BackgroundAlthough the Life-Sustaining Treatment (LST) Decision Act was enforced in 2018 in Korea, data on whether it is well established in actual clinical settings are limited. Hospital-acquired pneumonia (HAP) is a common nosocomial infection with high mortality. However, there are limited data on the end-of-life (EOL) decision of patients with HAP. Therefore, we aimed to examine clinical characteristics and outcomes according to the EOL decision for patients with HAP.MethodsThis multicenter study enrolled patients with HAP at 16 referral hospitals retrospectively from (...) January to December 2019. EOL decisions included do-not-resuscitate (DNR), withholding of LST, and withdrawal of LST. Descriptive and Kaplan–Meier curve analyses for survival were performed.ResultsOf 1,131 patients with HAP, 283 deceased patients with EOL decisions (105 cases of DNR, 108 cases of withholding of LST, and 70 cases of withdrawal of LST) were analyzed. The median age was 74 (IQR 63–81) years. The prevalence of solid malignant tumors was high (32.4% vs. 46.3% vs. 54.3%, P = 0.011), and the ICU admission rate was lower (42.9% vs. 35.2% vs. 24.3%, P = 0.042) in the withdrawal group. The prevalence of multidrug-resistant pathogens, impaired consciousness, and cough was significantly lower in the withdrawal group. Kaplan–Meier curve analysis revealed that 30-day and 60-day survival rates were higher in the withdrawal group than in the DNR and withholding groups (log-rank P = 0.021 and 0.018). The survival of the withdrawal group was markedly decreased after 40 days; thus, the withdrawal decision was made around this time. Among patients aged below 80 years, the rates of EOL decisions were not different (P = 0.430); however, mong patients aged over 80 years, the rate of withdrawal was significantly lower than that of DNR and withholding (P = 0.001).ConclusionsAfter the LST Decision Act was enforced in Korea, a DNR order was still common in EOL decisions. Baseline characteristics and outcomes were similar between the DNR and withholding groups; however, differences were observed in the withdrawal group. Withdrawal decisions seemed to be made at the late stage of dying. Therefore, advance care planning for patients with HAP is needed. (shrink)

This study examines a deep-seated anti-missionary sentiment of Korean theologians and church historians. Chai-Choon Kim and Jong-Sung Rhee were arguably most responsible for popularizing anti-missionary sentiment among Korean Christians. The main reason for the criticisms of both Kim and Rhee against the American Presbyterian Korea missionaries was the supposedly fundamentalist schisms of the Presbyterian Church of Korea in the 1950s, which both Kim and Rhee reasoned to have been originated from their Old Princeton theology. The theological rationale of both Kim (...) and Rhee was the Barthian triumph frame that the Reformed Orthodoxy including the Old Princeton theology, which had been suspected of having a fundamentalist tendency, was overcome by Karl Barth’s Neo-Orthodoxy. These theological anti-missionary criticisms facilitated some younger Korean church historians, especially both Kyung-Bae Min and Man-Yul Lee, to view Korean church history from an anti-missionary, Korean ethnic nationalist perspective. Min emphasizes some seemingly good but anecdotal works of individual Korean native Christians, hence resulting in depreciation of the works of the missionaries and their Korean coworkers. Following Min, Lee goes even further, praising what some individual Korean Christians did for socio-political (anti-establishment) purposes and ignoring what the missionaries and their Korean coworkers did cooperatively for their Korean churches. Those Korean theologians and church historians with quite a strong anti-missionary sentiment might have succeeded in arousing Korean Christians’ ethnic nationalism, but in so doing, they have quite surely deprived Korean Christians of their critically significant and rich ecclesiastical and theological elements which have been originated from the missionaries. (shrink)

This study assessed the demographic characteristics of Koreans engaged in leisure sports activities during the COVID-19 pandemic and the differences in their preventive health behaviors and constraints on leisure activities. For this study, the demographic characteristics of 544 leisure sport participants, who were recruited on a nationwide basis, were examined through an online survey. Then, comparisons between groups were performed using independent t-tests, one-way analysis of variance, and multivariate analysis of variance. Women who participated in both indoor and outdoor leisure (...) sports showed higher adoption of health prevention behaviors than their male counterparts, and married individuals who participated in indoor leisure sports showed higher adoption of health prevention behaviors than unmarried participants. Moreover, individuals who participated in both indoor and outdoor leisure sports by themselves had many interpersonal constraints overall, and the group of married individuals who participated in indoor leisure sports showed structural constraints. In conclusion, leisure sports participants have adopted many health prevention behaviors during the COVID-19 pandemic, but this had led to some interpersonal constraints. These results indicate that, in the case of future pandemics, personal and institutional efforts will need to be made to promote participation in leisure sports and prevent excessive social isolation. (shrink)

This research explores the dynamic capabilities required for firms to implement environmental, social, and governance strategies, and investigates sustainable management performance that can be created based on them. By using dynamic capabilities theory, we integrate sustainable management and the ESG literature to suggest a research model and identify the factors that act as the catalysts achieving sustainability. The data used for the analysis were collected from 78 firms listed on the Korea Exchange with assets totaling more than 2 trillion Korean (...) won. In this study, the partial least squares structural equation model is applied. We found that absorptive capability and adaptive capability significantly affect sustainable management performance through implementation of the ESG strategy as a mediating variable. In particular, a firm’s implementation of an ESG strategy is a significant determinant that impacts sustainable management performance. We also believe our model contributes to the current knowledge by filling several research gaps, and our findings offer valuable and practical implications not only for achieving sustainable growth but also for creation of competitive advantage. (shrink)

The purpose of this study was to identify relationship between leisure constraint negotiations and leisure activity participation through meta-analysis within the Korean context. Through this study, the inconsistent research results of previous studies are explained by comprehensively clarifying the relationship between the two variables and identifying a third variable that controls the relationship. The efforts of this project are expected to provide useful data that can be used for future research and to seek ways of increasing participation in leisure activities. (...) In order to achieve the purpose of this study, the research questions set in this study are as follows. First, what is the magnitude of the effect of the correlation coefficient between leisure constraint negotiations and leisure participation? Second, what are the variables that control the relationship between leisure constraint negotiations and leisure participation? Materials were collected by utilizing Research Information Sharing Service, DBpia, Korean studies Information Service System, and Korea Citation Index. Finally, 20 pieces of research materials were selected with a total of 6,843 participants. The conclusions drawn from the research questions set in this study are as follows. First, leisure constraint negotiations and leisure participation are in a static relationship, and their level is considerable. In other words, efforts to overcome leisure constraints increase participation in leisure activities. Second, gender, age, and type of active leisure activities are major variables that control the relationship between leisure constraint negotiations and leisure participation. Finally, the limitation of this study and future research orientation were discussed. (shrink)

The metaphorical understanding of historical movement as spiral is due to the symbolism of the spiral. Spiral is the geometric pattern to depict a self-accumulative growth of energy or life force. For Ham, history neither reiterates “the eternal return” to the primal archetype nor generates “the unilateral straight move of teleology. If history is a living move, it should follow the basic principle of life evolution as all the living experiences the gradual and yet creative advance by long accumulative changes. (...) There are several factors for Ham Sok Hon to establish the idea of the spiral history. First, he studied the Bible and newly experienced the ‘not-yet-being ontology’ in the Abrahamic religion, a view of a religious utopianism toward the future. It is not the view of “the eternal return” ofMircea Eliade but the view of historical reality that urges a life-formation in expectation of the novel emergence of the new. Second, among various streams of East Asian thoughts, Ham was greatly influenced from the neo-Confucian idea of the nature of mind and Hua-yen Buddhism, that is, ‘one is many; many is one’. Finally, Ham’s spiral history is different from Hegel’s phenomenology of spirit in that he denies the historical perspectives of heroism or classism and instead advocates the perspective of ssi-al, a perspective that ssi‐al bears all burden of historical suffering and opens a new chapter by overcoming the historical suffering. (shrink)

Intelligent machines are no longer distant fantasies of the future or solely used for industrial purposes; they are real “living” things that operate similarly to humans with verbal and nonverbal communication capabilities. Humans see in such technology the horrifying dangers and the bliss enabled by the saving power. Entrenched in the emotions of hope and fear concerning intelligent machines, humans’ attitudes toward intelligent machines are not free of expectations, judgments, strategies, and selfish agendas. As the discovery of the New Worlds (...) has led to the development of an understanding of self as distinct from the other, narratives on intelligent robots have taken on similar forms of colonial discourse: contradictory manifestations of ethnocentrism (anthropocentrism) and exoticism. Similar to colonial encounters, the racialized Mechanical _Other_ operates like any other marginalized group. Colonial discourse often regards the mechanical _Other_ as both inferior yet exotic, which usually produces a mixed sense of blessing and curse, ambivalence composed of both desire and aversion. In these representations of machinic _otherness,_ one should not miss the fundamental injustice of creating the “Machinic Other” and imposing humans’ viewpoints. The field must expand the purview of intelligent machines to consider the larger historical and cultural forces shaping our understanding of who we are as reflected in the mirror of intelligent machines. (shrink)

As humanoid social robots are developed rapidly in recent years and experimented in social situations, comparing them to humans provides insights into practical as well as philosophical concerns. This study uses the theoretical framework of communication constraints, derived in human–human communication research, to compare whether people apply social-oriented constraints and task-oriented constraints differently to human targets versus humanoid social robot targets. A total of 230 students from the University of Hawaii at Manoa participated in the study. The participants completed a (...) questionnaire, which determined their concern for the five communication constraints (feelings, non-imposition, disapproval, clarity, and effectiveness) in situations involving humans or robots. The results show people were more concerned with avoiding hurting the human’s feelings, avoiding inconveniencing the human interactive partner, and avoiding being disliked by the human and less concerned with avoiding hurting the robot’s feelings, avoiding inconveniencing the robot partner, and avoiding being disliked by the robot. But people did not differ in their concerns of the two task-oriented constraints (clarity and effectiveness) in response to humans versus humanoid robots. The results of the research suggest that people are more likely to emphasize the social-oriented constraints in communication with humans. (shrink)

This study investigates the effects of cultural orientation and the degree of disdain for robots on the preferred conversational styles in human-to-robot interactions. 203 participants self-reported on questionnaires through a computer-based online survey. The two requesting situations were intended to simulate the participants' interactions with humanoid social robots through an Internet video-phone medium of communication. Structural equation modeling was performed to examine the mediating role of mechanistic disdain between multicultural orientation and conversational constraints. The findings reveal that between the two (...) dimensions of multicultural orientation, only open-mindedness inversely influences mechanistic disdain. Mechanistic disdain, in turn, negatively affects three face-related conversational constraints, thereby leading to a lesser concern for robots' feelings, for minimizing impositions on robots, and for avoiding robots' negative evaluations. The implications of our findings on humans' relations with virtual robot entities and on the future development of humanoid robots are discussed. (shrink)

This study investigates the effects of cultural orientation and the degree of disdain for robots on the preferred conversational styles in human-to-robot interactions. 203 participants self-reported on questionnaires through a computer-based online survey. The two requesting situations were intended to simulate the participants’ interactions with humanoid social robots through an Internet video-phone medium of communication. Structural equation modeling was performed to examine the mediating role of mechanistic disdain between multicultural orientation and conversational constraints. The findings reveal that between the two (...) dimensions of multicultural orientation, only open-mindedness inversely influences mechanistic disdain. Mechanistic disdain, in turn, negatively affects three face-related conversational constraints, thereby leading to a lesser concern for robots’ feelings, for minimizing impositions on robots, and for avoiding robots’ negative evaluations. The implications of our findings on humans’ relations with virtual robot entities and on the future development of humanoid robots are discussed. (shrink)

As the artificial intelligence of computers grows ever-more sophisticated and continues to surpass the capacities of human minds in many ways, people are forced to question alleged ontological categories that separate humans from machines. As we are entering the world which is populated by non-enhanced and enhanced humans, cyborgs, robots, androids, avatars, and clones among them, the desire for evolutionary mastery of the natural world has taken on the two main directions: merging with machines in disembodied forms or embodied forms. (...) As a path to breaking past the discontinuity between humans and machines and enter into a world beyond the “fourth” discontinuity, machines are viewed as an evolutionary step toward the “perfection” or “immortality” of humans. However, this popular, instrumental views of machines, stemming from the existential death anxiety and the hope for transcending mortality, reveals the karmic dilemma of desiring or grasping something. We shall discuss the possibility that machines can present, ultimately, a revolutionary step rather than an evolutionary step toward understanding “who we are.” The path toward a continuity with machines lies not in our desire for merging with the robots, but in recognizing the arbitrary nature of all such identity categories. This radical understanding of the self-identity can be seen as a facet of enlightened experience. (shrink)

This paper aims to clarify and resolve issues surrounding the so-called formal linking problem in interpreting the Internally Headed Relative Clause construction in Korean and Japanese, a problem that has been identified in recent E-type pronominal treatments of the construction (e.g., Hoshi, K. (1995). Structural and interpretive aspects of head-internal and head-external relative clauses. PhD dissertation, University of Rochester; Shimoyama, J. (2001). Wh-constructions in Japanese. PhD dissertation, University of Massachusetts at Amherst). In the literature, this problem refers to the difficulty (...) of capturing the delimited semantic variability of the E-type pronoun present in the embedding clause of the construction. I show that the E-type pronoun at issue is subject to a different licensing condition from a typical E-type pronoun and therefore presents a different linking problem. More specifically, it requires that the embedded clause describe a state of its antecedent and its descriptive content be supplied by a salient property represented in the logical form of the embedded clause. I propose an event-based semantic analysis that derives the effects of this novel generalization by establishing a binding relation between the event structure of the embedded clause and the denotation of the E-type pronoun. (shrink)

The purpose of the present study was to identify and categorize career motivations in highly educated married Korean women. Twenty five participants who are working were interviewed and asked why they continue their work despite various difficulties. Sixty-seven career persistence motivations were elicited and reliably organized into 6 categories: low interest in childcare and household labor, family-related motives, high need for achievement, financial problems/needs, self-actualization and job satisfaction, and positive perception of working women. This study is significant as it conceptualizes (...) the motivation for career persistence as the major variable affecting highly educated married women’s decision to continue their careers and establishes the theoretical basis for future research. (shrink)

ABSTRACT This article examines the prominent Japanese postwar thinker Maruyama Masao’s critical engagement with his contemporary German legal theorist Carl Schmitt. Maruyama engaged with Schmitt’s decisionistic notion of “the political” and sovereignty since he found it useful in addressing the pathological elements of Japanese political culture, namely, the widespread political passivity and fatalistic ethos of the Japanese public. In his view, such a “decision-avoiding” political culture, which had contributed to the rise of fascism in interwar and wartime Japan, posed a (...) fundamental threat to the viability of Japan’s postwar democracy. Although Maruyama objected to Schmitt’s authoritarian theory of political leadership, he nevertheless believed Schmitt provided important insights into the key concepts of modern politics, such as political agency and the constituent power of the people. In his efforts to foster political subjectivity and liberal individuality in postwar Japan, Maruyama attempted to strike a balance between two extremes: Schmittian normless decisionism, on the one hand, and a politically naïve liberal constitutionalism, on the other. I conclude by suggesting that the hitherto overlooked intellectual affinity between Maruyama and one of the leading Weimar-era constitutional theorists—Hermann Heller—can enrich our understanding of Maruyama’s unceasing effort to formulate and insist on the imperative role of political subjectivity and liberal individuality in consolidating liberal democracy in postwar Japan. (shrink)

ABSTRACT This article examines the prominent Japanese postwar thinker Maruyama Masao’s critical engagement with his contemporary German legal theorist Carl Schmitt. Maruyama engaged with Schmitt’s decisionistic notion of “the political” and sovereignty since he found it useful in addressing the pathological elements of Japanese political culture, namely, the widespread political passivity and fatalistic ethos of the Japanese public. In his view, such a “decision-avoiding” political culture, which had contributed to the rise of fascism in interwar and wartime Japan, posed a (...) fundamental threat to the viability of Japan’s postwar democracy. Although Maruyama objected to Schmitt’s authoritarian theory of political leadership, he nevertheless believed Schmitt provided important insights into the key concepts of modern politics, such as political agency and the constituent power of the people. In his efforts to foster political subjectivity and liberal individuality in postwar Japan, Maruyama attempted to strike a balance between two extremes: Schmittian normless decisionism, on the one hand, and a politically naïve liberal constitutionalism, on the other. I conclude by suggesting that the hitherto overlooked intellectual affinity between Maruyama and one of the leading Weimar-era constitutional theorists—Hermann Heller—can enrich our understanding of Maruyama’s unceasing effort to formulate and insist on the imperative role of political subjectivity and liberal individuality in consolidating liberal democracy in postwar Japan. (shrink)

This paper attempts to provide a concise but systematic presentation of the discursive ontology of the social that underpins the thought of the Argentinian political theorist Ernesto Laclau. First articulated by Laclau and his collaborator Chantal Mouffe at the historical conjuncture of the late twentieth century that witnessed the disintegration of established leftist political visions and the rise of a plurality of new social movements, the post-structuralist discursive ontology on which Laclau bases his theorization of hegemony as the paradigm of (...) politics is one that continues to exert a powerful influence on contemporary post-foundational political thought, discourse analysis, and “left populist” political movements. This paper traces the fundamental claims of that ontology, paying special attention to Laclau’s theses apropos the limits of universality and impossibility of “fullness.” In the final third of this paper, the French philosopher Alain Badiou’s approach to the conceptualization of social change is employed as a foil to draw some key implications of Laclau’s elevation of “hegemony” as the universal form of the political for political thought and practice. (shrink)

As people struggle to come to terms with cultural pluralism, there is growing recognition of bicultural or multicultural persons and their potential communication patterns. Prior conceptualizations of multicultural identity focused on the idea that people can blend multiple cultures in their minds or switch between representations of cultures as ways to be good towards the Other. This approach may sound sensible, but there is the inescapable injustice embedded in any formulation of the other, and not only the Other but also (...) the other of the Other. The very openness of a genuinely multicultural identity precludes the establishment of such things as ethnic, racial or cultural ‘identities’. The fundamental propositions of this article are that multicultural identity can be seen as different ways of being in the world, which is a facet of enlightened experience by coming into being of ‘intuitive intelligence’ that ‘self/personhood/identity’ is an illusion; the acquisition of multicultural identity is a natural process of human growth, one that does involve a radical shift of personal perspectives, maturation of vision. Ultimately, I suggest a radical rethinking and reversal of the essentialist view of multicultural identity and present multicultural identity as an awareness event transcending one’s cultural identity. It is time for a paradigm shift. (shrink)

The innovation of Alain Badiou’s theory of change, which has attracted a great amount of attention from scholars working in disciplines across humanities, social sciences, and art over the past two decades, cannot be appreciated independently of the account of situations prior to an event’s irruption, namely, the order of being that is conceived using modern set theory in his treatise on general ontology. Retracing the meticulous systematicity with which pre-evental situations are conceived in Being and Event, this paper offers (...) a reconstruction of Badiou’s general ontology that points toward the potential therein for articulating an account of structures and situations that may be qualified as social. (shrink)

Robot enthusiasts envision robots will become a “race unto themselves” as they cohabit with the humankind one day. Profound questions arise surrounding one of the major areas of research in the contemporary world—that concerning artificial intelligence. Fascination and anxiety that androids impose upon us hinges on how we come to conceive of the “Cultural Other.” Applying the notion of the “other” in multicultural research process, we will explore how the “Other” has been used to illustrate values and theories about robots, (...) as a mirror for the self. In this paper, we focus on the social, cultural, and religious implications of humans’ attitudes toward relationships between humans with robots. Six major views on humanoid robots are proposed: (1) robots as the “Frightening Other,” (2) robots as the “Subhuman Other,” (3) robots as the “Human Substitute,” (4) robots as the “Sentient Other,” (5) robots as the “Divine Other,” and (6) robots as the “Co-evolutionary Path to Immortality.” The likely and preferable scenario is the last one, which is compatible with an optimistic posthuman world in our evolutionary future. We imagine whether humans will meet the challenge of loving all living and non-living beings (including mechanical entities) might be the key to the co-evolution of both species and the ultimate happiness. (shrink)

Despite the prevailing discourses on the importance of top management ethical leadership, related theoretical and empirical developments are lacking. Drawing on institutional theory, we propose that top management ethical leadership contributes to organizational outcomes by promoting firm-level ethical and procedural justice climates. This theoretical framework was empirically tested using multi-source data obtained from 4,468 employees of 147 Korean companies from various industries. The firm-level analysis shows that top management ethical leadership significantly predicts ethical climate, which then results in procedural justice (...) climate that fully mediates the effects of top management ethical leadership on two organizational outcomes, namely, firm-level organizational citizenship behavior and firm financial performance. The present study provides a plausible theoretical account and empirical validation of a mechanism through which top management ethical leadership enhances organizational performance. (shrink)

This study investigated the neuropsychological profile of college students who engage in binge drinking using comprehensive neuropsychological tests evaluating verbal/non-verbal memory, executive functions, and attention. Groups were determined based on scores on the Korean version of the Alcohol Use Disorder Identification Test and Alcohol Use Questionnaire. There were 79 and 81 participants in the BD and non-BD groups, respectively. We administered the Korean version of the California Verbal Learning Test and Rey-Osterrieth Complex Figure Test to evaluate verbal and non-verbal memory, (...) respectively, and measured executive functions using the Wisconsin Card Sorting Test, Trail-Making Test, Controlled Oral Word Association Test and Stroop Color-Word Test. We administered the d2 test to evaluate attention. Neuropsychological performance was analyzed by multivariate analysis of variance. The BD group showed significantly poorer performance in the long-term free recall condition of the K-CVLT and delayed recall condition of the RCFT and completed significantly fewer categories on the WCST than the non-BD group. In addition, there were significant negative associations among the AUDIT-K total score, AUQ binge score, and long-term free recall score of the K-CVLT. There were significant negative associations between the total AUDIT-K score and delayed recall RCFT score, and between the total AUDIT-K total score and numbers of completed categories on the WCST. These results indicate that college students who participate in BD have difficulties with verbal/non-verbal memory and executive functions, and further suggest that excessive alcohol use could have detrimental effects on the hippocampal-prefrontal circuit even with a relatively short period of alcohol use. (shrink)