Fifty years ago, in 1961, Feinstein published his first path-breaking articles leading to his seminal work Clinical Judgement and to the establishment of clinical epidemiology. Feinstein had an Aristotelian approach to scientific method: methods must be adapted to the material examined. Feinstein died 10 years ago and few years before his death he concluded that efforts to promote a person-oriented medicine had failed. He criticised medicine for not having recognized that only persons can suitably observe, evaluate and rate their own (...) health status. Feinstein’s position was—as in Clinical Judgement—methodological. He didn’t espouse ethical principles. He pointed to methodological deficiencies in clinical epidemiology and evidence-based medicine. In this article we’ll provide a framework for understanding and justifying Feinstein’s call for a person-oriented medicine which recognizes patients as co-actors in clinical reasoning. It’s argued that craftsmanship and practical wisdom are integrated in clinical judgement and reasoning and that clinical reasoning is not only about means to achieve the end, health. We do also reason and deliberate about ends. The ‘defining end’ of medicine (health) has continuously been negotiated and so been the object of deliberation. For centuries among professionals, in recent years among professionals and patients. These negotiations and deliberations lead to ongoing specifications of health as a ‘guiding end’, i.e. an end guiding clinical reasoning about what to do in particular situations. Feinstein’s self-critical account to clinical epidemiology at the end of his professional career reflects the fact that patients during the last 30–40 years (i.e. in the period after the publication of Clinical Judgement) widely have been recognized as persons with rights to autonomy. Feinstein’s lesson is, however, that espousing and recognizing ethical ideals is not enough. A change of clinical practice and its methods is necessary. His critique also implies that clinical epidemiology and evidence-based medicine as practiced haven’t provided such a turn. (shrink)

Researchers are increasingly interested in the impact of philosophical dialogues with children. Studies have shown that this approach helps realise dialogic ideals in learning environments and that Philosophy with Children significantly impacts children’s cognitive and social skills. However, other aspects of this approach have attracted less attention – for example, given the focus on children’s thinking, voices and perspectives in Philosophy with Children, surprisingly few studies have examined how children experience philosophical dialogues. The aim of this study was to help (...) fill this research gap by describing how children perceived a week of online philosophical dialogues. We conducted 58 dialogues in emergency teaching during the COVID-19 lockdown in Denmark and asked the children questions about their experiences of the dialogues – for instance, about their overall impressions, their perceptions of meaning and the facilitators, and their sense of community. We found that the children generally enjoyed the dialogues and understood their rationale even though the rationale had not been explicitly discussed with them. We also found that the children’s opinions were diverse and complex, that some of their descriptions were surprising and that their experiences, in general, matched influential descriptions of dialogic teaching ideals. Our findings confirm that it is important to examine children’s perspectives; therefore, we emphasise the need for further attention to the experiences of children participating in philosophical dialogues. (shrink)

Based on a historical and a contemporary fieldwork at a Danish hospital, this article offers a genealogical and philosophical exploration of the development of nurses’ doing and focus within a hospital setting from the 1800 s to the present day. This exploration finds that nurses’ doing has changed during history, which is reflected in their focus. Thus, nurses’ focus has developed from, what the Danish philosopher Uffe Juul Jensen refers to as a situation‐oriented, to a disease‐oriented practice, (...) and while new values are established, the conception of care as a core value in nursing seems to have receded. This article also argues that today's nurses are doing what doctors did in the 19th century. The French philosopher Michel Foucault discusses how things repeat themselves in new ways and new contexts. The nursing profession has become ‘a career open to the talents’ where nurses with the appropriate skills and talents are able to build a career, within which they provide status, position and legitimacy. The conclusion of the article discusses the significance of this development for patients and the nursing profession. (shrink)

In this dissertation I trace (i) the emergence and different stages of the use of the term wén in pre-Qín texts to refer to language-specific conceptualizations of ‘conventionalized behavior’ and (ii) the emergence of the use of the English term culture as a translation of the term wén and as an analytical concept in discussions of ‘cultural identity’ in early China. I do so by proposing a linguistic anthropological approach to the study of historical changes in collectively shared conceptualizations of (...) ‘conventionalized behavior’ through lexical changes in text corpora. Combining theories of metaculture with theories of lexicalization enables me to analyze pre-Qín concepts of ‘tradition’ or ‘culture’ as language-specific metacultural concepts which are anchored in particular historical contexts. This dissertation contributes to our understanding of the term wén in three ways. First, I argue that metacultural uses of wén did not exist in the pre-Zhànguó period. At that time when wén was used to refer to positive attributes of individuals of noble rank, it meant ‘awe-inspiringly beautiful.’ This use of wén derived from more the basic meaning ‘decorative pattern’ through processes of metaphorical extension and abstraction. This dissertation thereby offers new insight into the social importance of externally visible beauty in early Zhōu society by proposing that pre-Zhànguó uses of wén referred to physical appearance rather than acquired moral traits (as proposed in the Chinese commentarial tradition). Second, I argue that metacultural uses of wén referring to the abstract concept of ‘(patterns in) conventionalized behavior’ developed in the Zhànguó period (481-221 BCE) from the earlier meaning of ‘awe-inspiringly beautiful.’ By providing a chronology of these changes, I avoid the anachronistic interpretations of wén which originated in the Chinese commentarial tradition and which have continued to influence the way scholars translate the term to the present day. Third, I show that the wide-spread assumption that wén means ‘culture’ is a relatively recent phenomenon that owes more to the increasing popularity of the term culture in the English language over the last two centuries than to a deepening of our understanding of the pre-Qín metacultural concept referred to by the term wén. (shrink)

In a comparative context, Danish national identity and political culture combine features of what is often referred to as East European integral nationalism , typical of smaller, recently independent nation-states, and the patriotic concept of citizenship in the older West European state nations. The explanation of this apparent paradox is that Denmark belongs to both families. A former multinational, composite state in 1864 was cut down to a size that enabled a class of about 60,000 peasant-farmers to establish an ideological (...) hegemony in the diminished and nationalized, yet still fully legitimate, state. A libertarian ideology of social solidarity ended up dominating this rump nationstate. The net result in Denmark has been a political mentality stressing the importance of consensus among all the people, in Danish ‘folk’. This populism or ‘popular’ ideology ( folkelighed ) is shared by virtually all political parties. Thus Danish modernity was characterized by industrialized agrarian capitalism with a socially and nationally homogeneous face, i.e. a folkish democracy which I have elsewhere baptized ‘Peasants and Danes’ (Østergård, 1992). (shrink)

This article argues for the value of working with conflicts in social practice as resources for collaboration, learning and development. The interest in conflicts in social practice is rooted in a preoccupation with social power relations and how to understand and analyse power relations from a subject-science perspective. Following this interest, a methodological framework, best described as a kind of ‘mobile ethnography’, is discussed and exemplified through an empirical example. A preliminary conceptual framework for understanding power as a capacity for (...) action is presented. The overarching ambition of the article is to consider what democratic collaboration and coexistence entails and how it might be supported conceptually and analytically by the notion of conflicts as heuristics for social inquiry and by the notion of power as a capacity for action and social participation. (shrink)

Completeness is shown for several versions of Girard's linear logic with respect to Petri nets as the class of models. One logic considered is the -free fragment of intuitionistic linear logic without the exponential !. For this fragment Petri nets form a sound and complete model. The strongest logic considered is intuitionistic linear logic, with ,&, and the exponential ! , and forms of quantification. This logic is shown sound and complete with respect to atomic nets , though only once (...) we add extra axioms specific to the Petri-net model. The logic is remarkably expressive, enabling descriptions of the kinds of properties one might wish to show of nets; in particular, negative properties, asserting the impossibility of an assertion, can also be expressed. Unfortunately, with respect to this logic, whether an assertion is true of a finite net becomes undecidable. (shrink)

Ernst Cassirer Ernst Cassirer was the most prominent, and the last, Neo-Kantian philosopher of the twentieth century. His major philosophical contribution was the transformation of his teacher Hermann Cohen ’s mathematical-logical adaptation of Kant’s transcendental idealism into a comprehensive philosophy of symbolic forms intended to address all aspects of human cultural life and creativity. In … Continue reading Ernst Cassirer →.

We introduce and study certain classes of optimization problems over the real numbers. The classes are defined by logical means, relying on metafinite model theory for so called R-structures . More precisely, based on a real analogue of Fagin's theorem [12] we deal with two classes MAX-NPR and MIN-NPR of maximization and minimization problems, respectively, and figure out their intrinsic logical structure. It is proven that MAX-NPR decomposes into four natural subclasses, whereas MIN-NPR decomposes into two. This gives a real (...) number analogue of a result by Kolaitis and Thakur [13] in the Turing model. Our proofs mainly use techniques from [17]. Finally, approximation issues are briefly discussed. (shrink)

Michèle Le Dœuff discusses the revival of feminism in France, including the phenomenon of state-sponsored feminism, such as government support for "parity": equal numbers of women and men in government. Le Dœuff analyzes the strategically patchy application of this revival and remains wary about it. Turning to the work of seventeenth-century philosopher Gabrielle Suchon, Le Dœuff considers her concepts of freedom, servitude, and active citizenship, which may well, she argues, have influenced Jean-Jacques Rousseau. Le Dœuff favorably juxtaposes the active citizenship (...) defended by Suchon with the kind of citizenship implicitly supported by recent French government feminism. (shrink)

Are virtual objects real? I will claim that the question sets us up for the wrong type of conclusion: Chalmers (2017) argues that a virtual calculator (like other entities) is a real calculator when it is “organizationally invariant” with its non-virtual counterpart—when it performs calculation. However, virtual reality and games are defined by the fact that they always selectively implement their source material. Even the most detailed virtual car will still have an infinite range of details which are missing (gas, (...) engines, pistons, fuel, chemical reactions, molecules, atoms). This means that even the most detailed virtual object will still have fictional aspects. Rather than argue that virtual objects are, or aren’t, real, it is preferable to think of overlaps and continuities between the fictional and the real, where even the most painstakingly detailed virtual reality implementation of a non-virtual object is still art: a human process of selection and interpretation. Virtual reality should therefore not be philosophically understood just as a technological implementation on a trajectory to perfection, but as a cultural artifact which derives its value in part from its simplification and difference from its source material. (shrink)

Michèle Le Dœuff speculates about why the parity movement enjoyed attention and sympathy in France over recent years. She discusses recent developments in "State-handled" feminism, and the resurgence of interest in feminist debate in France. Perhaps patriarchy is an institution more fundamental than the State?

The influence of conscience on nurses in terms of guilt has frequently been described but its impact on care has received less attention. The aim of this study was to describe nurses' conceptions of the influence of conscience on the provision of inpatient care. The study employed a phenomenographic approach and analysis method. Fifteen nurses from three hospitals in western Sweden were interviewed. The results showed that these nurses considered conscience to be an important factor in the exercise of their (...) profession, as revealed by the descriptive categories: conscience as a driving force; conscience as a restricting factor; and conscience as a source of sensitivity. They perceived that conscience played a role in nursing actions involving patients and next of kin, and was an asset that guided them in their efforts to provide high quality care. (shrink)

Increasing interest in applying the theory and practice of deliberative democracy to new and varied political contexts leads us to ask whether or not deliberation is a universal political practice. While deliberation does manifest a universal competence, its character varies substantially across time and space, a variation partially explicable in cultural terms. We deploy an intersubjective conception of culture in order to explore these differences. Culture meets deliberation where publicly accessible meanings, symbols, and norms shape the way political actors engage (...) one another in discourse. Fuller understanding of political deliberation requires comparative and historical studies of particular contexts. We look at one case from Egypt in some depth and provide shorter illustrations from Botswana, Europe, India, Japan, Madagascar, the United States, Yemen, and elsewhere. Cross-cultural learning can enrich the theory of deliberative democracy, and give democratic theory a more universal reach. (shrink)

Earlier studies of the term wén 文 in pre-Qín texts do not fully explain the relation-ship between its basic meaning ‘ pattern’ and its more abstract meanings ‘moral refinement’ and ‘tradition of conventionalized behavior’. In contrast, I argue that, when used as an epithet describing individuals in pre-Zhànguó texts, wén meant something like ‘awe-inspiringly beautiful’, rather than ‘accomplished’ or ‘cultured’ as proposed in earlier studies and translations. Wearing clothes embroidered with ‘rank indicating emblems’ and possessing ‘decorated’ accoutrements signaling authority were (...) the prerogatives of members of the high nobility. It was not an acquired property. The meaning ‘awe-inspiringly beautiful’ derived from ‘decorative pattern’ through metaphorical extension. This analysis of wén helps us avoid the anachronistic moral interpretations often found in traditional commentaries and in modern translations of pre-Zhànguó texts, and improves our understanding of the role played by physical appearance in the construction of social hierarchies in the pre-Zhànguó period. In contrast, in Zhànguó-period texts such as the Zuǒzhuàn, wén was reanalyzed in moral terms, thereby giving rise to adjectival uses referring to ‘morally refined’ ‘noble men’. In the Lúnyǔ, adjectival wén in the sense ‘morally refined’ is applied to dynasties. Nominalized versions of adjectival wén then give rise to even more abstract uses referring to the ‘moral refinement’ of the Zhōu, that is, the ideal ‘patterns of social mores and conventionalized practices established by the former kings’, as in Lúnyǔ 9.5. Such uses of wén are often translated into English as culture. However, since the words culture and wén derive metaphorically from different basic meanings, i.e., ‘growing/cultivating’ and ‘decorating/applying an external pattern’, respectively, and since they refer to different, language- and tradition-specific concepts of ‘conventionalized behavior’ or ‘culture’, such translations are often infelicitous or misleading. (shrink)

Totally revised and updated, written especially for students, the third edition of Geography – History and Concepts is the definitive undergraduate introduction to the history, philosophy and methodology of Human Geography. Accessible and comprehensive, the work comprises five sections: - What is Geography?: a historical overview of the discipline and an explanation of its organization - The Foundations of Geography: examines Geography from Antiquity to the early modern period; the discussion includes detailed explanations of environmental determinism; the French School; landscape; (...) and regional studies - Paradigms and Revolutions: includes an analysis of Kuhn’s paradigm of scientific knowledge that introduces the discussion of the quantitative revolution in the late sixties – this section examines the new human geography, as well as reviewing criticisms of quantification - Positivism and its Critics: defines positivism and empiricism and offers a comprehensive expostion of humanist and structuralist criticisms of these methodologies; concludes with a critical discussion of structuration theory, realism and postmodernism - Processes in Place and Space: an introduction to core themes and concepts in current geographical though: including space, place, and feminism. Illustrated throughout, with summaries, notes for further reading and a concept glossary of Geography – History and Concepts will be essential reading for undergraduates in Geography. (shrink)

Thomas Nagel recognizes that it is commonly believed that people can neither be held morally responsible nor morally assessed for what is beyond their control. Yet he is convinced that although such a belief may be intuitively plausible, upon reflection we find that we do make moral assessments of persons in a large number of cases in which such assessments depend on factors not under their control. Of such factors he says: (p. 26).

Ethical decision making is of concern to researchers across all fields. However, researchers typically focus on the biases that may act to undermine ethical decision making. Taking a new approach, this study focused on identifying the most common compensatory strategies that counteract those biases. These strategies were identified using a series of interviews with university researchers in a variety of areas, including biological, physical, social, and health as well as scholarship and the performing arts. Interview transcripts were assessed with two (...) scoring procedures, an expert rating system and computer-assisted qualitative analysis. Although the expert rating system identified Understanding Guidelines, Recognition of Insufficient Information, and Recognizing Boundaries as the most frequently used compensatory strategies across fields, other strategies, Striving for Transparency, Value/norm Assessment, and Following Appropriate Role Models, were identified as most common by the computer-assisted qualitative analyses. Potential reasons for these findings and implications for training and practice are identified and discussed. (shrink)

The increasing interconnectedness of academic research and external industry has left research vulnerable to conflicts of interest. These conflicts have the potential to undermine the integrity of scientific research as well as to threaten public trust in scientific findings. The present effort sought to identify themes in the perspectives of faculty researchers regarding conflicts of interest. Think-aloud interview responses were qualitatively analyzed in an effort to provide insights with regard to appropriate ways to address the threat of conflicts of interest (...) in research. Themes in participant responses included disclosure of conflicts of interest, self-removal from situations where conflict exists, accommodation of conflict, denial of the existence of conflict, and recognition of complexity of situations involving conflicts of interest. Moral disengagement operations are suggested to explain the appearance of each identified theme. In addition, suggestions for best practices regarding addressing conflicts of interest given these themes in faculty perspectives are provided. (shrink)

Background: In this study, we aimed to investigate the effects of a mindfulness program including Mindfulness-Based Stress Reduction on the mental health of student teachers when offered at their educational institution in a real-life context.Methods: A parallel randomized controlled trial was conducted among self-selected student teachers at a Danish undergraduate program for teacher education in the autumns of 2019 and 2020. Participation was not recommended in case of clinical depression or a diagnosis of psychosis or schizophrenia, abuse of alcohol, drugs, (...) and/or medicine. Randomization was performed by a Statistician who was blinded to the identity of the students. Data was collected using self-reported questionnaires. The primary outcome was a change in perceived stress 3 months from baseline. Secondary outcome measures were symptoms of anxiety and depression, well-being, resilience, mindfulness, and thoughts and feelings during rest. The effects were analyzed according to the intention-to-treat principle using mixed-effect linear regression models. Mediating effects of mindfulness skills on the mental health outcomes were explored using structural equation modeling.Results: The study group included 67 student teachers with 34 allocated to the intervention group ; and 33 students allocated to a waiting list control group. At baseline, mean Perceived Stress Scale scores were 18.88 in the intervention group and 17.91 in the waiting list control group. A total of 56 students completed the questionnaire at a 3-month follow-up. Statistically significant effects of the intervention were found on perceived stress, symptoms of anxiety and depression, well-being, and on three of seven resting-state dimensions. No effects were found on resilience or mindfulness. Statistically significant mediated effects via resting-state dimensions were found.Conclusion The findings suggested that offering a mindfulness program at an undergraduate program for teacher education could significantly improve the mental health among self-selected students within 3 months. Results of mediation analysis supported the hypothesis that some of the effects might be explained by reduced distracting thoughts.Clinical Trial Registration: [www.ClinicalTrials.gov], identifier [NCT04558099]. (shrink)

Den historiske udvikling af teoretisk pædagogik i dansk sammenhæng.

The aim of this article is to contribute to the formulation of a non-excluding concept of solidarity which is of relevance to contemporary society. The assumption is that in the present individualized and culturally diverse society there is an urgent need for a new form of solidarity to create social cohesion. The central theme is that contemporary solidarity is about recognition and a fair distribution of chances for recognition. This ideal may function as a normative standard for critical research and (...) as a guideline for people in their moral struggles. What ultimately needs to be done is not a purely theoretical question but something which must be settled by a judgement that constitutes a battlefield where conflicting values and perceptions of reality confront each other. (shrink)

Research misconduct is of growing concern within the scientific community. As a result, organizations must identify effective approaches to training for ethics in research. Previous research has suggested that biases and compensatory strategies may represent important influences on the ethical decision-making process. The present effort investigated a training intervention targeting these variables. The results of the intervention are presented, as well as a description of accompanying exercises tapping self-reflection, sensemaking, and forecasting and their differential effectiveness on transfer to an ethical (...) decision-making task. (shrink)