Purpose The debate about the end-of-life care decision is becoming a serious ethical and legal concern in the Far-Eastern countries of Korea, China and Japan. However, the issues regarding end-of-life care will reflect the cultural background, current medical practices and socioeconomic conditions of the countries, which are different from Western countries and between each other. Understanding the genuine thoughts of patients who are critically ill is the first step in confronting the issues, and a comparative descriptive study of these perspectives (...) was conducted by collaboration between researchers in all three countries. Methods Surveys using self-reporting paper questionnaire forms were conducted from December 2008 to April 2009 in Korea (six hospitals in two regions), China (five hospitals in four regions) and Japan (nine hospitals in one region). The subjects were patients who were critically ill who had been diagnosed as having cancer. A total of 235 participants (Korea, 91; China, 62; Japan, 52) were eventually recruited and statistically analysed. Results Most respondents had sometimes or often thought of their own death, mostly fear of ‘separation from loved ones’. They wanted to hear the news regarding their own condition directly and frankly from the physician. A quarter of them preferred making end-of-life care decisions by themselves, while many respondents favoured a ‘joint decision’ with their family members. The most favoured proxy decision maker was the spouse, followed by the children. Most admitted the necessity of ‘advance directives’ and agreed with artificial ventilation withdrawal in irreversible conditions. The most common reason was ‘artificial prolongation of life is unnecessary’. Most respondents agreed with the concept of active euthanasia; however, significant differences were sometimes observed in the responses according to variables such as patient's country of origin, age, gender and education level. Conclusion Patients in Far-Eastern countries gave various responses regarding end-of-life care decisions. Although familial input is still influential, most patients think of themselves as the major decision maker and accept the necessity of advance directives with Westernization of the society. Artificial ventilation withdrawal and even active euthanasia may be acceptable to them. (shrink)

Die Idee des «Gesamtkunstwerks» war schon längst vor Wagner gegenwärtig. In zahlreichen Schriften der deutschen Frühromantiker wird das Auseinandergehen der einzelnen Künste betrachtet, aber ihr Zusammenwirken als Utopie ersehnt. Die Verfasserin versucht, ausgehend von der Stellung der Musik in der Frühromantik, die Möglichkeit im Blick zu behalten, die Sehnsucht nach der Einheit der Künste, die zunächst im literarischen sowie im philosophischen Bereich rein theoretisch, daneben jedoch auch praktisch in der Poesie und Malerei ihren Ausdruck fand, in die musikalische Romantik zu (...) übertragen, sowohl in kompositorischer als auch in wirkungsästhetischer Hinsicht. Dadurch erscheint der Zusammenhang zwischen Musik innerhalb der Idee des «Gesamtkunstwerks» in der Romantik in neuem Licht. (shrink)

Culture has been identified as a significant determinant of ethical attitudes of business managers. This research studies the impact of culture on the ethical attitudes of business managers in India, Korea and the United States using multivariate statistical analysis. Employing Geert Hofstede's cultural typology, this study examines the relationship between his five cultural dimensions (individualism, power distance, uncertainty avoidance, masculinity, and long-term orientation) and business managers' ethical attitudes. The study uses primary data collected from 345 business manager participants of Executive (...) MBA programs in selected business schools in India, Korea and the United States using Hofstede's Value Survey Module (94) and an instrument designed by the researchers to measure respondents' ethical attitudes (attitudes toward business ethics in general and toward twelve common questionable practices in particular). Results indicate that national culture has a strong influence on business managers' ethical attitudes. In addition to national culture, respondents' general attitudes toward business ethics are related to their personal integrity; their attitudes toward questionable business practices are related to the external environment and gender, as well as to their personal integrity. A strong relationship exists between cultural dimensions of individualism and power distance and respondents' ethical attitudes toward certain questionable practices. The analysis of the relationship between cultural dimensions of masculinity, uncertainty avoidance and long-term orientation and respondents' ethical attitudes toward questionable practices produced mixed results, likely due to the lack of notable differences in cultural dimension scores among the countries surveyed. (shrink)

Although corporate social responsibility appears to be mutually beneficial for companies and consumers, the modern marketplace has left both parties in vulnerable positions. Consumers are increasingly subjected to incongruent CSR messages such as greenwashing, while companies are trapped in a strategic positioning dilemma with regard to how to most effectively and ethically approach CSR communication. This has led some companies to instead adopt a strategically silent approach, such as greenhushing. To capture this CSR positioning dilemma and test the positioning effects (...) on consumers’ attributions, this study applies attribution theory to conceptualize four distinct CSR positions which reflect varying combinations of congruence or incongruence between a company’s external CSR communication and its actual internal CSR actions. Using an online experiment, the effects of the CSR positions on consumer attributions for intrinsic and extrinsic CSR motivations and purchase intentions were tested across three CSR domains: environmental; labor; and lesbian, gay, bisexual, and transgender inclusion. Overall, the findings attest to the significant effect of internal–external congruence-based CSR positioning on how consumers respond to CSR communication. Importantly, the results indicate that discreet positioning is perceived similarly to uniform positioning, while misleading and unethical tactics such as CSR-washing are sure to backfire. Theoretical and managerial implications are discussed. (shrink)

The article discusses the reception of Grotius by Catholic lawyers at the university of Prague. It focuses on the Grotius commentary by Nicolaus Ignaz Königsmann, which was meant as a response to the discussion of Central European Catholic lawyers on questions of toleration and permissions in law. I argue that Königsmann agreed with Grotius because his conception could be combined with the Catholic belief in free will and dictamen sanae rationis. He grounded natural law in rational human nature and rejected (...) attempts to derive natural law from the highest principle. (shrink)

Jeder weiss, dass er sterben muss. Er weiss nur nicht wann. Wüsste er es, er könnte den Tod nicht mehr aus seinem Leben verdrängen. Dieses Buch geht von einer utopischen Situation aus: Durch eine gentechnische Analyse wird bei jedem Menschen gleich nach seiner Geburt festgestellt, wann sein "Endtag", also sein Todestag, sein wird. Frühere Todesfälle gibt es nur bei Unfall oder Mord, spätere nie. Das Wissen um den Endtag verändert das Leben jedes Einzelnen, die Familien, die Gesellschaft, Ausbildung, Beziehungen und (...) Lebensplanung, Laufbahnen im Beruf, das Rentensystem u.v.m. Was für die einen ein "Horrorszenario" sein kann, entpuppt sich für die anderen als ein Segen: Alle können ihren Lebensabend planen und zur rechten Zeit bewusst Abschied nehmen. Und an diesem Punkt wird das Szenario von Ivo W. Greiter zum Plädoyer: Versucht euch täglich bewusst zu sein und zu akzeptieren, dass Ihr nicht ewig leben werdet. Rechnet mit dem Tod, redet über das Sterben, räumt eure Sachen auf. Und: Der Tod kann seinen Schrecken verlieren, wenn er am Leben teilhaben darf. "Und immer wieder stellte ich mir die Frage: Wenn ich weiss, was ich ändern würde, wenn ich in vier Monaten sterben würde, warum ändere ich es dann nicht gleich?" DR. GREITER, geb. 1940, ist Rechtsanwalt in Innsbruck; er ist vielfach in Berufsverbänden und ehrenamtlich engagiert, so als österreichischer Vorsitzender der internationalen Juristenorganisation World Jurist Association, Washington, als Vizepräsident des Österreichischen Juristentages und des österreichischen Anwaltsvereins u. a.; von 1983 bis 1989 war Dr. Greiter Mitglied des Gemeinderates von Innsbruck und von 1993 bis 2010 französischer Honorarkonsul in Innsbruck. Er befasst sich unter anderem mit Rechtsfragen für Menschen über 66; zahlreiche sonstige fachbezogene Veröffentlichungen. (shrink)

In die Geschichte sind Franz Josef Graf von Thun (1734-1801) und seine Frau Wilhelmine (1744-1800) als Gonner des Geniemusikers Wolfgang Amadeus Mozart eingegangen. Der "sonderbare Cavalier", wie er von Mozart genannt wurde, war seinen Zeitgenossen eher als Geisterbeschworer und Magnetiseur, denn als Musikliebhaber und Schriftsteller bekannt. Erst 2009 tauchte im Familienarchiv Thun-Hohenstein das Manuskript der umfangreichen esoterischen Enzyklopadie auf, in der Graf von Thun seine Ansichten uber den Menschen, uber das Weltall und uber die Franzosische Revolution darlegt. Ivo Cerman stellt (...) hier die Philosophie des Grafen vor dem Hintergrund des Illuminismus des 18. Jahrhunderts vor und ediert die wichtigsten Artikel seiner esoterischen Enzyklopadie. Auf der Grundlage dieser gerade entdeckten wichtigen Quelle kann die Frage nach dem Verhaltnis zwischen Aufklarung und Illuminismus neu beantwortet werden. (shrink)

Electronic sports and other variants of ‘digital sports’ have increased in popularity all over the world and may even come to challenge hegemonic concepts of sport. More relevant than the apparent opposition between ‘physical’ and ‘non-physical’ is the question what kind of embodiment is manifested within virtual environments. In this paper, we argue that eSports do require the learning and performance of motor skills and that embodiment within a virtual environment may be considered playful or even athletic. The type of (...) skills that might be tested can even be considered fundamental movement skills. Under appropriate educational supervision, with knowledge of the game, eSports can be utilized for the development of specific elements of digital literacy. Although motor skills are a defining characteristic of eSports, we do not argue that eSports should be integrated within PE. These arguments have not so much to do with the status of physicality present, but with differences in t... (shrink)

In the present paper we shall see that the different ways of understanding mind between Confucianism and Enlightenment in the 18th century. In this study each of these two different traditions is regarded as the East Asian context of mind study or as the Western European context of mind study. This idea comes from a kind of constructivism and constructive realism. The former, which comes from ideas of Lev Vygotsky, stresses that human mind is constructed on its cultural context. The (...) latter insisted by Fridriech Wallner approves that every truth constructed on its cultural context can be an absolute truth depending on its cultural context. Due to these two viewpoints, we can see that the truth about human mind is not singular but plural and it should be an important theme of discussionhow to communicate between different understandings of mind and cultural context. Therefore three steps to approach the difference between Asian and European should be discussed in the following way: first, I will explain Confucian ways of understanding mind. It is Confucian cultural context as a social being that used to be the basis of cultural construction of East Asian’s mind. There were three types of Confucianism in 18th century Korea; second I will explain Western European way of understanding mind and the philosophy of Enlightenment as the basic context of cultural construction of mind; and third, I will conclude by comparing these two different ways of understanding mind and mind construction and by looking for a feasible way to communicate and understand each other. (shrink)

Background Nurses providing care to patients with end-of-life or terminal illnesses often encounter ethically challenging situations leading to moral distress. However, existing quantitative studies have examined moral distress using instruments that address general clinical situations rather than those specific to end-of-life care. Furthermore, qualitative studies have often been limited to participants from a single unit or those experiencing moral distress-induced circumstances. A comprehensive and integrated understanding of the overarching process of moral distress is vital to discern the unique circumstances surrounding (...) end-of-life care and its consequential impacts. Research objectives To explore the moral distress experiences of nurses who are frequently involved in caring for patients with end-of-life or terminal illnesses and apply it to two existing theories: the model of moral distress and the ecological model. Research design A qualitative descriptive approach was employed. Participants and research context Seven focus group interviews involving 30 nurses were performed. The subsequent transcriptions underwent rigorous content analysis. Ethical considerations We obtained Institutional Review Board approval from a university. Focus group interviews were conducted with nurses who agreed to participate and signed the consent form. Findings The moral distress-inducing factors and nurses’ perceived impact of moral distress were identified and categorized based on moral distress theories and ecological models. A total of 15 categories and 30 subcategories across the following 4 domains were derived: (1) intrapersonal, (2) interpersonal, (3) organizational, and (4) structural factors. Conclusions End-of-life-specific circumstances induced moral distress among nurses, with both negative and positive impacts identified. Effective organizational and policy support is essential to manage conflicts, form a healthy organizational culture, provide training, and prevent unnecessary expenses due to the negative consequences of moral distress. (shrink)

The Kosovo conflict -- The Israeli-Palestinian conflict -- The conflict in the Democratic Republic of Congo.

In cooperation with the Philosophical Faculty of Sofia University, the Bulgarian Philosophical Society organized the conference "Phenomenologies: the legacies of Edmund Husserl," which took place on 6 and 7 November 2015, and became the founding event of BFO-Fenomenologia – the Phenomenological Association as a community of the Bulgarian Philosophical Society. The Association offers a new home for Bulgarian scholars and groups from different phenomenological currents.

Após a conclusão do curso de medicina psiquiátrica em Lyon, em 1951, Fanon foi acolhido no hospital Saint Alban, para um aprofundamento dos estudos psiquiátricos, tendo ali, trabalhado e pesquisado sob a supervisão do psiquiatra espanhol Francesc Tosquelles, onde praticou os fundamentos da psicoterapia institucional, desenvolvida por Tosquelles e seus colaboradores naquele hospital. Mais tarde, na Argélia, Fanon atuou no hospital de Blida-Joinvile e, posteriormente, na Tunísia, introduzindo reformas, à luz da psicoterapia institucional. A concepção de ser humano que cultivava (...) e a compreensão de que a sociedade doente produz pessoas doentes, levaram-no a um profundo conflito, à medida em que foi tomando consciência da violência do colonialismo francês contra o povo argelino, conforme relatou na carta de demissão que enviou ao Ministro Residente, Robert Lacoste, em 1956. Após o pedido de demissão, adentrou o movimento de libertação da Argélia. Escreveu livros e artigos combatendo o colonialismo e difundindo os ideais revolucionários. Van Renssalaer Potter, por longo tempo atuou como biólogo e bioquímico no MacArdle Laboratory for Cancer Research, na Universidade de Winsconsin, na cidade de Madison, onde doentes de câncer eram tratados. Na década de 1970, publicou um livro seminal, Bioética, ponte para o futuro. Anos depois, publicou estudos de Bioética Global. Mais tarde, articulou conceitos de Bioética Profunda. Preocupado com a sobrevivência humana neste planeta, atacado pela irresponsabilidade humana, Potter conclamou a humanidade à tomada de consciência e mudança de condutas. Comparando-se os dois autores, observa-se que os escritos de Fanon foram produzidos na década de 1950, sendo que seu último livro, Os Condenados da Terra, foi escrito em 1961. Potter, por sua vez, escreveu os primeiros estudos de bioética na década de 1970, cerca de uma década após o falecimento de Fanon. Respeitados os limites cronológicos, este estudo se pergunta: A dialética da medicina como política e da política como medicina, na práxis de Fanon, teria sintonias bioéticas? Para enfrentar este problema, o trabalho contextualiza a formação de Fanon, identificando os princípios da práxis médico-psiquiátrica dele. Em seguida, demonstra-se as contradições do colonialismo, identificando uma dialética da medicina como política e da política como medicina. Adiante, informa-se a contribuição de Van Rensselaer Potter, na proposição da bioética. Finalmente, argumenta-se a favor das sintonias bioéticas presentes nas passagens selecionadas. O procedimento metodológico é a pesquisa bibliográfica, analítico-dedutiva. Palavras-chave: Colonialismo. Consciência. Medicina. Política. Sintonias bioéticas. (shrink)

In this paper I argue for the following conclusions. First, quotas are not normative goals in themselves but only a means to reach non-discriminatory selection procedures. Second, in a democracy quotas are most plausibly used as a means to fill offices in those bodies which have a major impact on how well interests or discourses are translated into policy. Third, quotas for the young can be justified since, due to demographic development, their discourses tend to be marginalized. Fourth, youth quotas (...) cannot be a means to ensure long-term policy-making, but they can enhance legitimacy of long-term impacts from policy decisions taken today. (shrink)

With a growing corporate interest in pursuing public goods, numerous firms today endeavor to practice corporate social responsibility. Utilizing a multilevel structural equation modeling approach, we investigated the topic of employees' pro-environmental behavior, contributing to the growing literature on “green” issues in the workplace. We incorporated self-determination theory to examine how individuals' perceptions regarding their corporate environmental policies reflected in firm-level green psychological climate influence their environment-specific self-regulation, and whether support of autonomy, relatedness, and competence psychological needs moderates this relationship. (...) The relationship between environment-specific self-regulation and employees' engagement in pro-environmental behavior was also further explained. Analysis of the data from 649 employees working in 37 major South Korean companies revealed that firm-level green psychological climate is positively related to employees' environment-specific self-regulation and that environment-specific self-regulation is also positively related to their pro-environmental behavior. Moreover, while we found that the positive association between firm-level green psychological climate and employees' environment-specific self-regulation was stronger when they had a higher level of relatedness need satisfaction, interactions between firm-level green psychological climate with autonomy and competence need satisfaction did not demonstrate any significant effects. Theoretical and practical contributions together with suggestions for related future research are discussed as well. (shrink)

"A splendidly illuminating book." —The New York Times Like it or not, George W. Bush has launched a revolution in American foreign policy. He has redefined how America engages the world, shedding the constraints that friends, allies, and international institutions once imposed on its freedom of action. In America Unbound, Ivo Daalder and James Lindsay caution that the Bush revolution comes with serious risks–and, at some point, we may find that America’s friends and allies will refuse to follow his lead, (...) leaving the U.S. unable to achieve its goals. This edition has been extensively revised and updated to include major policy changes and developments since the book’s original publication. (shrink)

In Transparent Intensional Logic we can recognize two distinct notions of computation that loosely correspond to term rewriting and term interpretation as known from lambda calculus. Our goal will be to further explore these two notions and examine some of their properties.

In this paper we examine two approaches to the formal treatment of the notion of problem in the paradigm of algorithmic semantics. Namely, we will explore an approach based on Martin-Löf’s Constructive Type Theory, which can be seen as a direct continuation of Kolmogorov’s original calculus of problems, and an approach utilizing Tichý’s Transparent Intensional Logic, which can be viewed as a non-constructive attempt of interpreting Kolmogorov’s logic of problems. In the last section we propose Kolmogorov and CTT-inspired modifications to (...) TIL-based approach. The focus will be on non-empirical problems only. (shrink)

Proofs from assumptions are amongst the most fundamental reasoning techniques. Yet the precise nature of assumptions is still an open topic. One of the most prominent conceptions is the placeholder view of assumptions generally associated with natural deduction for intuitionistic propositional logic. It views assumptions essentially as holes in proofs, either to be filled with closed proofs of the corresponding propositions via substitution or withdrawn as a side effect of some rule, thus in effect making them an auxiliary notion subservient (...) to proper propositions. The Curry–Howard correspondence is typically viewed as a formal counterpart of this conception. I will argue against this position and show that even though the Curry–Howard correspondence typically accommodates the placeholder view of assumptions, it is rather a matter of choice, not a necessity, and that another more assumption-friendly view can be adopted. (shrink)

The experience of newborn screening for Krabbe disease in New York State demonstrates the ethical problems that arise when screening programs are expanded in the absence of true understanding of the diseases involved. In its 5 years of testing and millions of dollars in costs, there have been very few benefits, and the testing has uncovered potential cases of late-onset disease that raise difficult ethical questions in their own right. For these reasons, we argue that Krabbe screening should only be (...) continued as a research project that includes the informed consent of parents to the testing. (shrink)

Quality of life is an important outcome measure in mental health care. Currently, QoL is mainly measured with paper and pencil questionnaires. To contribute to the evaluation of treatment, and to enhance substantiated policy decisions in the allocation of resources, a web-based, personalized, patient-friendly and easy to administer QoL instrument has been developed: the QoL-ME. While human values play a significant role in shaping future use practices of technologies, it is important to anticipate on them during the design of the (...) QoL-instrument. The value sensitive design approach offers a theory and method for addressing these values in a systematic and principled manner in the design of technologies. While the VSD approach has been applied in the field of somatic care, we extended the VSD approach to the field of mental healthcare with the aim to enable developers of the QoL-instrument to reflect on important human values and anticipate potential value conflicts in its design. We therefore explored how VSD can be used by investigating the human values that are relevant for the design of the QoL-ME. Our exploration reveals that the values autonomy, efficiency, empowerment, universal usability, privacy, redifinition of roles, of responsibilites, reliability, solidarity, surveillance and trust are at stake for the future users of the technology. However, we argue that theoretical reflections on the potential ethical impact of a technology in the design phase can only go so far. To be able to comprehensively evaluate the usability the VSD approach, a supplementary study of the use practices of the technology is needed. (shrink)