Background: Compassion fatigue is recognized as impacting the health and effectiveness of healthcare providers, and consequently, patient care. Compassion fatigue is distinct from “burnout.” Reliable measurement tools, such as the Professional Quality of Life scale, have been developed to measure the prevalence, and predict risk of compassion fatigue. This study reviews the prevalence of compassion fatigue among healthcare practitioners, and relationships to demographic variables. Methods: A systematic review was conducted using key words in MEDLINE, PubMed, and Ovid databases. Data were (...) extracted from a total of 71 articles meeting inclusion criteria, from studies measuring compassion fatigue in healthcare providers using a validated instrument. Quantitative and qualitative data were extracted and compiled by three independent reviewers into an evidence table that included basic study characteristics, study strength and quality determination, measurements of compassion fatigue, and general findings. Meta-analysis, where data allowed, was stratified by Professional Quality of Life version, heterogeneity was quantified, and pooled means were reported with 95% confidence interval. A table of major study characteristics and results was created. Ethical consideration: This paper contains no primary data obtained directly from research participants. Data obtained from previously published resources have been acknowledged within references. Psychological distress, particularly compassion fatigue, can be insidious, no health profession is immune, and may significantly impact the ability to provide care. Results: A total of 71 studies were included. Compassion fatigue was reported across all practitioner groups studied. Relationships to most demographic variables such as years of experience and specialty were either not statistically significant or unclear. Variability in reporting of Professional Quality of Life results was found. Interpretation: Compassion fatigue exists across diverse practitioner groups. Prevalence is highly variable, and its relationship with demographic, personal, and/or professional variables is inconsistent. Questions are raised about how to mitigate compassion fatigue. (shrink)

Recent research highlights that inflammatory signaling pathways such as pattern recognition receptor (PRR) signaling and inflammatory cytokine signaling play an important role in both on‐demand hematopoiesis as well as steady‐state hematopoiesis. Knockout studies have demonstrated the necessity of several distinct pathways in these processes, but often lack information about the contribution of specific cell types to the phenotypes in question. Transplantation studies have increased the resolution to the level of specific cell types by testing the necessity of inflammatory pathways specifically (...) in donor hematopoietic stem and progenitor cells (HSPCs) or in recipient niche cells. Here, we argue that for an integrated understanding of how these processes occur in vivo and to inform the development of therapies that modulate hematopoietic responses, we need studies that knockout inflammatory signaling receptors in a cell‐specific manner and compare the phenotypes caused by knockout in individual niche cells versus HSPCs. (shrink)

Vaccination complacency occurs when perceived risks of vaccine-preventable diseases are sufficiently low so that vaccination is no longer perceived as a necessary precaution. Disease outbreaks can once again increase perceptions of risk, thereby decrease vaccine complacency, and in turn decrease vaccine hesitancy. It is not well understood, however, how change in perceived risk translates into change in vaccine hesitancy. -/- We advance the concept of vaccine propensity, which relates a change in willingness to vaccinate with a change in perceived risk (...) of infection—holding fixed other considerations such as vaccine confidence and convenience. (shrink)

: When language is expressed metaphorically, metaphors seem to "say" something that has never seen said before. Some of them seem to express insights. What then are the constraints on their interpretations? Charles Peirce's semeiotic suggests a way to answer the question. Crucial to the answer is Peirce's account of semeiotic objects as two-fold, one side, the dynamic or "real" object to be interpreted, the other side, the immediate object, which is the dynamic object that has been interpreted. The interaction (...) account of metaphor is reviewed and related to Peirce's conception of semeiotic objects. The result is my suggestion that the dynamic objects to which metaphorical objects are directed are transformed into interpreted, immediate objects through the mediation of incipient immediate objects. Incipient immediate objects initially appear as dyadic objects recognized through identity expressions—e.g., "Juliet is the sun," which is not a classification but an identification of the referents of the subject and the predicate. The incipient mediating immediate object parallels the percipium referred to in Peirce's account of the formation of perceptual judgments, which are interpretations of percepts. (shrink)

When language is expressed metaphorically, metaphors seem to "say" something that has never seen said before. Some of them seem to express insights. What then are the constraints on their interpretations? Charles Peirce's semeiotic suggests a way to answer the question. Crucial to the answer is Peirce's account of semeiotic objects as two-fold, one side, the dynamic or "real" object to be interpreted, the other side, the immediate object, which is the dynamic object that has been interpreted. The interaction account (...) of metaphor is reviewed and related to Peirce's conception of semeiotic objects. The result is my suggestion that the dynamic objects to which metaphorical objects are directed are transformed into interpreted, immediate objects through the mediation of incipient immediate objects. Incipient immediate objects initially appear as dyadic objects recognized through identity expressions—e.g., "Juliet is the sun," which is not a classification but an identification of the referents of the subject and the predicate. The incipient mediating immediate object parallels the percipium referred to in Peirce's account of the formation of perceptual judgments, which are interpretations of percepts. (shrink)

This essay seeks to understand the complex response to the current Black Lives Matter protests against police violence, which pose deeper questions about the forms of politics that black citizens—who are experiencing a defining moment of racial terror in the United States in the twenty-first century—can and should pursue. When other citizens and state institutions betray a lack of care and concern for black suffering, which in turn makes it impossible for those wrongs to be redressed, is it fair to (...) ask blacks to enact “appropriate” democratic politics? These questions are explored via a reading of Danielle Allen and Ralph Ellison’s meditations on the problem of democratic loss and Hannah Arendt’s critique of school desegregation battles in the 1960s. I suggest that there is a conceptual trap in romantic historical narratives of black activism that recast peaceful acquiescence to loss as a form of democratic exemplarity. (shrink)

Solidarity-the reciprocal relations of trust and obligation between citizens that are essential for a thriving polity-is a basic goal of all political communities. Yet it is extremely difficult to achieve, especially in multiracial societies. In an era of increasing global migration and democratization, that issue is more pressing than perhaps ever before. In the past few decades, racial diversity and the problems of justice that often accompany it have risen dramatically throughout the world. It features prominently nearly everywhere: from the (...) United States, where it has been a perennial social and political problem, to Europe, which has experienced an unprecedented influx of Muslim and African immigrants, to Latin America, where the rise of vocal black and indigenous movements has brought the question to the fore. Political theorists have long wrestled with the topic of political solidarity, but they have not had much to say about the impact of race on such solidarity, except to claim that what is necessary is to move beyond race. The prevailing approach has been: How can a multicultural and multiracial polity, with all of the different allegiances inherent in it, be transformed into a unified, liberal one? Juliet Hooker flips this question around. In multiracial and multicultural societies, she argues, the practice of political solidarity has been indelibly shaped by the social fact of race. The starting point should thus be the existence of racialized solidarity itself: How can we create political solidarity when racial and cultural diversity are more or less permanent? Unlike the tendency to claim that the best way to deal with the problem of racism is to abandon the concept of race altogether, Hooker stresses the importance of coming to terms with racial injustice, and explores the role that it plays in both the United States and Latin America. Coming to terms with the lasting power of racial identity, she contends, is the starting point for any political project attempting to achieve solidarity. (shrink)

Children's exposure to food marketing has exploded in recent years, along with rates of obesity and overweight. Children of color and low-income children are disproportionately at risk for both marketing exposure and becoming overweight.Comprehensive reviews of the literature show that advertising is effective in changing children's food preferences and diets.This paper surveys the scope and scale of current marketing practices, and focuses on the growing use of symbolic appeals that are central in food brands to themes such as finding an (...) identity and feeling powerful and in control.These themes are so potent because they are central to children in their development and constitution of self. The paper concludes that reduction of exposure to marketing will be a central part of any successfu anti-obesity strategy. (shrink)

It is now well recognized that the United States is a consumer-driven society. Private consumption comprises a rising fraction of GDP, advertising is proliferating, and consumerism, as an ideology and set of values, is widespread. Not surprisingly, those developments are not confined to adults; they also characterize what some have called “the commercialization of childhood.” Children are more involved than ever in media, celebrity, shopping, brand names, and other consumer practices. At the core of this change is children's growing role (...) as independent consumers. In recent years, children's access to income has risen markedly, and they have gone from being purchasers of cheap plastic goods and a few select food items to being a major market for a diverse set of goods and services, including foodstuffs. Unofficial estimates suggest that children aged four to twelve spent a reported $6.1 billion in purchases from their own money in 1989, $23.4 billion in 1997, and $30 billion in 2002, for a total increase of four hundred percent. (shrink)

A look at Wittgenstein's comments on the incompleteness theorem with an inter-pretation that is consistent with what Gödel proved.

Singular they has emerged as a key term in contemporary gender politics, reflecting growing usage of they/them as nonbinary personal pronouns. Drawing on interviews with 54 progressive gender activists, we consider how singular they can be used to resist and redo aspects of the prevailing gender structure. We identify three distinct usages of singular they: as a nonbinary personal pronoun, as a universal gender-neutral pronoun, and as an indefinite pronoun when a person’s self-identified gender is unknown. While previous research on (...) singular they as a gender-inclusive language practice has focused primarily on its usage as a nonbinary personal pronoun, our findings point to the relevance for gender politics of all three usages. Our analysis offers new insight into how nonbinary they challenges dominant gender norms and practices beyond incorporating additional gender categories. Given our findings, we propose further investigation of how using gender-neutral pronouns for everyone in specific contexts can advance progressive activists’ goals. Finally, we argue that the longstanding usage of singular they as an indefinite pronoun has new importance today in affirming gender as a self-determined identity. (shrink)

Cadherin‐mediated cell‐cell adhesion is perturbed in protein tyrosine kinase (PTK)‐transformed cells. While cadherins themselves appear to be poor PTK substrates, their cytoplasmic binding partners, the Arm catenins, are excellent PTK substrates and therefore good candidates for mediating PTK‐induced changes in cadherin behavior. These proteins, p120ctn, β‐catenin and plakoglobin, bind to the cytoplasmic region of classical cadherins and function to modulate adhesion and/or bridge cadherins to the actin cytoskeleton. In addition, as demonstrated recently for β‐catenin, these proteins also have crucial signaling (...) roles that may or may not be related to their effects on cell‐cell adhesion. Tyrosine phosphorylation of cadherin complexes is well documented and widely believed to modulate cell adhesiveness. The data to date, however, is largely correlative and the mechanism of action remains unresolved. In this review, we discuss the current literature and suggest models whereby tyrosine phosphorylation of Arm catenins contribute to regulation or perturbation of cadherin function. (shrink)

1) A survey of current evidence available concerning Wittgenstein's attitude toward, and knowledge of, Gödel's first incompleteness theorem, including his discussions with Turing, Watson and others in 1937–1939, and later testimony of Goodstein and Kreisel; 2) Discussion of the philosophical and historical importance of Wittgenstein's attitude toward Gödel's and other theorems in mathematical logic, contrasting this attitude with that of, e.g. , Penrose; 3) Replies to an instructive criticism of my 1995 paper by Mark Steiner which assesses the importance of (...) Tarski's semantical work, both for our understanding of Wittgenstein's remarks on Gödel, and our understanding of Gödel's theorem itself. (shrink)

Reason and Value collects 15 new papers by leading contemporary philosophers on themes from the work of Joseph Raz. Raz has made major contributions in a wide range of areas, including jurisprudence, political philosophy, and the theory of practical reason; but all of his work displays a deep engagement with central themes in moral philosophy. The subtlety and power of Raz's reflections on ethical topics make his writings a fertile source for anyone working in this area. Especially significant are his (...) explorations of the connections between practical reason and the theory of value, which constitute a sustained and penetrating treatment of a set of issues at the very center of moral philosophy as it is practiced today. The contributors to the volume acknowledge the importance of Raz's contributions by engaging critically with his positions and offering independent perspectives on the topics that he has addressed. The volume aims both to honour Raz's accomplishments in the area of ethical theorizing, and to contribute to an enhanced appreciation of the significance of his work for the subject. (shrink)

Trauma’s ubiquity in society leads to an acknowledgement that damaging experiences likely affect more students than they leave untouched. Dewey acknowledged the importance of the past throughout his theorizing of experience and simultaneously recognized that students need to draw upon past experiences in new learning encounters. In this paper, we argue that Dewey may have opened the door to account for the possibility of traumatic experience affecting learning. We acknowledge the potential of music to prompt a trauma response and seek (...) to explore ways that music education may also provide a mechanism for working through difficult and traumatic pasts. (shrink)

Although a modus operandi throughout history, the passing down of beliefs and values from parent to child is a practice that must now be challenged. Drawing a connection between fundamentalist religious beliefs and inter-generational violence, this paper examines an ethical dilemma that lies at its crux: on the one hand, the peaceful intentions of fundamentalist believers, and on the other a number of violent consequences for individuals, society, and the world. Applying interdisciplinary religious and peace theory scholarship to the case (...) of Christian fundamentalism in Australia, a number of intertwining issues surrounding religion and education are explored. Should religion be taught to children? What is the difference between indoctrination and education? Is some enculturation desirable? Who decides? Do children have a right to choose their own religion? Do parents have a right to teach them theirs? Is indoctrination avoidable? Is neutrality of the teacher attainable? Does a liberal society have a right not to tolerate the intolerant? How might these complex paradoxes be addressed from a philosophical and peace education perspective? (shrink)

This paper will examine the recent Human Fertilisation and Embryology Authority public consultation on sex selection. It will review the current regulation on sex selection in the United Kingdom and critically examine the outcomes of the HFEA consultation. The paper will argue that the current ban on embryo sex selection for social reasons and a proposed ban on sperm selection are not justified. There is no evidence for sex selection causing an increase in sex discrimination; creating a slippery slope towards (...) selection for other non-disease characteristics; or promoting a consumerist attitude towards children. The HFEA recommendations to prohibit social sex selection techniques rely upon an unwarranted concern about the risk of the procedures used. Reproductive technologies should be made available to people unless a substantial risk of harm—to the child, the parents or to society—can be identified. There is no such evidence of harm in this case. (shrink)

The two vegetative cell types of the acellular slime mould Physarum polycephalum ‐ amoebae and plasmodia ‐ differ greatly in cellular organisation and behaviour as a result of differences in gene expression. The development of uninucleate amoebae into multinucleate, syncytial plasmodia is under the control of the mating‐type locus matA, which is a complex, multi‐functional locus. A key period during plasmodium development is the extended cell cycle, which occurs in the developing uninucleate cell. During this long cell cycle, many of (...) the changes in cellular organisation that accompany development into the multinucleate stage are initiated including, for example, alterations in microtubule organisation. Genes have been identified that show cell‐type specific expression in either amoebae or plasmodia and many of these genes alter their pattern of expression during the extended cell cycle. With the introduction of a DNA transformation system for P. polycephalum, it is now possible to investigate the functions of genes in the vegetative cell types and their roles in the cellular reorganisations accompanying development. (shrink)

Scenes of violence and incisions into the flesh informeethe demand for law. The scene of little girls being held down in practices of female circumcision has been a defining and definitive image that demands the attention of human rights, and the intervention of law. But the investment in protecting women and little girls from such a cut is not all that it seems.eeLaw's Cuteeon theeeBody of Human Rights: Female Circumcision, TortureeeandeeSacred Flesheeconsiders how such imageseecome to inform laweeand the investment of (...) advocates of law in an imagination of this scene. Drawing on psychoanalytic andeepostcolonialeetheory, and accompanying ideas in political theology, Juliet Rogers examines the language, imagery and excitement that accompanies recenteeinitiatives to legislate against what is called 'female genital mutilation'. The author compliments this examination witheea consideration of the scene of torture exposed in images from Abu Ghraib and Guantanamo Bay.eeRogers argues that the modes ofeefascination and excitement that accompanyeesceneseeof torture and female circumcisioneebetray the fantasy of aeepolitical conditioneeagainst which the subject of liberal law is imagined; this is subjectivityeein aeestate of non-mutilation, non-prohibition or, in a psychoanalytic idiom, non-castration.eeTo support the fantasy of this subject,eethe mutilated subject, the authors suggests, is rendered as flesh cut from the democratic nation state, deserving of only selective human rights, or none at all. (shrink)

In his Tractatus Logico-Philosophicus, Wittgenstein conveyed the idea that ethics cannot be located in an object or self-standing subject matter of propositional discourse, true or false. At the same time, he took his work to have an eminently ethical purpose, and his attitude was not that of the emotivist. The trajectory of this conception of the normativity of philosophy as it developed in his subsequent thought is traced. It is explained that and how the notion of a ‘form of life’ (...) (Lebensform) emerged only in his later thought, in 1937, earmarking a significant step forward in his philosophical method. We argue that the concept of Lebensform represents a way of domesticating logic itself, the very idea of a claim or reason, supplementing the idea of a ‘language game’, which it deepens. Lebensform is contrasted with the phenomenologists’ Lebenswelt through a reading of the notions of ‘I’, ‘world’ and ‘self’ as they were treated in the Tractatus, The Blue and Brown Books and Philosophical Investigations. Finally, the notion of Lebensform is shown to have replaced the notion of culture (Kultur) in Philosophical Investigations. Wittgenstein’s spring 1937 ‘domestication’ of the nature of logic is shown to have been fully consonant with the idea that he was influenced by his reading Alan Turing’s 1936/1937 paper, ‘On computable numbers, with an application to the Entscheidungsproblem’. (shrink)

This article explores how it might be possible to engage in world music ethically. I examine ways that traditional engagements can be problematic in order to push towards new possibilities for encounters and engagement. I begin by considering my own experience with world music. Moving to the theoretical, I consider “world music” study and the ways in which it defines the white, bourgeois subject, both socially and professionally. My conception of world music is spatial and temporal, as it represents journey (...) into a culture in order to learn its music. From identity formation, I then consider curriculum and pedagogy, concluding by offering several alternative practices that may allow for an ethical, non-essentializing approach to the study of world music. I align these culminating suggestions, in some ways, with principles of critical pedagogy. (shrink)

The policing of checkpoints demands a commitment from the soldier. These commitments are realized, as Robert Cover says of legal judgments, in the flesh of those subject to the policing and of those who police. Such commitments are sometimes difficult to maintain in the face of arbitrary policies and even arbitrary re-locations of checkpoints and borders. Obedience is required, but obedience is not simply an act of acceptance. This article employs a psychoanalytic lens and the work of animation theory to (...) consider how obedience is legitimated in the minds of those who police borders and how practices of humiliation toward civilians at the borders function both to display the uncertainties about the regime’s legitimacy, and to aggressively depict this legitimacy in the flesh of those subject to the borders. This depiction, I argue, employs understandings of time, identity and the question, and these are then employed as techniques of humiliation. These techniques evoke a rhetorical landscape located somewhere between Freud’s discussion of the work of jokes and Scarry’s discussion of torture; between these two points is the promise of a legal world where there are only angels and devils and where these figures are animated in the flesh of both civilian and soldier. (shrink)

Abstract:In considering the potential of world music in music education, we might imagine ways to think about musics in cultural context or on their own terms. Engaging musics on their own terms involves embracing epistemological diversity; different epistemological frameworks accompany different musics and treating musics ethnocentrically is both an injustice and effectively an epistemological colonization. In considering how to engage musics and their accompanying sociohistorical and sociopolitical contexts on their own terms, I put forward Mikhail Bakhtin’s work on dialogism as (...) a theoretical framework to examine the encounter, drawing also upon Sara Ahmed’s conceptualization of the “strange encounter” and Megan Boler’s “pedagogy of discomfort” to consider pedagogical possibilities for fostering ethical encounters in music education and critical and mindful engagement in any musical encounter. (shrink)

A survey of current evidence available concerning Wittgenstein's attitude toward, and knowledge of, Gödel's first incompleteness theorem, including his discussions with Turing, Watson and others in 1937–1939, and later testimony of Goodstein and Kreisel; 2) Discussion of the philosophical and historical importance of Wittgenstein's attitude toward Gödel's and other theorems in mathematical logic, contrasting this attitude with that of, e.g., Penrose; 3) Replies to an instructive criticism of my 1995 paper by Mark Steiner which assesses the importance of Tarski's semantical (...) work, both for our understanding of Wittgenstein's remarks on Gödel, and our understanding of Gödel's theorem itself. (shrink)

This essay accounts for the notion of _Lebensform_ by assigning it a _logical _role in Wittgenstein’s later philosophy. Wittgenstein’s additions of the notion to his manuscripts of the _PI_ occurred during the initial drafting of the book 1936-7, after he abandoned his effort to revise _The Brown Book_. It is argued that this constituted a substantive step forward in his attitude toward the notion of simplicity as it figures within the notion of logical analysis. Next, a reconstruction of his later (...) remarks on _Lebensformen_ is offered which factors in his reading of Alan Turing’s “On computable numbers, with an application to the _Entscheidungsproblem_“, as well as his discussions with Turing 1937-1939. An interpretation of the five occurrences of _Lebensform_ in the PI is then given in terms of a logical “regression” to _Lebensform_ as a fundamental notion. This regression characterizes Wittgenstein’s mature answer to the question, “What is the nature of the logical?”. (shrink)

In his political writings, F. A. Hayek faces a classic liberal dilemma: he opposes coercion but recognizes that sometimes the state can help to minimize it. Hayek attempts to resolve the dilemma of the limits of state power by offering a definition of the rule of law that does not depend on a controversial conception of rights. However, his effort to formalize the rule of law fails. Not only does Hayek implicitly rely on an undefended theory of rights, but his (...) rule‐of‐law scheme is limited to the elaboration of general principles of good government, neglecting the need for reforms aimed directly at the political processes that result in the controversial forms of coercion he deplores. (shrink)

In the twenty-first century, many music education scholars seek to reconceptualize music education toward social justice. Critical pedagogy is at the fore-front of this shift. However, as teachers aim toward equity through employing critical pedagogy, some undesired effects of using this teaching approach may arise. In this paper, I consider the problematic side of critical pedagogy and ask two important questions: Are there any restrictions or limits placed on who can enact critical pedagogy in music education? And are there any (...) so-called "casualties" of critical pedagogy in music education or in education more generally? To consider these questions philosophically, I employ a critical race lens to explore tenets of critical pedagogy and their applications to music education, as illustrated in the ideas and practices of four elementary music teachers who strove to challenge dominant paradigms of music education. By examining critical pedagogy in music education with a critical lens, I seek to illuminate the philosophical complexities and paradoxes of engaging critical pedagogy in the classroom. (shrink)

We are witnessing a Europe in turmoil, tormented by the violence of ethnic and nationalist struggles which legitimate themselves in the name of identity. This anthology explores the assumptions of identity by disassembling old myths and fictions of unity in relation to the subject, politics and art. Other than identity offers the possibility of rethinking the concept and introducing instead notions of self and other, identity politics and aesthetics. Through theoretical and concrete examples, this study exemplifies the best of current (...) thinking concerning identity. It marks a new venture in multi-disciplinarity, bringing together writers identified with different discursive fields and visual artists to produce work specifically for this publication. Not only will each chapter be a contribution to particular specialist genres but the collection as a whole will offer new possibilities for rethinking identity. The multifarious approach will appeal to a wide spectrum of disciplines and discourses and to anyone with an interest in what is traditionally identified as culture. (shrink)

Following a comparative study of canonical liberal philosophers Hayek and Rawls, Juliet Williams reveals a new direction for conceptualizing limited government in the twenty-first century, highlighting the central role that democratic politics--rather than philosophical principles--should play in determining the uses and limits of state power in a liberal regime. Williams draws on recent scholarship in the field of democratic theory and cultural studies in arguing for a shift in the ways liberals approach the study of politics.

In this paper, I center the epistemic dimensions of musics and musicking to consider the ways in which the band/orchestra/choir paradigm of music education prevalent in the U.S. and Canada may be implicated in epistemic injustice. Drawing in particular on the work of Fricker (Epistemic injustice: power and the ethics of knowing, Oxford University Press, New York, 2007), Dotson (Hypatia 26(2):236–257, 2011), and The Routledge Handbook of Epistemic Injustice (Kidd et al., The Routledge handbook of epistemic injustice, Routledge, New York, (...) 2017), I explore facets of epistemic injustice and apply these ideas to music education school contexts in Canada and the U.S. I further explore aspects of school music that may amount to “testimonial smothering” (Dotson 2011) and “cognitive imperialism” (Battiste in Can J Native Educ 22:16–27, 1998). Ultimately, building on existing literature on epistemic justice (Kidd et al. 2017; Fricker 2007), I theorize an epistemically just music education for school music in alignment with culturally responsive, anti-racist, and anti-colonial teaching. (shrink)