The number of people who survive critical illness is increasing. In parallel, a growing body of literature reveals a broad range of side-effects following intensive care treatment. Today, more attention is needed to improve the quality of survival. Based on nine individual stories of illness experiences given by participants in two focus groups and one individual interview, this paper elaborates how former critically ill patients craft and recraft their personal stories throughout their illness trajectory. The analysis was conducted from a (...) phenomenological perspective and led to the meaning structure; a quest to find oneself after critical illness. In this structure, illness represented a breakdown of the participants’ lives, forcing them to develop a new understanding of themselves. Despite acute illness, they felt safe in hospital. Coming home, however, meant a constant balancing between health and illness, and being either in or out of control. To gain a deeper understanding of the participants’ narratives of survival, the meaning structure was developed from a phenomenological life world perspective, Heidegger’s concept of homelikeness and Arthur Frank’s typologies of illness narratives. In conclusion listening to and acknowledging the patients’ lived experiences of critical illness may support the patient efforts to establish the newly defined self and hence be vital for recovery. Phenomenology is one approach facilitating care tailored to the patients’ lived experience of critical illness and its aftermaths. (shrink)

This radically original book argues for the power of ordinary language philosophy—a tradition inaugurated by Ludwig Wittgenstein and J. L. Austin, and extended by Stanley Cavell—to transform literary studies. In engaging and lucid prose, Toril Moi demonstrates this philosophy’s unique ability to lay bare the connections between words and the world, dispel the notion of literature as a monolithic concept, and teach readers how to learn from a literary text. Moi first introduces Wittgenstein’s vision of language and theory, which refuses (...) to reduce language to a matter of naming or representation, considers theory’s desire for generality doomed to failure, and brings out the philosophical power of the particular case. Contrasting ordinary language philosophy with dominant strands of Saussurean and post-Saussurean thought, she highlights the former’s originality, critical power, and potential for creative use. Finally, she challenges the belief that good critics always read below the surface, proposing instead an innovative view of texts as expression and action, and of reading as an act of acknowledgment. Intervening in cutting-edge debates while bringing Wittgenstein, Austin, and Cavell to new readers, Revolution of the Ordinary will appeal beyond literary studies to anyone looking for a philosophically serious account of why words matter. (shrink)

La pensée de Lévinas, du début jusqu’à la fin, est animée par le souci de libérer le moi du « mal de l’être » – c’est-à-dire, de l’expérience de l’être anonyme et irrémissible, sans fin ni commencement, que Lévinas nomme il y a. Dans les premiers ouvrages , l’autofondation du sujet répond à ce souci, mais cette tentative de libération échoue en tant qu’elle condamne le sujet à la présence toujours présente de lui-même et à sa persévérance dans l’effort d’être. (...) La notion de substitution que développera pleinement Autrement qu’être réussit là où la tentative des premiers ouvrages a échoué. La substitution dans la responsabilité libère la subjectivité mais, selon un paradoxe essentiel, la libère en la rendant otage de l’autre. Si la substitution dans la responsabilité est en effet l’événement de la subjectivation, comme le soutient Lévinas, alors il n’y a pas d’éthique sans libération et pas de libération sans éthique.Levinas’ thought, form start to finish, was animated by a concern for liberation of the self form the « evil of Being » – that is, form the experience of anonymous, irremissible Being without start or finish, which Levins names there is. In the early works , the autofoundation of the subject responds to this concern, but this attempt at liberation falls short as it condemns the subject to the ever present presence of itself and its perseverance in the effort of existing. The notion of substituion, developed most fully in Autrement qu’être, then succeeds xhere the aerlier effort failed. Substitution in responsibility liberates subjectivity, but, according to an essential paradox, liberates it as hostage of the other. If substitution in responsibility is indeed the event of subjectification, as Levinas argues, then there is no ethics without liberation, and no liberation without ethics. (shrink)

1° Les deux moments de l’analyse réflexive : intuition et raisonnement.2° Du sentiment de l’effort au moi chez Maine de Biran. Insuffisance d’une analyse psychologique fondée sur la causalité du moi et d’une analyse logique de la pensée fondée sur l’expérience de l’effort.3° De l’intention ou effort dirigé à la tendance. La tendance et la causalité psychique. L’induction reconstructive dans l’étude des tendances. L’analyse psycho-réflexive et la psychologie contemporaine.

jild-i 1. Āzādī va marzʹhāyash -- jild-i 2. Istiqlāl (farhangī).

Recent preclinical studies have shown the feasibility of specific variants of nuclear transfer to prevent mitochondrial DNA disorders. Nuclear transfer could be a valuable reproductive option for carriers of mitochondrial mutations. A clinical application of nuclear transfer, however, would entail germ-line modification, more specifically a germ-line modification of the mitochondrial genome. One of the most prominent objections against germ-line modification is the fear that it would become possible to alter ‘essential characteristics’ of a future person, thereby possibly violating the child's (...) right to an open future. As only the nuclear DNA would contain the ingredients for individual characteristics, modification of the mtDNA is often considered less controversial than modification of the nuclear DNA. This paper discusses the tenability of this dichotomy. After having clarified the concept of germ-line modification, it argues that modification of the mtDNA is not substantively different from modification of the nuclear DNA in terms of its effects on the identity of the future person. Subsequently the paper assesses how this conclusion affects the moral evaluation of nuclear transfer to prevent mtDNA disorders. It concludes that the moral acceptability of germ-line modification does not depend on whether it alters the identity of the future child—all germ-line modifications do—but on whether it safeguards the child's right to an open future. If nuclear transfer to prevent mtDNA disorders becomes safe and effective, then dismissing it because it involves germ-line modification is unjustified. (shrink)

This paper explores the use of an ethics framework based on the Public Health Code of Ethics to guide rationing decisions during a pandemic flu crisis involving a shortage of ventilators. While the law provides public health officials with authority to act, public health officials, as community leaders and health department managers, must address complex questions about how they should use their legal authority, how they can ethically justify a particular action, how they should engage community stakeholders in decision making, (...) and how the process of public justification should take place. Recognising the need for a tool that could help public health officials manage ethical tensions in practice, such as allocation of scarce resources, the Public Health Leadership Society led efforts to develop a Public Health Code of Ethics. The 12 Principles in the Code were written to express the general norms implicit in the practice of public health professionals. The Code offers no hierarchical weighting of the different principles and anticipates that weights and specification of the principles would take place in the context of each community through a process of engagement between public health officials and community stakeholders about specific cases. We describe how public health officials can use the Code to guide deliberation in helping communities prepare to address the tragic choices when allocating scarce ventilators in an influenza pandemic. (shrink)

De facture classique, la philosophie de Simone Weil ne forme pas moins un ensemble de doctrines qu'unifie une intuition morale de portée métaphysique. La prescription de l'obéissance, de l'humilité, de la pauvreté traduisent une conception du moi qui, ayant une condition métaphysique illégitime de centre du monde, est appelé à renoncer à soi, à s'abandonner. Bref, créature jouissant d'une position usurpée de centre, il ne réalise sa vérité que par la décréation, mettant fin à la prétention d'un individu de valoir (...) comme une fin en soi exclusive... (shrink)

Discussion of the concept of evil in Indian philosophy.

The Johns Hopkins-Fogarty African Bioethics Training Program (FABTP) has offered a fully-funded, one-year, non-degree training opportunity in research ethics to health professionals, ethics committee members, scholars, journalists and scientists from countries across sub-Saharan Africa. In the first 9 years of operation, 28 trainees from 13 African countries have trained with FABTP. Any capacity building investment requires periodic critical evaluation of the impact that training dollars produce. In this paper we describe and evaluate FABTP and the efforts of its trainees.Our data (...) show that since 2001, the 28 former FABTP trainees have authored or co-authored 105 new bioethics-related publications; were awarded 33 bioethics-related grants; played key roles on 78 bioethics-related research studies; and participated in 198 bioethics workshops or conferences. Over the past nine years, trainees have collectively taught 48 separate courses related to bioethics and have given 170 presentations on various topics in the field. Many former trainees have pursued and completed doctoral degrees in bioethics; some have become editorial board members for bioethics journals. Female trainees were, on average, less experienced at matriculation and produced fewer post-training outputs than their male counterparts. More comprehensive studies are needed to determine the relationships between age, sex, previous experience and training program outputs. (shrink)

Departing from a traditional view of Mamardashvili as a merely a philosopher of consciousness, the author discusses the thinker's original contributions to the philosophy of culture.