The Treatment Escalation Plan (TEP) was introduced into our trust in an attempt to improve patient involvement and experience of their treatment in hospital and to embrace and clarify a wider remit of treatment options than the Do Not Resuscitate (DNR) order currently offers. Our experience suggests that the patient and family are rarely engaged in DNR discussions. This is acutely relevant considering that the Mental Capacity Act (MCA) now obliges these discussions to take place. The TEP is a form (...) that the doctor completes, ideally with the competent patient or close relative, documenting what treatment options would be appropriate if that patient were to become acutely unwell. Ventilation of the lungs, cardiac resuscitation, renal replacement therapy, intravenous fluids and antibiotics are all discussed. The study evaluated patient and relative experiences with the TEP. 55 patients or their relatives were interviewed regarding their experience of the TEP and thoughts regarding the process. 96% of patients and relatives evaluated thought that the TEP was a good idea. Free text comments were all positive and only 34% of patients claimed to feel anxious when completing the form. Following this study, the TEP has been expanded hospital wide and into the community within our trust. Discussions are currently taking place in hospitals within our region to introduce the TEP form into other local trusts. (shrink)

The focus of this study was to analyze the content, distribution, and comparative genome relationships of 996 chromosome bin-mapped expressed sequence tags accounting for 2266 restriction fragments on the homoeologous group 3 chromosomes of hexaploid wheat. Of these loci, 634, 884, and 748 were mapped on chromosomes 3A, 3B, and 3D, respectively. The individual chromosome bin maps revealed bins with a high density of mapped ESTs in the distal region and bins of low density in the proximal region of the (...) chromosome arms, with the exception of 3DS and 3DL. These distributions were more localized on the higher-resolution group 3 consensus map with intermediate regions of high-mapped-EST density on both chromosome arms. Gene ontology classification of mapped ESTs was not significantly different for homoeologous group 3 chromosomes compared to the other groups. A combined analysis of the individual bin maps using 537 of the mapped ESTs revealed rearrangements between the group 3 chromosomes. Approximately 232 of the consensus mapped ESTs matched sequences on rice chromosome 1 and revealed large- and small-scale differences in gene order. Of the group 3 mapped EST unigenes ∼21 and 32% matched the Arabidopsis coding regions and proteins, respectively, but no chromosome-level gene order conservation was detected. (shrink)

Getting Emotional -- Constructing Discourse -- Telling and Remembering -- Inviting Emotional Tellings -- Eliciting Feelings -- (re)formulating Emotionality -- Managing Emotionality and Distress -- Being Negative -- Reflecting Back, Moving Forward.

Organ donations after cardiac death account for about 20 percent of all vital-organ transplantations in the United States. This article evaluates DCDs in light of the Catholic moral tradition. Certain premortem interventions commonly associated with DCDs are morally impermissible even though the injuries they inflict on the patient are ostensibly inconsequential. More importantly, the criteria used for expeditiously assaying circulatory death—criteria which enhance the effectiveness of DCDs—do not always guarantee that the donor is actually deceased. Unless DCD protocols attend to (...) these ethical problems, Catholic hospitals are obliged to abandon the practice. (shrink)

The use of remember–know judgments to assess subjective experience associated with memory retrieval, or as measures of recollection and familiarity processes, has been controversial. In the current study we had participants think aloud during study and provide verbal reports at test for remember–know and confidence judgments. Results indicated that the vast majority of remember judgments for studied items were associated with recollection from study , but this correspondence was less likely for high-confidence judgments . Instead, high-confidence judgments were more likely (...) than remember judgments to be associated with incorrect recollection and a lack of recollection. Know judgments were typically associated with a lack of recollection , but still included recollection from the study context . Thus, although remember judgments provided fairly accurate assessments of retrieval including contextual details, know judgments did not provide accurate assessments of retrieval lacking contextual details. (shrink)

McCabe & Healey argue that in patient‐psychiatrist interaction, the more the participants engage in repair, i.e., trying to fix potential misunderstandings, the better the outcomes of the interaction, as measured by treatment adherence and the quality of the Dr – patient relationship. This holds both for self‐repair, when psychiatrists fix their own utterances, as well as other‐repair, where patients try to fix the understanding displayed by the psychiatrist.

This essay examines Lévinas and Ricoeur’s criticisms of the project of theodicy and analyzes their attempts to figure an approach to God that survives the end of theodicy in terms of ethics (Lévinas) or hope (Ricoeur). In conclusion, it is argued that while both thinkers engage in the important task of disassociating God from the justificatory practices of theodicy, Ricoeur’s hope in the God of the future offers more ample resources for theological appropriation than Lévinas’s approach to God within the (...) limits of ethics alone. (shrink)

This article contends that Hans Urs von Balthasar's theological focus on seeing the form of God's glory in creation constitutes a critical resource for elaborating a contemporary Christian theology responsive to the crisis of environmental degradation. In particular, in this article Martin Heidegger's reflections on the environmental dangers present in modern technology provide the framework for analyzing the ecological significance of Balthasar's retrieval of a Christian sacramental ontology.

This volume brings together for the first time a collection of studies that investigates how multilingual speakers construct emotions in their talk as a joint discursive practice. The contributions draw on the well established, converging traditions of conversation analysis, discursive psychology, and membership categorization analysis together with recent work on interactional storytelling, stylization, and multimodal analysis. By adopting a discursive approach to emotion in multilingual talk, the volume breaks with the dominant view of emotions as cognitive and intra-psychological phenomena and (...) their study through self-report. Through detailed analyses of original recorded data, the chapters examine how participants produce emotion-implicative actions, identities, stances, and morality through their interactional work in ordinary face-to-face conversation, computer-mediated interaction, institutional talk in medical, educational, and broadcast media settings, and in research interviews. The volume addresses itself to students and researchers interested in language and emotion, multilingual speakers and settings, pragmatics, and discourse analysis. (shrink)

Anthropology of Consciousness, Volume 33, Issue 1, Page 63-78, Spring 2022.

Contempt is typically studied as a uniquely human moral emotion. However, this approach has yielded inconclusive results. We argue this is because the folk affect concept “contempt” has been inaccurately mapped onto basic affect systems. “Contempt” has features that are inconsistent with a basic emotion, especially its protracted duration and frequently cold phenomenology. Yet other features are inconsistent with a basic attitude. Nonetheless, the features of “contempt” functionally cohere. To account for this, we revive and reconfigure thesentimentconstruct using the notion (...) of evolved functional specialization. We develop the Attitude–Scenario–Emotion model of sentiments, in which enduring attitudes represent others' social-relational value and moderate discrete emotions across scenarios. Sentiments are functional networks of attitudes and emotions. Distinct sentiments, includinglove,respect,like,hate, andfear, track distinct relational affordances, and each is emotionally pluripotent, thereby serving both bookkeeping and commitment functions within relationships. The sentimentcontemptis an absence ofrespect; from cues to others' low efficacy, it represents them as worthless and small, mutingcompassion,guilt, andshameand potentiatinganger,disgust, andmirth. This sentiment is ancient yet implicated in the ratcheting evolution of human ultrasocialty. The manifolds of thecontemptnetwork, differentially engaged across individuals and populations, explain the features of “contempt,” its translatability, and its variable experience as “hot” or “cold,” occurrent or enduring, and anger-like or disgust-like. This rapprochement between psychological anthropology and evolutionary psychology contributes both methodological and empirical insights, with broad implications for understanding the functional and cultural organization of social affect. (shrink)

In their forthcoming article, Shavelson and colleagues (2023) identify a key ethical concern associated with medical aid-in-dying (MAiD) laws in the eleven US jurisdictions where the practice is le...

In recent decades, scholars of Buddhist philosophy have frequently treated the Trisvabhāvanirdeśa, or “Teaching of the Three Natures,” attributed to Vasubandhu, as an authentic and authoritative representation of that celebrated thinker’s mature work within the Yogācāra tradition. However, serious questions may be posed concerning the status and authority of the TSN within Yogācāra, its true authorship, and the relation of its contents to trends in early Yogācāra thought. In the present article, we review the actual state of our knowledge of (...) the TSN’s possible origins, considering, too, the implications this may have for contemporary treatments thereof. (shrink)

Thanks to the international celebrity of the present Dalai Lama, Tibetan Buddhism is attracting more attention than at any time in its history. Although there have been numerous specialist studies of individual Tibetan texts, however, no scholarly work has as yet done justice to the rich variety of types of Tibetan discourse. This book fills this lacuna, bringing to bear the best methodological insights of the contemporary human sciences, and at the same time conveying to non-specialist readers an impression of (...) the broad domain of Tibetan religious and philosophical thought. Ranging widely over the immense corpus of Tibetan literature, Kapstein brilliantly illuminates many of the distinctive Tibetan contributions and points out some of the insights. (shrink)

Television medical dramas frequently depict the practice of medicine and bioethical issues in a strikingly realistic but sometimes inaccurate fashion. Because these shows depict medicine so vividly and are so relevant to the career interests of medical and nursing students, they may affect these students' beliefs, attitudes, and perceptions regarding the practice of medicine and bioethical issues. We conducted a web-based survey of medical and nursing students to determine the medical drama viewing habits and impressions of bioethical issues depicted in (...) them. More than 80% of medical and nursing students watch television medical dramas. Students with more clinical experience tended to have impressions that were more negative than those of students without clinical experience. Furthermore, viewing of television medical dramas is a social event and many students discuss the bioethical issues they observe with friends and family. Television medical dramas may stimulate students to think about and discuss bioethical issues. (shrink)

Name der Zeitschrift: Kierkegaard Studies Yearbook Jahrgang: 2016 Heft: 1 Seiten: 159-186.

Introduction to ABA, ethics, and core ethical principles -- Contextual factors that influence ethical decision-making -- Creating behavioral systems to support ethical behavior in autism treatment -- Identifying your scope of competence in autism treatment -- The decision-making process of evidence-based practice -- Interdisciplinary collaboration -- Common errors and mistakes made during ethical analyses and application.

The target article argues that contempt is a sentiment, and that sentiments are the deep structure of social affect. The 26 commentaries meet these claims with a range of exciting extensions and applications, as well as critiques. Most significantly, we reply that construction and emergence are necessary for, not incompatible with, evolved design, while parsimony requires explanatory adequacy and predictive accuracy, not mere simplicity.

A recent movement within political philosophy called luck egalitarianism has attempted to synthesize the right’s regard for responsibility with the left’s concern for equality. The original motivation for subscribing to luck egalitarianism stems from the belief that one’s success in life ought to reflect one’s own choices and not brute luck. Luck egalitarian theorists differ in the decision procedures that they propose, but they share in common the general approach that we ought to equalize individuals with respect to brute luck (...) so that differences in distribution are only a consequence of the responsible choices that individuals make. I intend to show that through the application of its own distributive procedures, the interpersonal luck egalitarian approach actually undermines its original motivation by making the lives of individuals subject to brute luck. I propose two alternative methods that the luck egalitarian could use to prevent the problems suffered by the interpersonal luck egalitarian standard. (shrink)

Early Buddhism was not interested in questions about existence and the nature of God, considering these unimportant in relation to the question of the release from earthly suffering which is at the heart of Buddhist soteriology. Later Buddhist thought considered theism incompatible with Buddhist doctrine, but at the same time Buddhism developed a dimension of devotion that resembled theistic faith. Conscious of their different religious heritage, Buddhist thinkers in more recent times have nevertheless embraced dialogue with monotheistic religions, emphasizing their (...) common ethical preoccupations, while retaining the non-theistic viewpoint of traditional Buddhism. (shrink)

Training on the Law of armed conflict employs different rationales to motivate soldiers and to induce their compliance with LOAC rules. Of these, none is as controversial, or as potentially...

This essay identifies epistemological, theoretical and methodological problems in a potentially influential subset of the interdisciplinary corporate responsibility literature, that which appears in the management literature. The received conceptualization of stakeholder analysis is criticised by identifying six sets of factors conventionally considered as promoting social responsibilities in the firm: inter-organizational factors, economic competitors, institutional investors, end-consumers, government regulators and non-governmental organizations. Each is addressed on conceptual grounds, its empirical salience in terms of the latest relevant research and prospects to be (...) a significant factor in promoting outcomes consistent with social welfare. Despite obvious antagonistic relations between organization centred economic objectives and extra-organizational-directed social considerations, the huge body of research we address drifts in a disengaged Sargasso Sea. The essay argues for appropriate directions for continuing business ethics/responsibility/corporate citizenship research, suggesting certain sociological works on moral leadership, moral courage, and academic leadership. (shrink)

Emerging adult newlywed couples often experience many demands on their time, and three common problems may surface as couples try to balance these demands—problems related to finances, sleep, and sex. We used two waves of dyadic data from 1,001 emerging adult newlywed couples to identify four dyadic latent profiles from husbands’ and wives’ financial management behaviors, sexual satisfaction, and sleep quality: Flounderers, Financially Challenged Lovers, Drowsy Budgeters, and Flourishers. We then examined how husbands’ and wives’ marital satisfaction, in relation to (...) profile membership, varied at a later wave. We found that Financially Challenged Lovers and Flourishers had significantly higher marital satisfaction than Drowsy Budgeters and Flounderers. Whereas, Financially Challenged Lovers and Flourishers did not differ in terms of marital satisfaction, Drowsy Budgeters seemed to have slightly higher marital satisfaction than Flounderers for wives only. However, we did not find evidence that these connections meaningfully differed by sex. Implications for the efforts of clinicians and educators are discussed. (shrink)

In accord with the theme of the present volume on , it is not so much the aim of this essay to provide a detailed account of particular lines of argument, as it is to suggest something of the manner in which so-called 'Buddhist idealism' unfolded as a tradition not just for Buddhists, but within Indian philosophy more generally. Seen from this perspective, Buddhist idealism remained a current within Indian philosophy long after the demise of Buddhism in India, in about (...) the twelfth century, and endured in some respects at least until the Mughal age, when the last thinker to be examined here, the Jain teacher Yaśovijaya, was active. (shrink)

Paradox is a complex notion that has assumed a diverse range of forms within philosophy, and Søren Kierkegaard contributes one of the more interesting variations by employing a fairy tale to introduce what he identifies as the absolute paradox of the Incarnation. Despite this, more recent discussion on paradox has given little attention to Kierkegaard and has largely bracketed out any interaction with paradox that does not fit within the general analytic framework. In this paper, I evaluate the different characterizations (...) of paradox offered by Kierkegaard and representative thinkers in the analytic tradition. I argue that the non-bracketing of Kierkegaard’s fairy tale as a valid form of paradox discourse not only provides a fuller account of paradox but also offers a critique of the attempt to exclude any form of paradox from philosophical discussion that does not already conform to the restrictions of the analytic approach. (shrink)

The project of comparing Stoicism and Buddhism may appear to be an improbable one. While the latter determines that we strive for an enlightenment that contributes to the liberation of all living beings, the doctrines of the former would seem to entail that this is impossible. Though both strongly affirm principles of causality and cyclicity in the constitution of the world, Buddhism apparently grants considerably more freedom of human agency than does Stoicism. Their conception of eternal return in the strict (...) and literal sense is foreign to the Buddhist notion of the bodhisattva's ongoing spiritual progress through numberless lives. These distinctions, moreover, sometimes issue in markedly different ethical orientations: the Buddhist elevation of compassion in the constellation of cardinal virtues finds its Stoic pendant in a more restrained attitude of commiseration. (shrink)

The spreading of reputational information about group members through gossip represents a widespread, efficient, and low-cost form of punishment. Research shows that negative arousal states motivate individuals to gossip about the transgressions of group members. By sharing information in this way groups are better able to promote cooperation and maintain social control and order.

Though Stcherbatsky was eager to present Buddhist logic as broadly consistent with an early twentieth‐century European vision of philosophical research as critical reason unbridled by the presuppositions of religion, this was certainly not the sole source of the tension found in his words. There were at least three major trends in relation to this problematic that can be identified within Buddhist textual traditions. This chapter explores somewhat the elaboration of these alternatives, both in traditional Buddhist and in contemporary academic writings. (...) Against those who have held, however, that the available evidence does not permit us to conclude that there was any interesting relationship between the Buddhist pramāna tradition and those Buddhist intellectual practices that we might characterize as “spiritual exercise,” the author would argue that the very presence of contestation about this within the tradition itself sufficiently demonstrates that the possibilities of such a relationship were well understood. (shrink)

The ability to quickly and accurately recognise emotional states is adaptive for numerous social functions. Although body movements are a potentially crucial cue for inferring emotions, few studies have studied the perception of body movements made in naturalistic emotional states. The current research focuses on the use of body movement information in the perception of fear expressed by targets in a virtual heights paradigm. Across three studies, participants made judgments about the emotional states of others based on motion-capture body movement (...) recordings of those individuals actively engaged in walking a virtual plank at ground-level or 80 stories above a city street. Results indicated that participants were reliably able to differentiate between height and non-height conditions (Studies 1 & 2), were more likely to spontaneously describe target behaviour in the height condition as fearful (Study 2) and their fear estimates were highly calibrated with the fear ratings from the targets (Studies 1-3). Findings show that VR height scenarios can induce fearful behaviour and that people can perceive fear in minimal representations of body movement. (shrink)

This essay is a response to the article “Some Foundational Factors for Promoting Human Flourishing.” It offers a broader discussion of flourishing beyond foundational concerns and involves an integration of social science and the humanities.

This essay draws together the disciplines of race theory, artificial intelligence, and phenomenology to engage the issue of racism as a learned phenomenon. More specifically, it centres on a comparison between robots and humans with respect to becoming racist. The purpose of this comparison is to illustrate the complex interconnections between racism, ontology, and learning. The essay begins with a discussion of race and racism that identifies both fundamentally as social realities. With this account, the essay draws on Hubert Dreyfus’ (...) critical phenomenological work on artificial intelligence to outline several limitations for robots becoming racist. Next, the essay turns to the phenomenology of Merleau-Ponty as an ontological alternative for describing human beings and how racism is learned through habit and skill acquisition. In the end, it is suggested that this investigation not only provides an insightful glimpse into racism as a learned phenomenon, but also invites further discussion on how such racism may be confronted when it is viewed not simply as a cognitive issue, but rather as an issue of embodiment. (shrink)

Although Lynn White, jr. is best known for the critical aspects of his disputed 1967 essay, “The Historical Roots of Our Ecologic Crisis,” this article combines archival research and findings from his lesser-known publications in an attempt to reconcile his thought on democracy with the Earth Charter and its assertion that “we are one human family and one Earth Community with a common destiny” . Humanity is first and foremost, White believed, part of a “spiritual democracy of all God's creatures” (...) in which humans and nonhumans should treat each other with mutual compassion and courtesy. It is argued that the Christian, animal-inclusive “biodemocracy” envisioned by White is both compatible with, and potentially in conflict with, the tenets of the Earth Charter. This article also considers further implications of these findings for the larger fields of ecotheology and religion and ecology. (shrink)

This essay introduces the themes that motivate the three articles that follow. Their common aim is to explore the connections between the Earth Charter and the concept of biodemocracy with the intention of highlighting ways of thinking about the relationship between science, religion, and the environment in the twenty-first century. Informed by the science of ecology and written by scholars of religion, the articles included here seek to integrate movements and ideas as diverse as postmodern thought, the much-debated thought of (...) Lynn White, jr. , and the synergy emerging between the Earth Charter and Journey of the Universe. (shrink)