This discussion examines the emergence of professional codes of ethics, influences that shape contemporary midwifery ethics, and the adequacy of codes to actualize values embedded in the midwifery ethics discourse. It considers the traditions of professional practice, the impact of institutionalization on health care, the application of a code of practice as a recent addition to those traditions, and the strengths and weaknesses of codes of ethics as models for ethical responses. That is, it sets out to articulate and deconstruct (...) existing frames of ethical response. The ethics of strangers (normative theory and abstract principles) are rejected as inadequate, and the ethics of intimates (feminist-relational ethics) are proposed as a more adequate guide for well-woman centred midwifery practice. (shrink)

Practitioners’ ethical orientation and responses vary between practice settings. Yet, currently, the ethics for midwifery practice that is explicit in the literature and which provides the ideals of socialization into practice, is that of bio(medical)ethics. Traditional bioethics, developed because of World War II atrocities and increased scientific research, is based on moral philosophy, normative theory, abstract universal principles and objective problem solving, all of which focus on right and wrong ‘action’ for resolving dilemmas. They exclude context and relationship. Personal narratives (...) of mothers and midwives contest the appropriateness of these accepted values and systems for childbirth because they induce conflict between work-place/service provider ethics and personal/professional midwifery ethics. In contrast to the disembedded and disembodied approach of biomedical ethics, an ethically adequate response in midwifery practice resonates more with the ethics of intimates, such as feminist virtue ethics. (shrink)

Participants in clinical research sometimes view participation as therapy or exaggerate potential benefits, especially in phase I or phase II trials. We conducted this study to discover what methods might improve cancer patients’ understanding of early-phase clinical trials. We randomly assigned 130 cancer patients from three U.S. medical centers who were considering enrollment in a phase I or phase II cancer trial to receive either a multimedia intervention or a National Cancer Institute pamphlet explaining the trial and its purpose. Intervention (...) participants were 32 times more likely to believe that the trial’s purpose was to examine safety and 60 % less likely to believe they would experience long-term benefit or cure. There was no difference in enrollment decision. However, while patients’ understanding of the trial’s purpose improved and expectations of long-term benefit diminished, half the respondents still believed they would experience long-term benefit or cure from participation. Therefore, we conclude that multimedia interventions such as this one may help oncologists to explain the risks and benefits of early-phase cancer trials in a way that patients can more easily understand, helping them to make more informed decisions about participation. But further research into other factors that influence patients’ beliefs about the outcome of enrollment is needed, both to modify the interventions and to determine how malleable patient beliefs are. (shrink)

N'y a-t-il pas une contradiction dans l'oeuvre d'Arendt? On y trouve une description critique du totalitarisme national-socialiste, mais aussi l'apologie de Heidegger érigé, malgré son éloge de la "vérité interne et grandeur" du mouvement nazi, en roi secret de la pensée. L'étude des Origines du totalitarisme montre qu'Arendt développe une vision heideggérienne de la modernité. Dans Condition de l'homme moderne, la conception déshumanisée de l'humanité au travail et le discrédit jeté sur nos sociétés égalitaires procèdent également de Heidegger. En outre, (...) des lettres inédites montrent qu'Arendt a décidé de marcher sur les pas de Heidegger avant leurs retrouvailles de l'année 1950. Il s'agit d'une adhésion intellectuelle, irréductible à la seule passion amoureuse, et qui mérite d'être prise au sérieux. Certes, Arendt ne partage pas l'antisémitisme exterminateur de Heidegger confirmé par ses Cahiers noirs. Que devient cependant la pensée, instrumentalisée dans l'opposition - nouveau mythe moderne - entre Heidegger, le "penseur" retiré sur les hauteurs neigeuses de sa hutte de Todtnauberg, et Eichmann, l'exécutant sans pensée, le "clown" muré dans sa cage de verre? (shrink)

The semantic view on theories has been much in vogue over four decades as the successor of the syntactic view. In the present paper, I take issue with this approach by arguing that theories and models must be separated and that a theory should be considered to be a linguistic systems consisting of a vocabulary and a set of rules for the use of that vocabulary.

Initial responses to questionnaires used to assess participants' understanding of informed consent for malaria vaccine trials conducted in the United States and Mali were tallied. Total scores were analyzed by age, sex, literacy (if known), and location. Ninety-two percent (92%) of answers by United States participants and 85% of answers by Malian participants were correct. Questions more likely to be answered incorrectly in Mali related to risk, and to the type of vaccine. For adult participants, independent predictors of higher scores (...) were younger age and female sex in the United States, and male sex in Mali. Scores in the United States were higher than in Mali (P = 0.005). Despite this difference participants at both sites were well informed overall. Although interpretation must be qualified because questionnaires were not intended as research tools and were not standardized among sites, these results do not support concerns about systematic low understanding among research participants in developing versus developed countries. (shrink)

How might a human communication system be bootstrapped in the absence of conventional language? We argue that motivated signs play an important role (i.e., signs that are linked to meaning by structural resemblance or by natural association). An experimental study is then reported in which participants try to communicate a range of pre-specified items to a partner using repeated non-linguistic vocalization, repeated gesture, or repeated non-linguistic vocalization plus gesture (but without using their existing language system). Gesture proved more effective (measured (...) by communication success) and more efficient (measured by the time taken to communicate) than non-linguistic vocalization across a range of item categories (emotion, object, and action). Combining gesture and vocalization did not improve performance beyond gesture alone. We experimentally demonstrate that gesture is a more effective means of bootstrapping a human communication system. We argue that gesture outperforms non-linguistic vocalization because it lends itself more naturally to the production of motivated signs. (shrink)

Après Condition de l'homme moderne et La crise de la culture, l'essai De la révolution (1963) est le troisième ouvrage d'une série dans laquelle Hannah Arendt expose le nouveau paradigme du politique qu'elle entend développer ainsi qu'un nouveau paradigme de la révolution. Dans un contexte de Guerre froide, elle propose de tirer les leçons de l'histoire en opposant ce qu'elle nomme le "désastre" de la Révolution française aux leçons d'une révolution supposée réussie, incarnée par la "Déclaration des droits" américaine. Les (...) contributions des historiens et philosophes réunies dans ce volume, analysent la manière dont Arendt instrumentalise l'histoire des Révolutions américaine et française et se détermine par rapport à la Déclaration des droits de l'homme et du citoyen. Elles étudient également la place qu'Arendt attribue au peuple au cours de ces processus et dans quel esprit elle se réfère, dans le dernier chapitre de son essai de 1963, aux "conseils" révolutionnaires. La formule arendtienne du "droit à avoir des droits" amorce-t-elle, comme certains le soutiennent aujourd'hui, un tournant politique dans la considération des droits de l'homme? Ne représente-t-elle pas plutôt une machine de guerre contre la notion même de droit naturel, qui se trouve au fondement de ces droits? Dès lors, que reste-t-il de l'idée d'humanité dans la perspective construite par Arendt?"--Page 4 of cover. (shrink)

Sometimes also called retro causation. A common feature of our world seems to be that in all cases of causation, the cause and the effect are placed in time so that the cause precedes its effect temporally. Our normal understanding of causation assumes this feature to such a degree that we intuitively have great difficulty imagining things differently. The notion of backward causation, however, stands for the idea that the temporal order of cause and effect is a mere contingent feature (...) and that there may be cases where the cause is causally prior to its effect but where the temporal order of the cause and effect is reversed with respect to normal causation, i.e. there may be cases where the effect temporally, but not causally, precedes its cause. (shrink)

Jean-Pierre Faye analyse la conférence méconnue de Carl Schmitt : « Economie saine dans un Etat fort », tenue le 23 novembre 1932 devant les membres de « L’Union au Long Nom » (ou « Union pour la conservation des intérêts économiques communs en Rhénanie et Westphalie »). Schmitt y énonce la nécessité pour l’Allemagne d’un « Etat total », équivalent allemand à ses yeux de « l’État totalitaire » de l’Italie fasciste. Cette prise de parole aura un effet (...) décisif : trente-cinq représentants de la finance et de l’industrie allemandes, auditeurs de la conférence, adresseront une pétition à Hindenburg, président du Reich. Ils l’inciteront à appeler le « chef du grand mouvement » au poste de chancelier du Reich. Ce « mouvement » est le déjà criminel NSDAP : le Parti national-socialiste ouvrier allemand, le parti « nazi ». Le 30 janvier 33, Hitler sera chancelier. En neuf semaines, la conférence de Schmitt aura eu pour effet d’abattre tous les obstacles à l’avènement du Troisième Reich. La formule de « l’Etat total » a donc su transmettre aux temps et aux langages une charge à l’énergie insoupçonnée, porteuse des plus grands crimes. Ainsi est révélée la responsabilité centrale de Schmitt dans la mise en place du nazisme. Ce juriste, qui étrangement apparaît pour beaucoup aujourd’hui comme un penseur politique de référence, n’a d’abord avancé qu’une seule carte d’un jeu mortifère. Mais c’était une carte maîtresse, elle était dangereusement efficace pour faire passer le pire dans l’Histoire. Il était intéressant de lire en parallèle les « Journaux » de Schmitt et de mesurer l’attention portée par le juriste aux événements, dans les semaines qui précèdent et suivent l’arrivée d’Hitler à la chancellerie du Reich. Ce qui frappe est cependant la banalité quotidienne qui transparaît dans ces notes. Si ce n’est, peut-être, qu’un mot va lui paraître acquérir un poids nouveau : « Jude », « juif ». C’est son propre rôle, dans le nazisme, à lui Carl Schmitt, qu’il va découvrir par là... (shrink)

A comparação das traduções latina e holandesa do original perdido de La Recherche de la Vérité par la lumière naturelle permite concluir a presença de uma ocorrência notável do termo “consciência” nesse diálogo póstumo de Descartes. Essa ocorrência permite responder às interpretações que põem em questão a existência de uma invenção cartesiana da consciência moderna, bem como esclarecer o que aproxima e separa, ao mesmo tempo, Descartes de La Forge e Malebranche no que concerne à significação do termo consciência. Este (...) estudo visa, enfim, reavaliar a importância filosófica desse diálogo de Descartes. (shrink)

In analyzing S0009838800019480_inline1 for composition I start in the most obvious way with S0009838800019480_inline2 in the sense of ‘gang’ , while S0009838800019480_inline3 must be a root-noun from *lew-s, and is perhaps immediately cognate with Skr. lu-nati ‘caedit.’1 This analysis makes S0009838800019480_inline4 mean something like ‘ uiam-muniens,’ i.e. a sort of ‘ ponti-fex.’ I think more particularly of the sacrificial leader, the S0009838800019480_inline5, the Rex Sacrificulus, who, while he may have been concerned with the making of ways on earth, also made (...) paths for man to the gods. But this aside, he who ‘ blazed the trail,’ who ‘ loosed’ or ‘ solved ’ the ‘ ways,’ was ‘ explorer, guide, leader,’ i.e. ‘dux.’. (shrink)

Com a publicação do curso de 1933 – 1934 que conclama a “exterminação total” do inimigo interior, o ano de 2001 marca uma inflexão na recepção da obra de Heidegger e exige o exame crítico do uso de termos-chave de sua doutrina, tais como o ser, concebido por ele como “termo codificado” , a história, a técnica e o extermínio ou aniquilamento . Trata-se igualmente de recolocar numa perspectiva crítica o projeto mesmo da “obra completa”.

Over the last forty years, philosophers have argued back and forth about backward causation. It requires a certain structure of time for something as backward causation to be not only possible but also to take place in the real world. In case temporal becoming is an objective feature of the world in the sense that the future is unreal, or at least ontologically indeterminate, it is impossible to see how backward causation can arise. Th e same difficulty does not hold (...) with respect to forward causation. For even though it is assumed according to one dynamic view of time, the instant view or presentism, that merely present events exist—and past events therefore are no longer real or have become ontologically indeterminate—such a view can still maintain that past events once were there to cause present events. Future events, however, are still to come, and being indeterminate or nothing at all, they cannot cause any events in the present. In other words, causation backwards in time can occur only if we think of time as static; that is, no objective becoming exists, and the world consists of tenselessly occurring future events that exist in the same sense as past and present events. Backward causation requires the so-called full view, or possibly the half-full view, of time. (shrink)

The following paper will undertake to demonstrate an I.E. root dyu ‘iungere,’ and its synonymous correlatives dyem/dyā , dyā-t-/dyat dyes/dyō[u]s.

Interpretations of family carer empowerment in much nursing research, and in home‐care practice and policy, rarely attend explicitly to families’ choice or control about the nature, extent or length of their involvement, or control over the impact on their own health. In this article, structural empowerment is used as an analytic lens to examine home‐care nurses’ interactions with families in one Western Canadian region. Data were collected from 75 hrs of fieldwork in 59 interactions (18 nurses visiting 16 families) and (...) interviews with 12 nurses and 11 family carers. Generally, nurses prioritized client empowerment, and their practice with families appeared oriented to supporting their role and needs as carers (i.e. rather than as unique individuals beyond the caring role), and reinforcing the caring role through validation and recognition. Although families generally expressed appreciation for these interactions, a structural empowerment lens illustrates how the broad context of home care shapes the interpretation and practice of empowerment in ways that can, paradoxically, be disempowering for families. Opportunities to effectively support family choice and control when a client is being cared for at home are discussed. (shrink)

Probabilistic Relational Models (PRMs) are a framework for compactly representing uncertainties (actually probabilities). They result from the combination of Bayesian Networks (BNs), Object-Oriented languages, and relational models. They are specifically designed for their efficient construction, maintenance and exploitation for very large scale problems, where BNs are known to perform poorly. Actually, in large-scale problems, it is often the case that BNs result from the combination of patterns (small BN fragments) repeated many times. PRMs exploit this feature by defining these patterns (...) only once (the so-called PRM’s classes) and using them through multiple instances, as prescribed by the Object-Oriented paradigm. This design induces low construction and maintenance costs. In addition, by exploiting the classes’ structures, PRM’s state-of-the-art inference algorithm “Structured Variable Elimination” (SVE) significantly outperforms BN’s classical inference algorithms (e.g., Variable Elimination, VE; Local Conditioning, LC). SVE is actually an extension of VE that simply exploits classes to avoid redundant computations. In this article, we show that SVE can be enhanced using LC. Although LC is often thought as being outperformed by VE-like algorithms in BNs, we do think that it should play an important role for PRMs because its features are very well suited for best exploiting PRM classes. In this article, relying on Faÿ and Jaffray’s works, we show how LC can be used in conjunction with VE and deduce an extension of SVE that outperforms it for large-scale problems. Numerical experiments highlight the practical efficiency of our algorithm. (shrink)

This volume provides a lucid and distinct introduction to multiculturalism and the philosophy of social science.

Forms of understanding -- Understanding as organized beliefs -- On interpretation -- Representations -- Scientific explanation -- Causal explanations -- Other types of explanations -- The pragmatics of explanation -- Not just why-questions -- A rhetorical approach to explanation -- Pluralism and the unity of science.

Forms of understanding -- Understanding as organized beliefs -- On interpretation -- Representations -- Scientific explanation -- Causal explanations -- Other types of explanations -- The pragmatics of explanation -- Not just why-questions -- A rhetorical approach to explanation -- Pluralism and the unity of science.

This primer of research on how television affects children and families is organized around the perceptions and insights of four ordinary families who are raising their children without any television in their homes. Readers will learn about the methods and findings of over 40 years of research on TV and, in the process, may change the way they look at television forever.