular, the arguments against insider trading are based primarily on moral and philosophical grounds and lack empirical rigor. This study intends to establish and examine the relationship between the ethical issue and economic issue of insider trading. We argue that the ethics of (...) insider trading is in essence an economic rather than a moral issue. It is so far not clear to what extent insider trading may increase or decrease shareholders wealth. Until then, we must take care to avoid over-regulating insider trading. (shrink)

This study tests the hypothesis that the perception of philosophy as a male-oriented discipline contributes to the pronounced gender disparity within the field. To assess the hypothesis, we determined the extent to which individuals view philosophy as masculine, and whether individual differences in this correspond with greater identification with philosophy. We also tested whether identification with philosophy correlated to interest in it. We discovered, first, that the more women view philosophy as masculine, the less they identify with it, and second, (...) that the less women identify with philosophy, the less they want to major in it. Interestingly, this result does not hold for men—their viewing philosophy as masculine does not correspond to their identification with it, nor does it correlate with their likelihood of majoring in it. We also discovered that the typical student does not have a preconceived notion of philosophy as masculine; this suggests that they come to view philosophy as masculine the more they do it, which in turn supports the possibility that teaching the discipline differently may prevent students from conceiving of philosophy as masculine, thus allowing a path to reducing the gender disparity. (shrink)

In this study, we propose and test the relationship between CSR and firm financial performance, how this relationship differs between firms led by CEOs with political connections and those led by CEOs without political connections, and how this relationship differs between state-owned firms and nonstate-owned firms. Based on a sample of 1645 Chinese listed firms during the period 2011 and 2020 (inclusive), we find that CSR has an inverted U-shaped relationship with firm financial performance. As the level of CSR increases (...) from slight to moderate, CSR is positively related to firm performance; as the level of CSR increases from moderate to great, CSR is negatively related to firm financial performance. Additionally, we find that this inverted U-shaped relationship differs between firms led by CEOs with political connections and those led by CEOs without political connections and differs between state-owned firms and nonstate-owned firms. That is, both the synergic effect (positive effect) of CSR on firm financial performance when the level of CSR is low and the competitive effect (negative effect) of CSR on firm financial performance when the CSR is high are more pronounced for firms led by CEOs without political connections and nonstate-owned firms than for firms led by CEOs with political connections and state-owned firms. The theoretical and managerial implications of these findings are discussed. (shrink)

Peirce wrote in late 1901 a text on formal logic using a special Dragon-Head and Dragon-Tail notation in order to express the relation of logical consequence and its properties. These texts have not been referred to in the literature before. We provide a complete reconstruction and transcription of these previously unpublished sets of manuscript sheets and analyse their main content. In the reconstructed text, Peirce is seen to outline both a general theory of deduction and a general theory of consequence (...) relation. The two are the cornerstones of modern logic and have played a crucial role in its development. From the wider perspective, Peirce is led to these theories by three important generalizations: propositions to all signs, truth to scriptibility, and derivation to transformability. We provide an exposition of such proposed semiotic foundation for logical constants and point out a couple of further innovations in this rare text, including the sheet of assertion, correction as a dual of deduction and the nature of conditionals as variably strict conditionals. (shrink)

In this paper I have two main aims. My first aim is to introduce the notion of bounded emotionality. This notion is the analogue of that of bounded rationality in behavioural economics. Bounded rationality says, roughly, that human beings are cognitively limited with respect to their processing and memory capacities. Bounded emotionality says that we are limited in our emotional capabilities, notably in the intensity, duration, and possible combinations of our emotional states. Bounded rationality is a foundational notion in behavioural (...) economics and has played an important role in various fields of philosophy as well. In particular, in epistemology bounded rationality has been thought to have implications with respect to our doxastic norms. My second aim in this paper is to suggest that bounded emotionality also has an important role to play in philosophy. As a case in point, I discuss the implications that bounded emotionality has for our doxastic norms. In particular, I argue that one is not obligated to believe something or to stop holding a belief if one could not believe/fail to believe it without having an emotional response that exceeds one's bounded emotional capacities. (shrink)

One fundamental assumption often made in the literature on unawareness is that risk preferences are invariant to changes of awareness. We study how exposure to unawareness affects choices under risk. Participants in our experiment choose repeatedly between varying sure outcomes and a lottery in three phases. All treatments are exactly identical in phase 1 and phase 3, but differ in phase 2. There are five different treatments pertaining to the lottery faced in phase 2: The control treatment, the treatment with (...) awareness of unawareness of lottery outcomes but known number of outcomes, the treatment with awareness of unawareness of outcomes but with unknown number of outcomes, the treatment with unawareness of unawareness of some outcomes, and the treatment with an ambiguous lottery. We study both whether behavior differs in phase 3 across treatments and whether differences of subjects’ behavior between phases 1 and phase 3 differ across treatments. We observe no significant treatment effects. (shrink)

In this paper we, an epistemologist and a machine learning scientist, argue that we need to pursue a novel area of philosophical research in AI – the ethics of belief for AI. Here we take the ethics of belief to refer to a field at the intersection of epistemology and ethics concerned with possible moral, practical, and other non-truth-related dimensions of belief. In this paper we will primarily be concerned with the normative question within the ethics of belief regarding what (...) agents – both human and artificial – ought to believe, rather than with questions concerning whether beliefs meet certain evaluative standards such as being true, being justified, constituting knowledge, etc. We suggest four topics in extant work in the ethics of (human) belief that can be applied to an ethics of AI belief: doxastic wronging by AI (morally wronging someone in virtue of beliefs held about them); morally owed beliefs (beliefs that agents are morally obligated to hold); pragmatic and moral encroachment (cases where the practical or moral features of a belief is relevant to its epistemic status, and in our case specifically to whether an agent ought to hold the belief); and moral responsibility for AI beliefs. We also indicate two relatively nascent areas of philosophical research that haven’t yet been generally recognized as ethics of AI belief research, but that do fall within this field of research in virtue of investigating various moral and practical dimensions of belief: the epistemic and ethical decolonization of AI; and epistemic injustice in AI. (shrink)

Truth-telling for terminally ill patients is a challenging ethical and social issue for Chinese health care professionals. However, despite the existence of ethical and moral standards for nurses, they frequently encounter moral dilemmas when making decisions about truth-telling to patients with end-stage diseases in China. This article aims to provide ethical strategies for clinical nurses in China regarding truth-telling decisions for terminally ill patients on the basis of their individual autonomy. This article first presents a common case scenario in China (...) and then critically discusses ethical issues related to ethical principles and philosophical theories. The aim is to provide the much needed strategy for truth-telling for nurses who are terminally ill rather than to focus on attitudes toward disclosure. This article focuses on nursing morality, ethics, norms, and philosophy in health care and discusses countermeasures taken by nurses in truth-telling decision-making in combination with Chinese Confucian culture. The analysis identifies key ethical strategies tailored to Chinese nurses’ practices, emphasizing individual autonomy, cultural sensitivity, and family dynamics in truth-telling decisions. The complexity of end-of-life illness requires Chinese nurses to strengthen the communication training needed to deliver bad news, as well as critical and autonomous thinking and good communication skills when implementing patient- and family-centered care, to achieve true delivery of bad news, thereby increasing patient autonomy and promoting more successful collaboration among patients, families, and providers. To improve the quality of care. Chinese nurses should integrate ethical principles with Confucian values to enhance patient-centered communication, respecting autonomy while adapting to cultural nuances in end-of-life care. (shrink)

Graded epistemic logic is a logic for reasoning about uncertainties. Graded epistemic logic is interpreted on graded models. These models are generalizations of Kripke models. We obtain completeness of some graded epistemic logics. We further develop dynamic extensions of graded epistemic logics, along the framework of dynamic epistemic logic. We give an extension with public announcements, i.e., public events, and an extension with graded event models, a generalization also including nonpublic events. We present complete axiomatizations for both logics.

Background: Stigma is considered a major barrier to accessing healthcare services by female sex workers. Current knowledge of nurses’ attitudes appears to imply a stigma toward female sex workers. But in-depth understanding of their perceptions is scarce. Furthermore, factors that inform a conceptual understanding of how this occurs are lacking. Objectives: The study aimed to explore nurses’ attitudes toward female sex workers and factors affecting caring for female sex workers. Research design: This was a qualitative study. A content analysis approach (...) was adopted in analyzing the data. Participants and research context: Thirty-three practicing nurses participated in seven semi-structured focus group interviews and three key informants participated in three individual interviews in Hong Kong. Ethical considerations: This study was approved by the Ethics Committee of one university in Hong Kong. Findings: The findings revealed three themes: (1) accept, stigmatize, or against sex work; (2) reluctance, hesitation, or willingness to care for female sex workers; and (3) factors affecting the care of female sex workers. Discussion and conclusion: This study found that nurses held different attitudes toward female sex workers, and they experienced feelings of reluctance, hesitation, or willingness to care for female sex workers. Multi-level factors could affect their level of comfort of caring for female sex workers. Intervention should be developed to encourage health professionals to examine their personal views toward female sex workers introspectively, how their attitude may have affected the provision of quality services, and to enhance the provision of sensitive non-discriminative services to female sex workers. (shrink)

From the 1920s to the 1960s, Martin Heidegger on several occasions referred to the early Greeks’ encounter with what he called ‘the Asiatic’ (_das Asiatische_). Meanwhile, he was also concerned with a sort of ontological power of destruction and ruination that according to him should be understood in the Greek sense, which he also called _das Asiatische_. In this article, I first sketch the contributions made by Asian/African traditions to the origin of Greek philosophy and highlight Heidegger’s own recognition of (...) it in the 1920s. Second, I examine Nietzsche’s remarks bearing on the early Greeks’ intricate bond with the Asiatic, which is formulated in terms of a distinction between the ‘Dionysiac Greeks’ and the ‘Dionysiac barbarians.’ Third, I scrutinize Heidegger’s relevant statements—especially those in the 1930s—in the light of Nietzsche’s influence on him. I argue that two different meanings of the Asiatic are at play in Heidegger’s thought: One is the _Greek Asiatic_, the Being-historical Asiatic; The other is the _alien Asiatic_, ‘the most foreign and most difficult’ Asiatic, which has been overcome by the Greeks. Fourth, I show that in the 1960s Heidegger seems to consider a sort of conflation of these two meanings—a conflation that remains fraught with tension. (shrink)

Greenwashing has become a common way in which many enterprises address expectations related to corporate social responsibility. As an abnormal and fake type of social responsibility behavior, greenwashing causes many problems, thus highlighting the importance of exploring the impact of corporate greenwashing. However, previous studies have mainly examined the impacts of greenwashing on enterprises, industry, and society, and the impact of greenwashing on individual employee behavior, which is important with regard to the sustainability of the enterprise, remains limited. The main (...) purpose of this study is to explore how perceived greenwashing affects employee green behavior (EGB). Based on the stimulus–organism–response theory and social cognitive theory, a two-wave survey was conducted to investigate 232 Chinese enterprise employees. The impact of perceived greenwashing on EGB was analyzed. The mediating role of green organizational identity (GOI) and the moderating role of self-serving leadership in this context were examined. The results reveal that perceived greenwashing is negatively related to EGB. Furthermore, GOI mediates the direct relationship between perceived greenwashing and EGB. Self-serving leadership weakens the positive relationship between GOI and EGB. This study thus develops a theoretical model of greenwashing and EGB. It also provides empirical evidence that can support attempts to promote EGB. (shrink)

While the extant Tibetan biographies of Atiśa Dīpaṃkaraśrījñāna (982–1054) are abundant, most of the datable ones were completed three hundred years after Atiśa’s death. However, two Tangut manuscripts offer early biographical accounts of Atiśa as they were written in the Tangut State (1038–1227). Centering around Atiśa’s life at Vikramaśīla and his journey to Tibet, the narratives within the Tangut texts both resonate with and diverge from the more conventional accounts found in sources like the Extensive Biography (Rnam thar rgyas pa) (...) and the Well-Known Biography (Rnam thar yongs grags). As a result, these Tangut sources emerge as invaluable resources for studying the biographical tradition of Atiśa, as well as the dissemination of his life story in the unique context of the Tangut State during the rise of Tibetan Buddhism therein. This article introduces and translates two Tangut biographical accounts along with relevant Tibetan textual materials. Its aim is not only to present these new sources but also to utilize them to examine the development of Atiśa’s biographical tradition. Furthermore, it demonstrates how Tibetan and Tangut studies can be methodologically integrated. (shrink)

School administrators are mandated to take the instructional leadership roles. On this premise, a study assessed the extent of instructional leadership practices of public elementary school administrators in El Salvador City Division, Philippines. Also, it explored their actual practices, challenges encountered, and the ways they overcome the challenges in practicing instructional leadership. It employed a mixed-method research design. It administered the adopted assessment tool on instructional leadership to 15 school administrators and 12 of them were involved in the individual interviews. (...) This was conducted between the last quarter of 2019 and the first quarter of 2020. Descriptive statistics were used to describe the extent of instructional leadership practices. Also, it analyzed the actual practices, the challenges encountered, and the ways of overcoming these challenges using thematic narrative analysis. Results revealed that public school administrators have always practiced the four domains or strands of instructional leadership to a very high extent. Providing the technical assistance, conducting clinical supervision, and innovating teaching and learning emerged as themes of their actual practices. These administrators had encountered challenges in dealing with teachers’ attitudes, conflicting schedules and activities, and teachers’ resistance to changes. They overcome the challenges by trying to meet the competency standards, adapting and modifying the existing programs, contextualizing teaching and learning, and inculcating the value and benefits of class observation. Looking at the findings from the lens of deliberate practice theory, it was concluded that school administrators have indicated they have acquired knowledge and a high level of understanding of their instructional leadership roles. But despite of this, they still met challenges and have tried their best to manage them. This study presented some doable and practical recommendations to the Department of Education (DepEd) and concerned offices which may benefit both the internal and external stakeholders of the schools. (shrink)

To systematically understand and study Herbart's educational reform, and at the same time scientifically and reasonably design the intervention strategy of educational practice, are two core issues facing the current educational reform and development. The purpose of this study is to clarify Herbart's educational thought, overcome the deviation and error in understanding it, and provide theoretical guidance and support for educational practice. From the perspectives of history, sociology and pedagogy, the paper explores the historical background of educational practice and its (...) theoretical development, and combines three stages of the formation and evolution of educational social experiments from the perspective of epistemology. Firstly, the theory of children's morality is regarded as the interactive bridge between practical philosophy and moral education practice. Secondly, the dynamic relationship between philosophy of knowledge and practice of intellectual education is explored through empirical theory. Finally, the paper analyzes the interaction between aesthetic philosophy and aesthetic education practice based on children's interests. The study of the dynamic construction process of Herbart pedagogy is conducive to clarifying Herbart's educational thought and provide a new perspective to the current generation. Due to the complexity and diversity of educational practice, research may have certain limitations and challenges in applying Herbart's theory to specific educational practice. Future research needs to strengthen the exploration of educational practices, especially in the era of intelligence, to adapt to changing educational needs and technological advances. (shrink)

Resumen: La esencia del desarrollo del ecoturismo moderno reside en la coexistencia armónica y armoniosa de la relación entre el hombre y la naturaleza, que es la práctica ecológica del turismo bajo el trasfondo del desarrollo sostenible moderno. El desarrollo del turismo tradicional se centra en los intereses económicos y descuida la protección sostenible de la ecología turística, y el ecoturismo se ha convertido gradualmente en la dirección de desarrollo y reforma del turismo contemporáneo. El taoísmo hace hincapié en seguir (...) a la naturaleza, lo que tiene evidentes tendencias naturalistas, proporciona diferentes perspectivas filosóficas clásicas tradicionales para comprender la relación entre la naturaleza y el desarrollo humano, y tiene un importante significado esclarecedor para promover el desarrollo común del hombre y la naturaleza. El taoísmo aboga por respetar e imitar las leyes del desarrollo natural, persiguiendo la armonía general entre el hombre y la naturaleza, y es coherente con la naturaleza intrínseca del ecoturismo moderno. Por lo tanto, basándose en el pensamiento ecológico taoísta, la investigación explora la vía de desarrollo de la cultura ecoturística sostenible contemporánea y proporciona orientación teórica para el desarrollo armonioso y la unidad del hombre y la naturaleza. (shrink)

Quasi-Boolean modal algebras are quasi-Boolean algebras with a modal operator satisfying the interaction axiom. Sequential quasi-Boolean modal logics and the relational semantics are introduced. Kripke-completeness for some quasi-Boolean modal logics is shown by the canonical model method. We show that every descriptive persistent quasi-Boolean modal logic is canonical. The finite model property of some quasi-Boolean modal logics is proved. A cut-free Gentzen sequent calculus for the minimal quasi-Boolean logic is developed and we show that it has the Craig interpolation property.

Employees are critical stakeholders for an organization because they directly deal with the end-users and represent the entire firm. To recognize the strategic importance of the employees, organizations create communication programs to keep employees apprised of organizational issues. In this regard, this study examined the role of communication strategies on organizational commitment. The study also investigated the mediating effect of faculty engagement between communication strategies and organizational commitment. Self-administered survey aided in acquiring data from 276 English language teachers in China. (...) The analysis of the data was conducted using SmartPLS through the Structured Equation Modeling technique. The outcome of the study demonstrated that information flow and information feedback significantly impact organizational commitment and faculty engagement. The analysis also revealed that information adequacy significantly impacts organizational commitment but has no relationship with faculty engagement. The mediation analysis demonstrated that faculty engagement mediated the relationship between information flow and organizational commitment and between information feedback and organization commitment. However, faculty engagement did not mediate the relationship between information adequacy and organizational commitment among English language teachers in China. In theoretical terms, the study contributed in terms of incorporating different communication strategies and examining their effect on organizational commitment and faculty engagement. In practical terms, this study would be beneficial for the management of the educational institutes to develop different ways of enhancing communication strategies within the institute. This study also provided directions for the future, for example, conducting the study on other subject teachers, increasing the sample, carrying out the research in a different context, and adding different mediators and moderators in the existing model. (shrink)

At the peak of the Statesman’s myth of the reversed cosmos, the Eleatic Stranger asks after the conditions for human happiness. This paper suggests that philosophy and therewith human happiness is possible only in the age of Zeus, the age characterized by both the withdrawal of the gods and human neediness. The myth clarifies the inadequacy of the dialogue’s previous conception of the human being as a herd animal by illuminating what is missing from it: the erotic dimension of the (...) human soul. (shrink)

Source: Author: Leonila C. Crisostomo, Ma. Teresa G. Generales, Amelita L. de Guzman The primary purpose of this study is to ascertain the benefits of the National Service Training Program implementation and to identify the problems encountered by its implementers. Results showed that the benefits derived from the program were topped by enhancement of skills on basic leadership with emphases on the ability to listen and ability to communicate which were rated very important and very much benefited among other training (...) aspects of the program. Results also revealed that students are aware of the importance of physical, mental and social health as well as the observance of proper hygiene for overall sense of well-being. Although recreation is one aspect that the respondents find important, appreciation of it underscores the need to have more time for assignments and projects as most of the respondents are enrolled in their respective courses with 29 units, making them unable to appreciate the perks of involving themselves into various recreational activities. Problems in the implementation showed lack of provision of materials and equipment and of budgetary allocation which rendered full implementation weak as students and faculty involved in the community immersion have to rely on their own resources, in addition to the indifference and passivity of the local government officials. Based on the findings, the researchers recommended that: the school administrators need to allocate adequate budget for materials and equipment; periodic faculty development trainings and; to look into the passive attitude of the local officials to ensure that implementation NSTP projects will benefit both clients and implementers. ]]>. (shrink)

This work is developed to improve the current quality of e-commerce logistics services. From the perspective of multiple consumer psychology, based on e-commerce, consumer psychology, and other related theories, vegetable e-commerce B is selected as the research object. The commodity quality, accuracy, and timeliness of commodity distribution and other factors of e-commerce B are discussed through questionnaire survey. Then, according to customers’ opinions about “e-commerce B’s distribution and professional aspects that need to be improved,” the research is conducted. Finally, the (...) direction of follow-up optimization is proposed from four different perspectives of multiple consumption psychology. The research results show that more than 89% of the surveyed customers believe that e-commerce B does a good job in terms of commodity quality, accuracy, and timeliness of commodity distribution, and has a high level of logistics service. However, 26.34% of customers hope that e-commerce B can strengthen the protection of personal privacy, 24.97% hope that the platform can add “delay insurance” for goods, and 39.54% hope that the logistics information of purchased goods can be updated in real time. Therefore, e-commerce B needs to be optimized and improved continuously in the future development. Therefore, research on the optimization of logistics service quality of e-commerce is performed under multiple consumption psychology, which provides certain help for the rapid development of subsequent e-commerce. (shrink)

We surveyed 2,221 rural residents in twenty towns across ten provinces in China. Structural equation models (SEM) found the quality of government, impartiality of institutions, and authoritarian values among citizens are the three main sources of citizensopen nomination and direct election (ONDE)traditional authority orientationinputoutputs’ less.

Among human and non-human animals, the ability to respond rapidly to biologically significant events in the environment is essential for survival and development. Research has confirmed that human adult listeners respond emotionally to environmental sounds by relying on the same acoustic cues that signal emotionality in speech prosody and music. However, it is unknown whether young children also respond emotionally to environmental sounds. Here, we report that changes in pitch, rate (i.e. playback speed), and intensity (i.e. amplitude) of environmental sounds (...) trigger emotional responses in 3- to 6-year-old American and Chinese children, including four sound types: sounds of human actions, animal calls, machinery, and natural phenomena such as wind and waves. Children’s responses did not differ across the four types of sounds used but developed with age – a finding observed in both American and Chinese children. Thus, the ability to respond emotionally to non-linguistic, non-music environmental sounds is evident at three years of age – an age when the ability to decode emotional prosody in language and music emerges. We argue that general mechanisms that support emotional prosody decoding are engaged by all sounds, as reflected in emotional responses to non-linguistic acoustic input such as music and environmental sounds. (shrink)

This paper discusses relevant issues surrounding a debate between two groups of Chinese academics concerning whether Confucianism was the source of corruption. Apart from offering my own analyses of the two stories from the Mencius, the implication of which is central to this debate, I argue that it is unsuitable to rely on current conceptions and mode of argumentation adopted from Western analytic philosophy to read ancient stories, as is practised by one group of scholars. On the other hand, the (...) other group seem to have organized their interpretation at the urge of defending Confucianism as a whole. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:"Call me Dr. XXX!"Yilu MaDisclaimers. Names have been changed to protect the privacy of those mentioned.Scheduled to interpret for a Mandarin-speaking woman, I entered the examination room and introduced myself to the neurologist and the patient, who was accompanied by her husband, brimming with smiles and sitting on the edge of the chair."How are you, Katie?" the husband greeted the doctor, using his accented English."Call me Doctor XXX!", the (...) physician returned, her eyebrows knotted with gravity. Immediately, the friendly and light-hearted air in the room froze.This occurred many years ago at a small clinic where I usually went to interpret as a per-diem interpreter. It happened so quickly that I was totally unprepared, and honestly, shocked at the way the physician reacted to the husband. I felt bad for the patient who sat next to her husband without saying anything, being quiet throughout the interactions. She suffered from dementia and was so dependent on her husband. I also felt slightly angry at the doctor's insensitive response to a mere friendly gesture, though seemingly improper, given the conventional power dynamics between the patient and the physician and the way doctors are esteemed in the American medical culture. But the doctor could have reacted to this perceived slight and disrespect with a mere laugh or simply pretended not to have heard it.Even more distinct was the fact the doctor showed her irritation in front of a third party—me, the medical interpreter. I felt she almost directed that to me and right in my face, and yet I felt powerless, helpless, and even embarrassed. I wondered if the doctor would do the same in front of her other colleagues—physicians and nurses. She might have been more diplomatic. Was her rebuke an impulsive reaction or a deliberate projection of her power, putting the husband back into his place? Should I intervene to ameliorate the impact and explain it? What if the doctor became angry with me if I ventured, and would it worsen things despite my good intentions? All these questions were stirring around in my head. Eventually, I decided to mind my own business and stayed in my role. But this episode of her open reprimand and implicit power projection stuck in my mind then and many years after.Over the years, I moved up from a medical interpreter to the Director of the Interpreter Services Department of a major teaching hospital in Boston and worked deliberately to elevate the status of [End Page 151] medical interpreters by educating clinicians about who we are, what we do, what qualifications and trainings we have and the unique roles we play in cross-cultural communication and care delivery. We demythologized medical interpreters' traditionally reductive role of mouthpiece and advocated their full-fledged member role on the care team. Through our regular conversations and dialogues (instead of top-down teaching sessions by clinicians), medical interpreters partner and team up with physicians, nurses, social workers, chaplains, ethicists, residents, and fellows. We learn from one another to foster a culture of collaboration and mutual respect, gradually bringing about a transformation of power dynamics; medical interpreters are valued for their unique roles of language conduit, clarifier, cultural broker and patient advocate. Interpreters now are empowered to ask questions, seek clarification, and advise on care approaches before, during, and after medical encounters with confidence and teamwork spirit.One of the tangible changes that we collectively implemented is that for each patient appointment, we will allocate time for a short meeting between the interpreter and the provider in what we call a "pre-huddle"; the purpose of the quick meeting is for the provider to brief the interpreter about the patient's medical condition and the goal of treatment. The provider will use the opportunity to solicit any input from the interpreter around language and cultural challenges.The interpreter, possibly having worked with the patient before, will provide some background and context if proper and necessary. This simple process change has boosted the interpreter's morale and engagement. Both parties feel comfortable and familiar with each other's roles and moves. By working in such an environment of... (shrink)

本书考察了颜钧思想产生的社会历史背景及颜钧生平;构建了表述颜钧“大中哲学”的理论框架,包括它的经典依据、它的心性论和工夫论、它的人生价值观和社会理想;阐释了颜钧思想的特征及其在当时和对后世的影响。.

You have only to listen. Derrida, Politics of Friendship 32 I am saying nothing, then, that can be said or is sayable. And yet my saying, the declaration of love or the call to the friend, the add...

20世紀極權主義的思想根源是什麽？ 這個問題正是伯林與施特勞斯畢生追問的根本問題。 在一元主義與多元主義之間，在絕對主義與相對主義之間，我們應該何去何從？ 為什麽人類追求自由，卻走向了自由的反面？ 《反自由的自由：伯林與施特勞斯的思想紛爭》提出了這一疑問 20世紀的極權主義是人類歷史上史無前例的政治悲劇，典型案例是蘇聯共產主義和德國納粹主義。伯林是流亡英國的俄裔猶太人，童年曾目睹俄國革命，壯年曾造訪蘇聯，對蘇聯共產主義有著痛徹心扉的體驗。在他看來，蘇聯 共產主義根源於馬克思主義，而馬克思主義發源於一元主義與絕對主義。施特勞斯是流亡美國的德裔猶太人，早年僥倖逃脫納粹的魔爪，從此寄身於異國他鄉。因此，他對德國納粹主義有著深入骨髓的反思。他認為，德國納粹主 義肇源於自由主義，而自由主義淵源於多元主義與相對主義。倘若如是，我們的困境是，在一元主義與多元主義之間，在絕對主義與相對主義之間，應該何去何從？為什麽兩個具有類似極權主義經歷的思想家卻作出了截然相反的 診斷？我們的困惑是，為什麽人類追求自由卻走向了自由的反面？馬華靈試圖在《反自由的自由：伯林與施特勞斯的思想紛爭》一書解答上述疑問。.