IntroductionThe assisted reproductive technology field deals with consistent and predictable gaps in knowledge. Expressing lack of knowledge with a sentence like “I don’t know” can be challenging for doctors. This study examined physicians’ negative epistemic disclaimer “non lo so” in Italian ART doctor-couple interactions. In particular, it aimed to reveal specific features of “non lo so”: function, topic, temporality, responsibility, and interactional aspects.MethodsThis was a video-based observational study. We used microanalysis of face-to-face dialogue to analyze 20 purposively selected triadic consultations (...) from a corpus of 85. This inductive analysis focused on the function, the content and some selected interactional aspects of the “non lo so”, quantifying and capturing the interaction between these qualitative features.ResultsWe found 82 doctors’ “non lo so” in the corpus. We discovered three main functions of this expression: propositional, relational, discursive. The most frequent topics raising doctors’ “non lo so” were costs, treatment-related aspects, and timing issues. In more than half of the cases, present issues emerged. The majority of “non lo so” was framed using the “I,” with doctors’ taking personal responsibility. Patients played a role in these expressions from doctors: Patients initiated more than one third of them, and in one fourth of the cases, patients followed up immediately.ConclusionOur findings may be related to characteristics of the specific field of ART. Doctors in this setting must frequently express a direct lack of knowledge to their patients, and when they do, they mean it literally. Patients contribute to such disclosures, and their responses suggest that they find them acceptable, showing that they may expect limitations in their potential to conceive. (shrink)

Background To allow patients to reflect about a decision to participate in a clinical trial, guidelines suggest a 24-h delay from when they are informed about the trial to when they give consent. In certain clinical settings, this is likely to hamper recruitment. Method After oral and written information about the trial has been given in person, the patient signs the declaration of consent knowing that they will be asked again after 24 h whether they confirm or regret the decision. (...) This procedure can be done by SMS. The investigators must document the response. The procedure was tried in a study in which the doctors were randomly assigned to receive a clinical communication skills course, and encounters with patients were videotaped before and after the course. Results 553 patients were approached, 530 (95.8%) gave initial consent, eight of these later regretted their consent. Discussion The low level of regrets suggests this is an acceptable procedure for patients. Trial registration The RCT was registered before initiation – registration # ISRCTN22153332. (shrink)

ObjectiveTo examine subjective and objective socioeconomic status as predictors, cognitive abilities as confounders, and personal control perceptions as mediators of health behaviours.DesignA cross-sectional study including 197 participants aged 30–50 years, recruited from the crowd-working platform, Prolific.Main Outcome MeasureThe Good Health Practices Scale, a 16-item inventory of health behaviours.ResultsSSES was the most important predictor of health behaviours. Among the OSES indicators, education, but not income, predicted health behaviours. Intelligence and memory were negatively correlated with health-promoting behaviours, and the effect of memory (...) was upheld in the multivariate model. Personal control perceptions did not act as mediators.ConclusionSSES predicted health behaviours beyond OSES. The effect of socioeconomic indicators was not confounded by cognitive abilities. Surprisingly, cognitive abilities were negatively associated with health-promoting behaviours. Future research should emphasise SSES as a predictor of health behaviours. Delineating the psychological mechanisms linking SSES with health behaviours would be a valuable contribution toward improved understanding of socioeconomic disparities in health behaviours. (shrink)

The article explores digital literacy practices in children’s everyday lives at Norwegian preschools and some of the ways in which young children appropriate basic digital literacy skills through guided participation in situated activities. Building on an ethnomethodological perspective, the analyses are based on 70 hours of video recordings documenting the activities in which 45 children, aged 5-6, and eight preschool teachers participated. Through the detailed analysis of two categorization activities – identifying geometrical shapes and identifying feelings/thoughts –the use of digital (...) tools in the social organization of the activities are examined. The article finds that children’s digital literacy activities encompass visual, verbal, audio and embodied competencies that are made relevant, and thus accessible for learning, in interaction between the children and between the adults and children in the form of norms and guidelines for what constitutes correct categorizations (geometrical shapes and green and red feelings) in the situated activities, and that are appropriated and actualized by the children in interaction with their peers. The findings also show how the categorization practices in preschools deal with symbols and labels in ways that create and sustain socially organized ways of knowing, seeing and acting upon the world. Digital media are embedded in routines, procedures and socialites that are part of these categorization practices; they are part of how children are instructed to experience, interpret, understand and act in the world. Moreover, the different technologies created different conditions for the children’s participation. It was found that peer interaction was part of the digital literacy activities that involved such mobile technologies as smartphones and tablets, while when using non-mobile technologies, e.g. smartboards, the activities were structured more as ‘classic’ classroom activities, primarily guided by the teacher and the didactic material presented through the smartboard. (shrink)

Objective To study how doctors care for their patients, both medically and as fellow humans, through observing their conduct in patient–doctor encounters. Design Qualitative study in which 101 videotaped consultations were observed and analysed using a Grounded Theory approach, generating explanatory categories through a hermeneutical analysis of the taped consultations. Setting A 500-bed general teaching hospital in Norway. Participants 71 doctors working in clinical non-psychiatric departments and their patients. Results The doctors were concerned about their patients' health and how their (...) medical knowledge could be of service. This medical focus often over-rode other important aspects of the consultations, especially existential elements. The doctors actively directed the focus away from their patients' existential concerns onto medical facts and rarely addressed the personal aspects of a patient's condition, treating them in a biomechanical manner. At the same time, however, the doctors attended to their patients with courteousness, displaying a polite and friendly attitude and emphasising the relationship between them. Conclusions The study suggests that the main failing of patient–doctor encounters is not a lack of courteous manners, but the moral offence patients experience when existential concerns are ignored. Improving doctors' social and communication skills cannot resolve this moral problem, which appears to be intrinsically bound to modern medical practice. Acknowledging this moral offence would, however, be the first step towards minimising the effects thereof. (shrink)

The aim of this paper is to contribute to the development of a theory of economic freedom. In this endeavor, we build our framework on the Hayekian notion of freedom because it explicitly embodies the obvious link between freedom and the state: freedom is an absence of state coercion except for that which enforces abstract, general rules known beforehand. We derive two propositions from this Hayekian thesis and elaborate on them, leading to a categorization of government actions from the viewpoint (...) of economic freedom in which the criterion against which coercive governmental actions must be evaluated is the rule of law, meaning a government’s reliance on general, abstract rules. As an implication, our framework allows us to argue for the imperative differentiation between “efficiency” and “economic freedom” as two separate criteria against which government actions can and must be evaluated. We also show that our framework may help explain the process through which economic freedom enhances growth. (shrink)

Félix Guattari mentioned an ‘ecology of the virtual’. This notion is developed in this article along two dimensions. The first dimension, which is conceptual, relates the mental or subjective ecology of The Three Ecologies to the ‘functors’ of Schizoanalytic Cartographies. The other dimension takes into consideration today’s context in Brazil, especially Amerindian struggles. I focus on how Guattari’s thinking of the virtual, in dialogue with other contemporary authors, opens the way to heterogenetic processes, with their own ecopolitical consequences.

Building on critical approaches that understand algorithms in terms of communication, culture and organization, this paper offers the supplementary conceptualization of algorithms as organizational figuration, defined as material and meaningful sociotechnical arrangements that develop in spatiotemporal processes and are shaped by multiple enactments of affordance–agency relations. We develop this conceptualization through a case study of a Danish fintech start-up that uses machine learning to create opportunities for sustainable pensions investments. By way of ethnographic and literary methodology, we provide an in-depth (...) analysis of the dynamic trajectory in and through which the organization gives shape to and takes shape from its key algorithmic tool, mapping the shifting sociotechnical arrangements of the start-up, from its initial search for a viable business model through the development of the algorithm to the public launch of its product. On this basis, we argue that conceptualizing algorithms as organizational figuration enables us to detail not only what algorithms do but also what they are. (shrink)

1. köt. A Marx előtti filozófia története.--2. köt. Marxtól Lening.--3. köt. Lenintől napjainkig.

The presence of Indians fundamentally altered the political, social and economic landscape of sugar producing nations. In most cases, race, which was used as an important signifier of difference by the colonising power, left these states with a colonial legacy of division and derision which they continue to endure and navigate in such diverse locations as the Caribbean, the West Indies, Fiji, Mauritius and parts of Africa. In the quest for recognition, equality and political status that allows the girmitiyas to (...) celebrate their past, embrace their present and imagine a future where they are enmeshed in the fabric of a new Fiji entail understanding why the declaration of girmit day on May 15th is such a powerful symbolic gesture on the part of the new coalition government. (shrink)

This article focuses on the relationship between democracy and the notwithstanding clause in s.33 of the Canadian Charter of Rights and Freedoms. A number of scholars argue that s.33 is inherently ‘democratic’, as it is an assertion of legislative supremacy. The most influential such theory is Jeremy Waldron’s. This article offers a democracy-based critique of Waldron’s democracy-based account of the notwithstanding clause. The argument that the notwithstanding clause is necessarily ‘democratic’ ignores the constitution of the legislature through elections and the (...) risk of self-dealing by the legislative branch, adopts an idealistic view of legislatures at odds with the reality of executive dominance and party discipline, and over-relies on the assumption that the electorate will ensure retrospective accountability for misuse of s.33. Contrary to Waldron and those who have adopted his arguments in Canada in the context of the Charter, the article argues we can be democrats and have faith in the capacities of legislators and voters while still maintaining skepticism about the uses to which the notwithstanding clause may be put. In short, s.33 is not inherently democratic. The political morality of each use of the notwithstanding clause—including whether it helps or harms democracy—must be assessed on a case-by-case basis. (shrink)

This paper examines the overwhelming desire of transnational adoptees to establish a connection with their origins in order to both come to terms with the past and develop an understanding of their identity. It considers the ethical ramifications of the commodification of human bodies. It is suggested that the idea of displacement is most helpful in approaching questions of transnational adoption. In this way, we can look at transnational adoption as a 'beginning' - one that disappears into the present moment, (...) becoming the constitutive reality underlying Derrida's concern with displacement - rather than its origin. For, what does the quest for a return to the point of origin entail? Transnational adoptees, when they embark on the journey of reclaiming their past, of coming to terms with their sense of loss, realise that there is no simple comfort in returning - that they are inevitably caught in the two worlds in which they co-exist. It is through this recognition of the traces that are contained in them, through this displacement, that they are able to negotiate identity. (shrink)

The concept of race is traced to the quest for the origins of language and the manner in which that led to the idea that a separate language indicated a separate racial origin. The Orientalist desire to know and dominate the other and to regard him or her as sub-human necessitated the invention of race. The notion of race is further traced through the slave trade and its contemporary usage in ‘race studies’.

This paper outlines a bicontextual account of fictional reports. A fictional report is a report on something that happens in a fiction, and a bicontextual account is an account that relativizes truth to two contexts. The proposal is motivated by two considerations. First, it explains the intuitive truth conditions of fictional reports without postulating hidden fiction operators. Second, it handles the problem of indexicals in fictional reports better than the standard accounts.

U mnogim etnickim konfliktima i gradjanskim ratovima u XX veku kulturne razlike izmedju sukobljenih strana su bile veoma male. Krvavi sukobi Srba, Hrvata i Bosnjaka tokom raspada Jugoslavije su jedan takav slucaj. Ovaj uvid je neke istrazivace vodio zakljucku da nedostatak objektivnih kulturnih markera izmedju grupa moze pogodovati izbijanju nasilja: kada se clanovi dve grupe tesko razlikuju, pribegava se nasilju da bi se stvorile identitetske granice medju njima. Jedna posebna verzija ove teorije poznata je pod imenom "narcizam malih razlika". Taj (...) izraz potice od Sigmunda Frojda koji ga je primenjivao kako u individualnoj psihologiji, tako i u svojoj filozofiji kulture. Ovaj koncept su u velikoj meri ignorisali psihoterapeuti-prakticari, ali su ga tokom poslednjih decenija otkrili novinari i drustveni naucnici i vise primenjivali u objasnjenju kolektivnog nego individualnog nasilja. U ovom radu ispitani su neke od studija i knjiga u kojima se koristi koncept "narcizma malih razlika" da bi se ocenila snaga i slabosti te teorije.. (shrink)

Lifestyle-induced diseases are becoming a burden on healthcare, actualizing the discussion on health responsibilities. Using data from the National Association for Heart and Lung Diseases ’s 2015 Health Survey, this study examined the public’s attitudes towards personal and social health responsibility in a Norwegian population. The questionnaires covered self-reported health and lifestyle, attitudes towards personal responsibility and the authorities’ responsibility for promoting health, resource-prioritisation and socio-demographic characteristics. Block-wise multiple linear regression assessed the association between attitudes towards health responsibilities and individual (...) lifestyle, political orientation and health condition. We found a moderate support for social responsibility across political views. Respondents reporting unhealthier eating habits, smokers and physically inactive were less supportive of health promotion policies. The idea that individuals are responsible for taking care of their health was widely accepted as an abstract ideal. Yet, only a third of the respondents agreed with introducing higher co-payments for treatment of ‘self-inflicted’ conditions and levels of support were patterned by health-related behaviour and left-right political orientation. Our study suggests that a significant support for social responsibility does not exclude a strong support for personal health responsibility. However, conditional access to healthcare based on personal lifestyle is still controversial. (shrink)

Why do human beings believe in divinities? Why do some seek eternal life, while others seek escape from recurring lives? Why do the beliefs and behaviors we typically call "religious" so deeply affect the human personality and so subtly weave their way through human society? Revised and updated in this second edition, Eight Theories of Religion considers how these fundamental questions have engaged the most important thinkers of the modern era. Accessible, systematic, and succinct, the text examines the classic interpretations (...) of religion advanced by theorists who have left a major imprint on the intellectual culture of the twentieth century. The second edition features a new chapter on Max Weber, a revised introduction, and a revised, expanded conclusion that traces the paths of further inquiry and interpretation traveled by theorists in the most recent decades.Eight Theories of Religion, Second Edition, begins with Edward Burnett Tylor and James Frazer--two Victorian pioneers in anthropology and the comparative study of religion. It then considers the great "reductionist" approaches of Sigmund Freud, Emile Durkheim, and Karl Marx, all of whom have exercised wide influence up to the present day. The discussion goes on to examine the leading challenges to reductionism as articulated by sociologist Max Weber and Romanian-American comparativist Mircea Eliade. Finally, it explores the newer methods and ideas arising from the African field studies of ethnographer E. E. Evans-Pritchard and the interpretive anthropology of Clifford Geertz. Each chapter offers biographical background, theoretical exposition, conceptual analysis, and critical assessment. This common format allows for close comparison and careful evaluation throughout. Ideal for use as a supplementary text in introductory religion courses or as the central text in sociology of religion and courses centered on the explanation and interpretation of religion, Eight Theories of Religion, Second Edition, offers an illuminating treatment of this controversial and fascinating subject. (shrink)

The nature of the product to be discovered guides the reasoning to discover it. Biologists and medical researchers often search for mechanisms. The "new mechanistic philosophy of science" provides resources about the nature of biological mechanisms that aid the discovery of mechanisms. Here, we apply these resources to the discovery of mechanisms in medicine. A new diagrammatic representation of a disease mechanism chain indicates both what is known and, most significantly, what is not known at a given time, thereby guiding (...) the researcher and collaborators in discovery. Mechanisms of genetic diseases provide the examples. (shrink)

A literature search indicates an absence of research into boy’s experiences of physical education in classes in which there is a significant majority of girls. The aim of the study was to examine how boys in such classes experience their PE lessons. The methodological approach was qualitative, and data were collected with interviews of 13 boys in classes with more than 90% girls at a Norwegian high school. The data were analyzed with QSR NVivo 10, focused on creating categories of (...) meaning, in which students’ experiences were taken as subjectively true. The data are based on subjective constructions, which students constructed as part of their own interpretations and reflections on what had occurred in PE at the school. Results of the study came out in the form of three main findings. Two of those relate to a negative experience and the third to a positive experience of PE. The boys mostly felt that they are physically superior and have to consider the girls. Furthermore, the boys reported little challenge and feelings of mastery while being together with passive girls who are allowed to choose the activities. However, the boys found it easier to show off in front of the teachers and classmates when there were just a few boys in the class. The results are discussed in relation to gender-related theory on how the respondents are producing a traditional male gender in PE through their mastery, strength, and ambition to compete. We suggest a new approach of teaching that is more student-centered. A strategy could be to include other activities than sport-based activities into PE – activities that do not require strength and other athletic skills leading to feelings of hegemonic masculinity. A larger focus on social interactions during PE classes – activities in which students’ sex is not as important as in traditional teacher- and sport-centered PE classes, may be a good strategy. (shrink)

In memoriamof the late Ellen Meiksins Wood, this piece firstly remembers the main achievements of her forty years of work. Secondly, it introduces one of her contributions, ‘Britain versus France: How ManySonderwegs?’, until now unavailable in an anglophone publication and reprinted in the present issue. This contribution is a useful reformulation of her arguments concerning radical historicity, the concept of ‘bourgeois revolution’, and the specificity of French and British state formation and their political revolutions – in contrast to arguments for (...) a GermanSonderwegas an explanation for the rise of fascism. Wood also provides a fruitful illustration of how to apply a social-property relations approach to the development of the rule of law in each of these states, and thus furthers opportunities for debates on the potential of Political Marxism for understanding contemporary class struggles over rights. (shrink)

The epistemology which we went through up to 1970’s has hardly been gender-sensitive, and with the emergence of feminism, mainly with its Second Wave, a group of gender-sensitive practitioners of epistemology and feminist philosophy came out to declare that our so far cultivated epistemology (which is sometimes regarded as “pure” and “standard‘) has subtly been infected with viruses of patriarchal ideology and androcentrism. Taking this gender dimension in mind, there has developed a considerable amount of literature, which is referred to (...) as feminist epistemology. It is actually doing epistemology in order to assure cognitive justice to all, and thereby establish gendersensitive humanism, cleansing it from traditional androcentric biases and unjust patriarchal surveillance. This present article is a critical study of this feminist epistemology, where I shall be dwelling upon the epistemological roots of gender discrimination. Philosophy and Progress, Vol#69-70; No#1-2; Jan-Dec 2021 P 145-171. (shrink)

In Nyāya philosophy, a special kind of extraordinary sensory connection is admitted named jñānalakṣaṇā pratyāsatti or jñānalakṣaṇa sannikarṣa. It is held that sometimes our sense-organ can be connected to such an object which is not amenable to the operating sense-organ. In such cases, cognition (jñāna) plays the role of sensory connection and connects the content of itself to the operating sense-organ. The paradigmatic example of jñānalakṣaṇa perception is to ‘see’ fragrant sandal through visual sense from non-smellable distance. This hypothesis of (...) jñānalakṣaṇa has been criticized by the opponents being considered as counterintuitive, mysterious and theoretically overloaded. This paper tries to demystify the notion. It shows that although it seems to be metaphysically mysterious phenomenon at first sight, it is not so at all. The paper explores the psychological process involved in this sensory connection. The hypothesis is shown to have sufficient explanatory power, because the Naiyāyikas have used this hypothesis to explain five different epistemic situations. Hence, this paper argues that it is not a theoretical overload. The opponents counter-argue that all those five cognitive situations can be explained without admitting jñānalakṣaṇa. Moreover, if we admit jñānalakṣaṇa, then a particular kind of inference will become redundant. The paper answers all those objections and defends the hypothesis. The second part of the paper presents an empirical evidence in support of the hypothesis. The arguments leveled against the hypothesis of jñānalakṣaṇa can be contested on the ground that they try to disprove something which is supported on experimental ground. Experiments represent universally acceptable objective facts supported by experience—denying which amounts to anubhavavirodha, which philosophers would want to avoid. Hence, supporting jñānalakṣaṇa on the ground of scientific experiments can be considered as a philosophical stand. Now, there is a clinically recognized and neurophysiologically proved condition, called synaesthesia, where stimulation of a particular sensory modality automatically and involuntarily activates a different sensory modality simultaneously without a direct stimulation of the second modality. As for example, when a sound → colour synaesthete listens to a particular tone such as C-sharp, she visualizes particular colour, such as blue, in her mind’s eye; for a grapheme → colour synaesthete a particular number or alphabet is always tinged with a particular colour. This paper shows that the cognitive process involved in synaesthesia lends support to the hypothesis of jñānalakṣaṇa pratyāsatti. It has been proved through several experiments that it is a genuine perceptual phenomenon and is not a confabulation of memory. There are several alternative theories which explain the phenomenon neurophysiologically. The paper discusses the most popular one: the cross-activation hypothesis. There are two major objections against the project of comparing jñānalakṣaṇa with synaesthesia. First, synaesthesia is a neurological condition present in a few numbers of people whereas jñānalakṣaṇa is claimed to be universal phenomenon. Second, syneasthesia is a sensory experience whereas jñānalakṣaṇa involves application of concepts. The paper answers these questions. Firstly, multimodal processing in the brain is a universal phenomenon; secondly, there is a form of synaesthesia where top-down processing is involved. In those cases, concepts play important role for having synaesthetic experience. (shrink)

The purpose of this article is to ascertain and appraise the ethical issues inherent to the utilisation of preimplantation genetic diagnosis for gender selection in infertile patients anticipating undergoing a medically indicated assisted reproductive technique procedure. Performance of preimplantation genetic diagnosis per request specifically for gender selection by an infertile couple undergoing medically indicated assisted reproductive technique may not breach the principles of ethics, and is unlikely to alter the population balance of sexes.

Går det an å kunne mer enn man har lært? Finnes det ferdigheter og kompetanser som er generelle? Kategorien «generell kompetanse» i Nasjonalt kvalifikasjonsrammeverk for livslang læring forutsetter at svarene på disse spørsmålene er «ja». I denne artikkelen argumenterer jeg for at svaret ikke er så enkelt.

This paper is a discussion of the concept ‘student active forms of learning’. It aims not at conclusions, but at a perspicuous representation—a map for future navigation and understanding of the concept. From the perspective of philosophy of education, I characterize and discuss issues relating to student active learning in the paper. The context for my discussion is higher education. Further, I contrast student active learning to a form of learning that is allegedly passive, the lecture, which traditionally is the (...) main form of learning in higher education. I proceed by assessing arguments in favor of the two forms by way of a philosophical analysis, a main component of which is transparent exposition. Positive conclusions are not the main concern, but rather to demonstrate possibilities. Still, two results of the discussions in the paper are noteworthy: ‘student active learning’ is a weak construct, it being too general or even contradictory; the lecture is not passive, and a student-centered education, consequently, should not be construed as a dismissal of lecturing. (shrink)

This paper is based on my understanding and analysis of a number of ideas related with the body with the sole intention of over viewing the diverse understanding of the body and its functioning. Buddhaghosa’s understanding of the body seems to be negative to many. I have viewed the body from the perspective of Buddhaghosa within his work The Path ofPurification. Buddhaghosa points out the reality of the body and its underlying foulness and the human tendency to camouflage its foulness (...) under the veil of superficial make up, which are altogether temporary by nature. I will also be dealing with the concept of donation of the body, from the perspective of the Buddhist school of thought. Within the other part of this work I will be dealing with the understanding of the body viewed from the perspective of the feminists. Within this part of the paper, I will make an effort to re-reflect upon Buddhaghosa’s understanding of the body, which seems to have an essence of the “gendered” notion within itself.Keywords: Body, Understanding of body, Donation, Buddhism, Feminist. (shrink)