Ethics for Health Care, 2E takes a novel approach to learning about and understanding ethics. It draws on practical experiences and contemporary issues in its exploration of the ethical choices made in health care. The common theme followed in the book is that health care ethics are not only about setting acceptable standards, they are also about reflecting on what health care professionals should aim towards. It is about reflecting on optimal standards, and pursuing those standards. In focusing on the (...) interaction between the health provider and his or her client, the book skillfully incorporates individual and group exercises to help the reader think about particular issues or standards, or particular styles of ethical reflection. Tutorial-type triggers and case studies are also included. Over fifty of these exercises, twenty-four of them new to this edition, assist in developing familiarity with the key ways of identifying, and working to resolve, ethical issues in health care. In this framework, the philosophical aspect of ethics become a tool that every potential and current health care worker can use to reflect on ethics as it applies to their profession. (shrink)

In the original publication, the article title has been published incorrectly. Now the same has been corrected in this correction.

This is a response to a short communication on our research presented in Solbrække et al. :89–103, 2017), which raises a series of serious allegations. Our article explored the rise of ‘the breast cancer gene’ as a field of medical, cultural and personal knowledge. We used the concept biological citizenship to elucidate representations of, and experiences with, hereditary breast cancer in a Norwegian context, addressing a research deficit. In our response to Møller and Hovig’s :239–242, 2018a) opinionated piece, we start (...) by questioning on which scientific grounds they base their knowledge claims and situate their criticism in a pre-determined positivist script, which exposes their incompetency when it comes to establishing a useful critique of our research. We tie this to an attitude of scientific supremacy, which reduces the complexity and specificity of different knowledges into a clichéd divide between ‘hard evidence’ and ‘fiction’—presented in a predictable narrative which seeks to establish research protagonists and antagonists. We elaborate on the rationale of our qualitative approach to analyzing and interpreting situated and mediated aspects of BRCA 1/2. We counter claims that our research does harm to patients. We refer to a medical scandal emerging from Norway where 21 women were wrongfully diagnosed and surgically treated for a mis-interpreted cancer gene mutation. In conclusion, we stand by the integrity of our research as reported in the original paper. Scientific supremacy and pre-scripted criticism impose considerable obstacles for the possibility of establishing interdisciplinary dialogue across knowledge paradigms in health care and medicine. We therefore urge readers to reflect on how we can establish and sustain ethically careful and truthful dialogue—without doing violence to epistemological differences—to protect and advance the interdisciplinarity that constitutes the journal’s scope. (shrink)

On childhood, childhood culture and child perspective in a cross-cultural frame of reference.

Streaming services for audiobooks and ebooks have grown rapidly in recent years. The shift in consumption patterns has transformed both reading and publishing. One visible change is the attraction and importance of backlist titles. The article investigates how the relationship between frontlist and backlist in the bestseller segment has developed, and discusses the shift in the power balance between the two. By examining large-scale consumer behaviour data from one of the key players in subscription-based digital bookselling – Storytel – we (...) track book consumption both in detail and at a structural level. Our results show that backlist titles are increasingly important for bestselling authors who continue to publish frontlist titles, especially for fiction written in series. Streaming services foster new types of book consumption behaviour thanks to a combination of technology, media, reading habits, and social change. (shrink)

A general practice research project on ethics is underway at the University of New South Wales, funded by GPEP (General Practice Evaluation Program, Commonwealth Department of Human Services and Health, GPEP 386). Ethical issues, as defined and explored by general practitioners and consumers, are being examined across four areas of Sydney.So far, telephone interviews have been conducted (64% response rate) with a random sample of general practitioners (GPs). Face-to-face interviews have been conducted with 107 consumers, randomly sampled using ABS collection (...) district information. Focus groups have been formed to discuss acceptable solutions to GP and consumer identified ethical issues. This report will report on some preliminary findings to date and will explore professional and consumer roles in the formation of ethical solutions. (shrink)

Willensfreiheit wird bestritten, weil sich der Begriff nicht logisch konsistent definieren lässt und weil inzwischen auch neurobiologische Anhaltspunkte gegen ihre Existenz sprechen. Anders als in der biblisch-reformatorischen Tradition gehört die Willensfreiheit aber zum Kern des aufgeklärten Menschenbildes. Und auch in der Theologie scheint die Bestreitung der Willensfreiheit unweigerlich auf die Lehre von der doppelten Prädestination hinauszulaufen, so dass seit Pietismus und Aufklärung auch die evangelische Theologie ihrem Ursprung untreu wurde. In dem Buch werden die Perspektiven der Philosophie, Neurobiologie und Theologie (...) zum Thema Willensfreiheit zusammengeführt. Die Argumente und Befunde gegen Willensfreiheit sind weit stärker als die zu ihren Gunsten. Deswegen existieren bislang nur Positionen, die den Determinismus akzeptieren, oder solche, die aus der Negation des Determinismus doch noch eine Möglichkeit für Willensfreiheit im menschlichen Gehirn zu finden hoffen. Die Studie geht einen völlig neuen Weg, indem sie den Determinismus der Aussenwelt bestreitet, und dies im Anschluss an die erkenntnistheoretischen Debatten über das Wesen des Quantenindeterminismus. Dabei wird aber gerade kein freier Wille postuliert, sondern ein Konzept aktiver Lebensführung entwickelt, in dem Bildung zur Verwirklichung von vorgenommenen Zielen eine besondere Rolle spielt."-- Back cover. (shrink)

Two universal functional principles of Grossberg’s Adaptive Resonance Theory decipher the brain code of all biological learning and adaptive intelligence. Low-level representations of multisensory stimuli in their immediate environmental context are formed on the basis of bottom-up activation and under the control of top-down matching rules that integrate high-level, long-term traces of contextual configuration. These universal coding principles lead to the establishment of lasting brain signatures of perceptual experience in all living species, from aplysiae to primates. They are re-visited in (...) this concept paper on the basis of examples drawn from the original code and from some of the most recent related empirical findings on contextual modulation in the brain, highlighting the potential of Grossberg’s pioneering insights and groundbreaking theoretical work for intelligent solutions in the domain of developmental and cognitive robotics. (shrink)

Simon Peter undergoes a considerable development from his first introduction in the Gospel of Mark to later narratives, where he gains remarkable miraculous abilities. In Mark, he witnesses Jesus performing numerous miracles without himself being named as the performer of a single one, but in Matthew’s Gospel Peter walks on water (Matt 14:22–33), in Acts he heals two paralytics and raises a woman from the dead (Acts 3:1–10; 9:32–42), and in the fourth-century Latin Acts of Peter, also known as Actus (...) Vercellenses, he makes a dog speak (Acts Pet. 9.9–15), miraculously restores a shattered marble statue (11.8–23) and revives several people from the dead (27.1–11; 28.63–66). This article examines how Peter’s various miracles contribute to their respective stories, analyses how they reflect the needs of their respective authors, and discusses what they tell us about the use of genre in the narrative tradition about the apostle Peter and his miracles. (shrink)

Organizational changes are common in elder care today. Such changes affect caregivers, who are essential to providing good quality care. The aim of the present study was to illuminate caregivers’ experiences of working in elder care while under threat of organizational change and termination notice. Qualitative content analysis was used to examine interview data from 11 caregivers. Interviews were conducted at three occasions during a two‐year period. The findings show a transition in their experiences from ‘having a professional identity and (...) self‐confidence’, to ‘being a professional in a threatening situation caused by someone else’ and to ‘struggling to adapt to a changed working environment as a person and a professional’. The caregivers experienced a loss of pride and satisfaction. Previous literature indicates that this may have consequences for the quality of care and that employees may be at risk of negative health effects. However, the caregivers continued to struggle, doing their best to complete their duties. The study has implications for high‐level decision‐makers, managers and caregivers in similar work–life situations in that it deals with factors that facilitate or impede similar transitions. (shrink)

In this discussion, Steve Fuller’s book Dissent over Descent is criticized mainly because he draws conclusions from wishful thinking and uses ancient and medieval scientists as well as theologians in his efforts to invalidate the theory of evolution. He is also criticized for drawing universal conclusions from a Eurocentric version of history. If science and technology studies is to regain its reputation, its representatives have to use relevant statements and argue more rationally.

Ethics committees in Catholic health care are responsible for con­sultation, education, and policy development and review. Historically, ethics committees were reactive and had no articulated goals. This article argues that the essential goals of Catholic ethics committees are (1) to promote the human dignity of patients and staff; (2) to promote the common good; (3) to promote institutional identity, integrity, and ethical climate; and (4) to improve quality of care. These goals are most effectively met when ethics committees are proactive (...) and integrated in the institution, embrace systems thinking, and utilize professional ethicists locally or regionally. (shrink)

Throughout the world, research ethics committees are relied on to prevent unethical research and protect research subjects. Given that reliance, the composition of committees and the manner in which decisions are arrived at by committee members is of critical importance. There have been Instances in which an inadequate review process has resulted in serious harm to research subjects. Deficient committee review was identified as one of the factors In a study in New Zealand which resulted in the suffering and death (...) of many women diagnosed with carcinoma in situ. (shrink)

Luminance and color are strong and self-sufficient cues to pictorial depth in visual scenes and images. The present study investigates the conditions Under which luminance or color either strengthens or overrides geometric depth cues. We investigated how luminance contrasts associated with color contrast interact with relative height in the visual field, partial occlusion, and interposition in determining the probability that a given figure is perceived as ‘‘nearer’’ than another. Latencies of ‘‘near’’ responses were analyzed to test for effects of attentional (...) selection. Figures in a pair were supported by luminance contrast or isoluminant color contrast and combined with one of the three geometric cues. The results of Experiment 1 show that luminance contrasts associated with hue, when it does not interact with other hues, produces the same effects as achromatic luminance contrasts: The probability of‘‘near’’ increases with luminance contrast while the latencies for ‘‘near’’ responses decrease. Partial occlusion is found to be a strong enough pictorial cue to support a weaker red luminance contrast. Interposition cues lose out against cues of spatial position and partial occlusion. The results of Experiment 2, with isoluminant displays of varying color contrast, reveal that red color contrast on a light background supported by any of the three geometric cues wins over green or white supported by any of the three geometric cues. On a dark background, red color contrast supported by the interposition cue loses out against green or white color contrast supported by partial occlusion. These findings reveal that color is not an independent depth cue, but is strongly influenced by luminance contrast and stimulus geometry. Systematically shorter response latencies for stronger ‘‘near’’ percepts demonstrate that selective visual attention reliably detects the most likely depth cue combination in a given configuration. (shrink)

A general practice research project on ethics is underway at the University of New South Wales, funded by GPEP. Ethical issues, as defined and explored by general practitioners and consumers, are being examined across four areas of Sydney.So far, telephone interviews have been conducted with a random sample of general practitioners. Face-to-face interviews have been conducted with 107 consumers, randomly sampled using ABS collection district information. Focus groups have been formed to discuss acceptable solutions to GP and consumer identified ethical (...) issues. This report will report on some preliminary findings to date and will explore professional and consumer roles in the formation of ethical solutions. (shrink)

We treat the classical dynamics of the hydrogen atom in perpendicular electric and magnetic fields as a celestial mechanics problem. By expressing the Hamiltonian in appropriate action–angle variables, we separate the different time scales of the motion. The method of averaging then allows us to reduce the system to two degrees of freedom, and to classify the most important periodic orbits.

In 1976 an interdisciplinary study on risks and risk evaluations was inaugurated in Sweden and was sponsored by the Committee for Future-oriented Research. One of the basic assumptions of the Swedish risk project was that modern society has created “new, increasingly complicated and large-scale technical systems.” It also assumed that “large systems are economically efficient, but vulnerable and therefore create risks.” A third assumption was that “the ever rising standard of living is purchased at the cost of certain additional risks.” (...) The perspective of the project was thus markedly historically oriented. (shrink)

In this collection, philosophers, social psychologists, and social scientists approach contemporary social reality from the viewpoint of solidarity. They examine the nature of solidarity and explore its normative and explanatory potential.

Ontologies are the prime way of organizing data in the Semantic Web. Often, it is necessary to combine several, independently developed ontologies to obtain a complete representation of a domain of interest. The complementarity of existing ontologies can be leveraged by merging them. Existing approaches for ontology merging mostly implement a binary merge. However, with the growing number and size of relevant ontologies across domains, scalability becomes a central challenge. A multi-ontology merging technique offers a potential solution to this problem. (...) We present Co Merger, a scalable multiple ontologies merging method. It takes as input a set of source ontologies and existing mappings across them and generates a merged ontology. For efficient processing, rather than successively merging complete ontologies pairwise, we group related concepts across ontologies into partitions and merge first within and then across those partitions. In both steps, user-specified subsets of generic merge requirements (GMRs) are taken into account and used to optimize outputs. The experimental results on well-known datasets confirm the feasibility of our approach and demonstrate its superiority over binary strategies. A prototypical implementation is freely accessible through a live web portal. (shrink)

Two universal functional principles of Grossberg’s Adaptive Resonance Theory [19] decipher the brain code of all biological learning and adaptive intelligence. Low-level representations of multisensory stimuli in their immediate environmental context are formed on the basis of bottom-up activation and under the control of top-down matching rules that integrate high-level long-term traces of contextual configuration. These universal coding principles lead to the establishment of lasting brain signatures of perceptual experience in all living species, from aplysiae to primates. They are re-visited (...) in this concept paper here on the basis of examples drawn from the original code and from some of the most recent related empirical findings on contextual modulation in the brain, highlighting the potential of Grossberg’s pioneering insights and groundbreaking theoretical work for intelligent solutions in the domain of developmental and cognitive robotics. (shrink)

Les questions de communication sont au coeur des «perceptions du risque» car la grande majorité des risques ne seraient connus que de ceux qui l'expérimentent n'eut été les médias. Le champ historiquement individualiste de la «perception du risque» a manifesté peu d'intérêt pour le contenu des mass media et leur rôle dans la construction d'une pensée sur le risque. Bien au contraire, le processus de «l'information» sur le risque était situé dans la pensée individuelle, la question centrale étant: pourquoi certains (...) risques sont-ils grossis par les individus tandis que d'autres sont minimisés? Les médias jouent un rôle essentiel dans l'amplification de certains risques et les récepteurs de l'information sont considérés comme passifs devant les stimuli médiatiques. Il faut en fait nuancer l'approche pour saisir la dimension profonde de l'appréhension du risque. En passant de la notion de «perception du risque» à celle de «représentation du risque», on peut davantage cerner les liens entre médias et pensée profonde.Issues of communication lie at the heart of "risk perception" since the vast majority of risks would be known to only those who experience them were it not for the mass media. The historically individualist field of "risk perception" has tended to pay little attention to the contents of the mass media and the role these played in constructing risk-related thinking. Rather, the processing of risk "information" was situated within individual’s minds with the central question being: why are some risks overplayed by certain individuals while others more serious risks are underplayed? The media are seen to play a major role in the amplification of certain risks with those who receive such information being viewed as rather passive followers of media signals. The starting point of this paper is the need for a more nuanced approach to the lay dimension of the apprehension of risks. The paper outlines how a shift from "risk perception" to "risk representation" highlights the links between media and lay thinking. (shrink)

Le mouvement skinhead se compose de deux entités : les skinheads racistes-nationalistes et les skinheads antiracistes. S’inspirant des théories psychosociologiques relatives aux représentations sociales et aux minorités actives proposées par Serge Moscovici , il décrit les styles de comportement précis de chaque groupe skin, leurs divergences et leurs ressemblances, et analyse la façon dont la société, aidée par les media, ne retient qu’une seule représentation sociale, celle des skinheads nationalistes. Malgré l’univocité de la représentation, ce qui ressort de 19 entretiens (...) avec les skinheads, c’est l’idée de pluralité identitaire combinée à un ancrage urbain très important.The skinhead movement is divided into two groups : the racist-nationalist skinheads and the antiracist skinheads. Taking into account the social-psychological theories of social representations and active minorities, proposed by Serge Moscovici , it describes the styles of behavior of each skin group, their divergences and resemblances and analyses how society, with the help of the media, has built only one social representation of the nationalist skinheads. In spite of this univocal representation, what is underlined through the nineteen interviews with skinheads is a form of plural identity linked to a strong urban anchoring. (shrink)

Les fondements théoriques d'une analyse des activités dans les discours professionnels illustrée par des données issues de rencontres en conseil génétique sont présentés ici. En prenant l'activité comme unité de base de l'action, je me réfère rapidement à «l'activité théorique» proposée par Leontyev, rajoutant les notions de «jeux de langage» de Wittgenstein et de «types d'activités» de Levinson. L'activité d'analyse dans les discours professionnels doit aller au-delà du seul codage des instances de l'usage du langage et doit s'orienter vers la (...) compréhension d'une écologie spécifique de l'activité, incluant les dimensions relationnelles et de rôles des participants présents ou absents. Cette interprétation peut s'analyser en considérant le cadre thématique et interactionnel d'une situation donnée grâce à la prise en compte des propriétés structurelles et relationnelles dans l'usage du langage.In this paper I present a theoretical basis for activity analysis in professional discourse settings followed by an illustration of data from the genetic counseling encounters. By taking activity as the basic unit of action, I briefly draw on "activity theory" as proposed by Leontyev, supplemented by Wittgenstein's notion of "language games" and Levinson's notion of "activity types". I argue that activity analysis in the professional discourse settings has to go beyond mere coding of instances of language use towards an interpretive understanding of the activity-specific ecology, including the role-relational dimensions of co-present and absent participants. Such an interpretive task can be achieved through thematic and interactional mapping of a given encounter by taking into consideration the structural and relational properties situated language use. (shrink)