Background: Advocacy is an important role of psychiatric nurses because their patients are ethically, socially, and legally vulnerable. This study of Japanese expert psychiatric nurses’ judgments of interventions for patient advocacy will show effective strategies for ethical nursing practice and their relationship with Japanese culture. Objectives: This article explores Japanese psychiatric nurses’ decision to intervene as a patient advocate and examine their ethical, cultural, and social implications. Research design: Using semi-structured interviews verbatim, themes of the problems that required interventions were (...) inductively summarized by a qualitative analysis and their contexts and nursing judgments were examined. Participants and research context: The participants were 21 nurses with 5 or more years of experience in psychiatric nursing. Ethical considerations: The research was approved by Institutional Review Board of research site and study facilities. The participants gave written informed consent. Findings: Analysis of 45 cases showed that nurses decided to intervene when (a) surrounding people’s opinions impeded patients’ safety, (b) healthcare professionals’ policies impeded patients’ decision-making, (c) own violent behaviors impeded treatment and welfare services for patients, (d) own or families’ low acceptance of illness impeded patients’ self-actualization, (e) inappropriate treatment or care impeded patients’ liberty, and (f) their families abused patients’ property. Discussion: To solve conflicts between patients and their surrounding people, the nurses sought reconciliation between them, which is in accordance with Japanese cultural norms respecting harmony. When necessary, however, they protected patients’ rights against cultural norms. Therefore, their judgments cannot be explained by cultural norms alone. Conclusion: The findings indicate that the nurses’ judgments were based on respect for patients’ rights apart from cultural norms, and they first sought solutions fitting the cultural norms before other solutions. This seems to be an ethical, effective strategy if advocates know the culture in depth. (shrink)

In the Appendix to A Treatise of Human Nature, Hume famously retracts his account of personal identity by confessing that it involves a profound problem he cannot solve, which I have elsewhere identified and called the Bundling Problem. Neither of the two possible solutions that Hume himself considers in the Appendix is a viable option for him by his own lights, which might suggest that any successful account of a unified self must go beyond the empirical framework. In this paper, (...) I argue that we can find a strictly empiricist solution to Hume's problem in William James. I attempt to show that James's descriptions of our experience are phenomenologically more detailed and faithful to how experience is undergone from the first-person perspective, which allows him to explain our belief in an identical, unified self solely on empirical grounds. James finds unity and continuity right in the content of the stream of experience itself. A detailed investigation of James's accounts reveals that Hume's fundamental problem does not stem merely from his lack of empirical resources but, more importantly, from his tacit abandonment of the professed empiricist methodology. (shrink)

Under certain conditions, the cell cycle can be arrested for a long period of time. Vertebrate oocytes are arrested at G2 phase, while somatic cells arrest at G0 phase. In both cells, nuclei have lost the ability to initiate DNA synthesis. In a pair of recently published papers,1,2 Méchali and colleagues and Coué and colleagues have clarified how frog oocytes prevent untimely DNA synthesis during the long G2 arrest. Intriguingly, they found only Cdc6 is responsible for the inability of immature (...) oocytes to replicate DNA. Cdc6 is a key component for replication licensing, and for G0 cells to re‐enter the proliferative stage. Strikingly similar strategies for preventing the untimely replication in both cells suggest that the suppression of replication licensing is a universal mechanism for securing the prolonged arrest of the cell cycle. BioEssays 25:313–316, 2003. © 2003 Wiley Periodicals, Inc. (shrink)

This paper investigates the effects of group interaction in a storytelling situation for children using two robots: a reader robot and a listener robot as a side-participant. We developed a storytelling system that consists of a reader robot, a listener robot, a display, a gaze model, a depth sensor, and a human operator who responds and provides easily understandable answers to the children’s questions. We experimentally investigated the effects of using a listener robot and either one or two children during (...) a storytelling situation on the children’s preferences and their speech activities. Our experimental results showed that the children preferred storytelling with the listener robot. Although two children obviously produced more speech than one child, the listener robot discouraged the children’s speech regardless of whether one or two were listening. (shrink)

Research has documented the influence of ALS patients families’ attitudes on patients’ decision to accept or reject TIV, a treatment that in many cases will allow them to live long enough to experience locked-in syndrome ; under Japanese law the use of a ventilator cannot be terminated once it is essential to a patient’s survival, so to choose TIV means to choose the possibility of entering a locked-in state. Previous studies have not, however, elucidated the changes in family members’ attitudes (...) that take place after they receive pertinent information about the social systems and services available to them. This study aims to fill this gap by collecting and analyzing patients’ and family members’ narratives. In Japan, about 30% of ALS patients utilize TIV. This rate is much higher than in most other developed countries. Patients’ narratives illuminate the psychological and especially the contextual factors of their decision-making. Many Japanese patients who currently use a ventilator say that their family members encouraged them to prolong their lives through ventilation. These family members have done so because patients are able to use long-term ventilation for only ¥1000 per month, and can also access the latest communication devices and round the clock caregiver services in their homes at very low cost. Japanese caregivers who are supported by social systems and services including communication assistance, empowering factors such as patients’ associations, care provided by people outside the patient’s family, and a public nursing care system are able to encourage patients to decide to use longterm ventilation. (shrink)

In Book One of the Treatise of Human Nature, Hume seems to acknowledge the existence of both internal and external worlds, in which perceptions, objects, and bodies, exist. In particular, Hume seems directly to affirm the existence of extra-mental bodies, when he says at the beginning of the section "Of scepticism with regard to the senses," "We may well ask, What causes induce us to believe in theexistence of body? but 'tis in vain to ask, whether there be body or (...) not? That is a point, which we must take for granted in all our reasonings" (T 1.4.2.1; SBN 187).1 Furthermore, he thinks that the existence of body must be taken for granted because it is "an affair of too great importance to be trusted to our .. (shrink)

William James criticizes Hume for failing to adhere to the strictly empiricist method when he postulates discrete constituents of experience—which Hume calls perceptions—thereby making our experience a train of disconnected pieces. James argues that the discontinuity of experience in Hume results in part from his failure to recognize the immediate presence of relations in experience.1 Emphasizing a continuity and unity of experience, James thus differentiates his empiricism from Hume's as being radical in the sense that it recognizes relations as 'real' (...) parts of experience just as are things that are experienced to be so related.2 This raises a question concerning the experiential status of relations in Hume: is .. (shrink)

Comparisons have been drawn between certain aspects of Hume’s philosophy and Buddhist philosophy, particularly concerning their views on the self. While it is intriguing to discover affinities between two philosophical systems that are separated far apart by both time and space, comparison would become superficial if similarities are found merely in their general, overall claims or doctrines. Although engaging in a comparative exploration between Hume and Buddhist philosophers on the self can reveal remarkable similarities in their accounts, it can also (...) provide valuable insights into their differences. The differences between Hume’s and Buddhist philosophers’ views become evident when considering the debates about the self among Buddhist philosophers, which have resulted in diverse accounts within the Buddhist tradition. Indeed, it is those differences that prove to be more illuminating for recognizing and understanding subtle aspects and various components of Hume’s account, which may not be adequately described or distinguished by Hume himself. These aspects are particularly revealed in Hume’s brief description of dissatisfaction with his own account in the Appendix. The primary objective of this paper is to uncover the system of reality underlying Hume’s account of the self, which creates a labyrinth for him, by drawing upon Buddhist ideas and debates regarding the self. (shrink)

This study aims to unveil the process of whistleblowing. Two nursing staff members who worked in a psychiatric hospital convicted of large-scale wrongdoing were interviewed. Data were analyzed using a modified grounded theory approach. Analysis of the interviews demonstrated that they did not decide to whistleblow when they were suspicious or had an awareness of wrongdoing. They continued to work, driven by appreciation, affection, and a sense of duty. Their decision to whistleblow was ultimately motivated by firm conviction. Shortly after (...) whistleblowing, wavering emotions were observed, consisting of a guilty conscience, fear of retribution, and pride, which subsequently transformed to stable emotions containing a sense of relief and regret for delayed action. It is necessary for nurses to recognize that their professional responsibility is primarily to patients, not to organizations. Nurses should also have professional judgment about appropriate allegiance and actions. (shrink)

There are remarkable parallels between Hume and Nagarjuna in their denial of substantiality and independence in objects and their subsequent attitude toward our ordinary world. Acknowledging a deep-rooted human tendency to take objects as independent entities, they both argue that there is nothing intrinsic in those objects that make them unitary and independent, and that those characters are, strictly speaking, merely fictitious, mental constructs. They nonetheless affirm the existence of our ordinary world as real. Although their main purposes of the (...) philosophical inquiry are different (epistemological for Hume, and soteriological for Nagarjuna), their accounts of the nature of our world allow us to accept it in the way we ordinarily believe with the deeper understanding of it. It is only in this world where we think, act, and interact with others that an epistemology grounded in human sentiment and experience (for Hume) or humans liberation (for Nagarjuna) is possible. (shrink)

In 1997, the Japanese Diet revised the Bank of Japan law thereby granting the central bank greater independence in monetary policy making. The revision was an attempt by Japan's political class to weaken the authority of the powerful Ministry of Finance over the central bank and augment its own influence. The Bank of Japan, however, gained more autonomy than politicians ever intended, leading to frequent confrontations between the government and the central bank over monetary policy. This paper explores the new (...) strategic relationship that emerged between the Bank of Japan and government and the nature of monetary policy implemented in the post-reform period. We demonstrate that several factors contributed to the Bank's unexpected ability to enhance its independence: the astute leadership of the first post-reform governor Hayami Masaru; the Bank's ability to turn politicization of monetary policy to its advantage; and its pursuit of a strategy achieved by augmenting its own research capacity. On a theoretical level, our findings show that the passage of a new legal framework only marks the completion of one stage of institutional change and the start of the next; post-enactment politics have as much importance as pre-enactment politics in shaping outcomes. In the post-enactment phase, various factors, including the state of the economy and informal institutions or processes, matter greatly and may shift the direction of institutional change away from the intended path. (shrink)

The Literature of Personalists of early Buddhism. Bhikshu Thích Thien Châu. Vietnam Buddhist Research Institute, Ho Chí Minh City 1996. xii, 241 pp. Motilal Banarsidass, Delhi 1999. xiv, 242 pp. Rs 295. ISBN 81-208-1622-6.

世界とは何かという壮大なテーマに気鋭の哲学者がせまる知的刺激あふれる一冊。事実とは何なのか?いま自分が見ているものと隣人が見ているものは同じものなのか?人と人とのコミュニケーションはどのようにして成り 立つのか?...新たなものの見方や考え方を模索し、社会で直面するさまざまな課題を解くカギを探ります。.

ABSTRACT Studies on development and fairness judgments in resource allocations have mainly addressed the distribution of reward. However, the distribution of responsibility also requires exploration in the context of research on development and distributive justice. For an integrated understanding of reward and responsibility distributions, we briefly reviewed the studies on children’s fairness judgments in reward and responsibility distributions. We then discussed the theoretical basis and methodological framework to further our understanding. After reviewing a study which considered both reward and responsibility (...) distributions in the same experiment, we also discussed the questions to be solved to understand children’s fairness judgments in both types of distributions. Individual developmental process of fairness judgments, (in)consistency of judgments in reward and responsibility distributions, and generous judgments in allocations were discussed by referring to theoretical discussions of culture and reciprocity. (shrink)

In this paper, we report the case of an Inclusive Design workshop. Inclusive Design is a design method that includes elderly and disabled people not only in interviews, but also in the upstream design process such as basic design and survey analysis. In the workshop, participants designed scientific educational materials that visually impaired and sighted people can use together. To work together regardless of visual disability, participants used the image-processing system and the stereo copying machine to make images tactile. We (...) think that collaborative work with elderly and disabled people in Inclusive Design can teach participants different perspectives and help to correct their biased view of each other. In fact, participants of the workshop noticed several facts that they were not aware of before. That is, the Inclusive Design workshop can improve social awareness. (shrink)

SummaryMis‐regulation (e.g. overproduction) of the human Ndc80/Hec1 outer kinetochore protein has been associated with aneuploidy and tumourigenesis, but the genetic basis and underlying mechanisms of this phenomenon remain poorly understood. Recent studies have identified the ubiquitous Ndc80 internal loop as a protein‐protein interaction platform. Binding partners include the Ska complex, the replication licensing factor Cdt1, the Dam1 complex, TACC‐TOG microtubule‐associated proteins (MAPs) and kinesin motors. We review the field and propose that the overproduction of Ndc80 may unfavourably absorb these interactors (...) through the internal loop domain and lead to a change in the equilibrium of MAPs and motors in the cells. This sequestration will disrupt microtubule dynamics and the proper segregation of chromosomes in mitosis, leading to aneuploid formation. Further investigation of Ndc80 internal loop‐MAPs interactions will bring new insights into their roles in kinetochore‐microtubule attachment and tumourigenesis. (shrink)