http://www.sciencedirect.com/science/article/pii/S1053810015002378 -/- the original Fig. 4B published in this paper was incorrect.

Foucault's preoccupation with the visual, specifically his positing of a sort of ‘positive unconscious of vision’, offers an entry point for examining data generated through a field study of home‐care case management practice. In Foucault's work, our attention is directed not so much to what is seen but to what can be seen and to the effects of practices of knowledge and power in constituting these particular realities. Knowledge emerges as a matter of what it is possible for knowers, for (...) nurses, to see and to say, as well as the conditions that constitute these specific possibilities for seeing and saying in a given context. Given the significance of practices of seeing in case management – seeing clients, seeing situations – examining how possibilities for understanding are constituted through ways of seeing helps us to ‘see’ the limits of currently possible practice. In the case examined in this paper, these limits constitute a gap between what a client may actually need and what it is possible, in the context of current practice, to provide. To change practice it seems important, if only as a first step, to recognize the constraints of thought in what we see. (shrink)

The analysis undertaken in this paper explores the significance of a central finding from a recent field study of home care case management practice: a notable feature of case management work is the preparation of an orderly, ordered space where care may be offered. However, out of their encounters with an almost endless variety of situations, out of people's diverse narratives of need, case managers seem able to pick out only limited range of recognized needs to which to respond and (...) demonstrate a series of responses themselves equally limited. Though this observation suggests a kind of efficiency that is currently highly valued within healthcare systems, it also underlines the system's inability to engage difference and variability in a meaningful way. This inability or limitation in effectively engaging difference is conceptualized here as, in some sense, a problem, and the nature of this problem is explored through the rhetorical process of problem setting. The central question becomes how might we develop and deploy an orderly and coherent system of care without essentializing people's experiences, without treating these experiences reductively, without, in a Foucaultian frame of reference, allowing what can be understood as similarity or resemblance among clients and situations to be folded back into sameness? As we encounter complexity, variability and difference in practice, how should we treat it? (shrink)

A growing interest in and concern about the adequacy and fairness of modern peer-review practices in publication and funding are apparent across a wide range of scientific disciplines. Although questions about reliability, accountability, reviewer bias, and competence have been raised, there has been very little direct research on these variables.The present investigation was an attempt to study the peer-review process directly, in the natural setting of actual journal referee evaluations of submitted manuscripts. As test materials we selected 12 already published (...) research articles by investigators from prestigious and highly productive American psychology departments, one article from each of 12 highly regarded and widely read American psychology journals with high rejection rates (80%) and nonblind refereeing practices.With fictitious names and institutions substituted for the original ones (e.g., Tri-Valley Center for Human Potential), the altered manuscripts were formally resubmitted to the journals that had originally refereed and published them 18 to 32 months earlier. Of the sample of 38 editors and reviewers, only three (8%) detected the resubmissions. This result allowed nine of the 12 articles to continue through the review process to receive an actual evaluation: eight of the nine were rejected. Sixteen of the 18 referees (89%) recommended against publication and the editors concurred. The grounds for rejection were in many cases described as “serious methodological flaws.” A number of possible interpretations of these data are reviewed and evaluated. (shrink)

La crisi di identità non riguarda solo i soggetti politici, ma il concetto stesso di democrazia. Con l’avvento della società della comunicazione i parametri politici con cui pensavamo le forme del potere, l’azione e l’organizzazione politica, sono definitivamente cambiati. Siamo nel pieno della quarta mutazione della storia dell’umanità. Percepiamo la crisi laddove c’è transizione. Bisogna ricostruire le categorie cognitive e interpretative dei fenomeni esistenti. La democrazia è minacciata, non più e non solo da un nuovo regime, ma da se stessa (...) e dalle spinte verso un network politico autocratico. Per ritornare a vivere in network autenticamente democratici bisogna costruire nuovi vocabolari che permettano di re-interpretare il mondo con nuove narrazioni politiche. (shrink)

Este estudo aprofunda o sentido da experiência relatada por Marguerite Porete, mistica medieval, condenada como herética e queimada em 1310, acusada de ultrapassar e transcender as Escrituras, errar nos artigos da fé e dossacramentos e dizer palavras contrárias e prejudiciais. No entanto, ela traz uma contribuição importante para o pensamento filosófico-teológico e literário, na medida em que levanta questões e articula respostas sobre o problema da inacessibilidade do transcendente. O aniquilamento é o seu tema, perigoso para um tempo em que (...) o ideal era a salvação de si próprio, perigoso também parao tempo atual, fundado no humanismo e, nessa medida, detido no eu. (shrink)

Narrar artisticamente o Mistério Santo que habita entre nós: Leitura místico-teológica da obra “Guerra e Paz” de Cândido Portinari. (Narrating artistically the Holy Mystery that lives among us: Mystical-theological reading of the panel "War and Peace"). - DOI: 10.5752/P.2175-5841.2013v11n31p867 A revelação é um conceito fundamental para a teologia cristã: ele se refere à experiência que fundamenta o discurso sobre Deus. No século XX, operou-se uma transformação importante nessa concepção fundamental, uma renovação que implicou na desconstrução do conceito tradicional de revelação (...) focado em doutrinas e dogmas e na emergência de uma nova concepção que coloca como fundamento da revelação a experiência do incondicional, experiência mística. A partir dessa renovação, passou-se a considerar a problemática da dificuldade de uma linguagem que expresse a complexidade dessa experiência paradoxal. Toda criação artística, na medida em que provoca uma forte experiência estética, é uma maneira de falar de revelação. A linguagem da arte com seu poder evocativo e não definível é certamente capaz de expressar essa experiência do divino sem constrangimento do sagrado e sem desvalorização do humano. Esse trabalho consiste em fazer a leitura dos painéis Guerra e Paz de Cândido Portinari, evidenciando que através da arte é possível narrar artisticamente o Mistério Santo que habita entre nós. Palavras-chaves: Mística. Arte. Espiritualidade. Cândido PortinariRevelation is a key concept to Christian theology: it refers to the experience that underlines the discourses about God. In the twentieth century, an important transformation on this concept led to a deconstruction of its traditional meaning, originally focused on doctrines and dogmas, and further to the emergency of a new conception, which places the mystical experience in the very foundation of the Revelation’s concept. Since this renovation, the difficulties of a language to express the complexity of this paradoxical experience were highly problematized. All artistic creation, as long as it provokes a strong aesthetic experience, is matter of Revelation. The Art’s language, with its non-definable and evocative power, is certainly capable of expressing this divine experience without devaluate the holy or the human depreciation. This work consists on the reading of Cândido Portinari’s “War and Peace” panels, pointing out that, through art, it is possible to narrate artistically the Holy Mystery that dwells among us. Keywords: Mystics. Art. Spirituality. Cândido Portinari. (shrink)

A Encíclica Fratelli tutti, do Papa Francisco, publicada em 3 de outubro de 2020, é, como se tem veiculado, um documento que faz parte da Doutrina Social da Igreja. Escrita sob a inspiração do diálogo com o líder islâmico Grande Imã Ahmad Al-Tayyeb, pretende falar sobre o amor fraterno em sua dimensão universal. Este comentário, unindo-se a outros que se tem feito sobre esse texto, tem como objetivo contribuir na recepção da encíclica, sendo uma abordagem na perspectiva da espiritualidade.

A growing interest in and concern about the adequacy and fairness of modern peer-review practices in publication and funding are apparent across a wide range of scientific disciplines. Although questions about reliability, accountability, reviewer bias, and competence have been raised, there has been very little direct research on these variables.

In this paper we review the factors alleged to be responsible for the creation of inaccurate reports among preschool-aged children, focusing on so-called "source misattribution errors." We present the first round of results from an ongoing program of research that suggests that source misattributions could be a powerful mechanism underlying children′s false beliefs about having experienced fictitious events. Preliminary findings from this program of research indicate that all children of all ages are equally susceptible to making source misattributions. Data from (...) a follow-up wave of data indicate that very young children may be disproportionately vulnerable to these kinds of errors when the procedure is changed slightly to create mental images more easily. This vulnerability leads younger preschoolers, on occasion, to claim that they actually experienced events that they only thought about. These preliminary findings are discussed in the context of the ongoing debate over the veracity and durability of delayed reports of early memories, repressed memories, dissociative states, and the validity risks posed by therapeutic techniques that entail repeated visually guided imagery inductions. (shrink)

This paper is concerned with events that were the subject of an inquest into the deaths of 12 children who died while undergoing or shortly after having undergone cardiac surgery at the Winnipeg Health Sciences Centre, Manitoba, Canada, during 1994. A notable finding of the Sinclair Inquest was that nurses involved with the pediatric cardiac surgery program were concerned about the competence of the surgeon and made sustained efforts throughout 1994 to have these concerns addressed. That the nurses’ concerns were (...) not taken seriously is the central problem of this paper. Essentially, the position articulated is that gendered and gendering discourses constituted a form of power that structured the field of nurses’ possible actions. These discourses constituted a resource to make nurses knowable, to produce them as certain forms of the person, and were therefore part of what governed nurses everyday conduct. Though neither simply good nor bad in themselves, in this case, these discourses had constraining effects on how nurses were able to conduct themselves. (shrink)

The paper contrasts understandings of knowledge grounded in Enlightenment norms with the departures from those norms taken by some strands of feminism and hermeneutics, as well as the contributions made by the writing of Michel Foucault. A reading of Foucault's writings on knowledge, power and the discursive constitution of self and world is offered as a potentially useful frame within which to raise questions about nursing, nurses and knowledge.

We argue that Henrich et al. do not go far enough in their critique: Sample diversification, while important, will not lead to the detection of generalizable principles. For that it will be necessary to broaden the range of contexts in which data are gathered. We demonstrate the power of contexts to alter results even in the presence of sample diversification.

In this paper, we make explicit the changing configurations of power relations that currently characterize the Brazilian Emergency Care System (SAMU) team in Belo Horizonte, Brazil. The SAMU is a recent innovation in Brazilian healthcare service delivery. A qualitative case study methodology was used to explore SAMU’s current organizational arrangements, specifically the power relations that have developed and that demonstrate internal team struggles over space and defense of particular occupational interests. The argument advanced in this paper is that these professionals (...) are developing their work in conditions of exposure, that is, they are always being observed by someone, and that such observational exposure provides the conditions whereby everyday emergency care practices are enacted such that practice is shaped by, as well as shapes, particular, yet recognizable power relationships. Data were collected through the observation of the SAMU’s work processes and through semi‐structured interviews. Research materials were analyzed using discourse analysis. In the emergency care process of work, visibility is actually embedded in the disciplinary context and can thus be analyzed as a technique applied to produce disciplined individuals through the simple mechanisms elaborated by Foucault such as hierarchical surveillance, normalizing judgment, and the examination. (shrink)

This article compares the De ordine and the De libero arbitrio in order to show how in the works after the so-called “Dialogues of Cassiciacum” a greater philosophical and dialectical complexity is evident. In particular, the complexity of the method used is analysed, the development of the topic of moral evil is highlighted, as well as the issue of the necessity of evil.

BackgroundWe describe our experience from a multi-national application of a European Union-funded research-driven paediatric trial (DEEP-2, EudraCT 2012-000353-31; NCT01825512). This paper aims to evaluate the impact of the local and national rules on the trial authorisation process in European and non-European countries. National/local provisions and procedures, number of Ethics Committees and Competent Authorities to be addressed, documentation required, special provisions for the paediatric population, timelines for completing the authorisation process and queries received were collected; compliance with the European provisions were (...) evaluated. Descriptive analysis, Wilcoxon Rank-Sum test and General Linear Model analysis were used to determine factors potentially influencing the timelines. The Cluster Analysis procedure was used to identify homogenous groups of cases.ResultThe authorisation process was completed in 7.7 to 53.8 months in European countries and in 17.1 to 27.1 months in non-European countries. The main factors influencing these timelines were the requests for changes/clarifications in European countries and the different national legislations in non-European countries.ConclusionThis work confirms that the procedures and requirements for the clinical trial application of a paediatric trial are different. In the European Union, the timeframes for submission were generally harmonised but longer. In non-European countries, delays were caused by national dispositions but the entire authorisation process resulted faster with less requests from ECs/cas. The upcoming application of Regulation (EU) 536/2014 is expected to harmonise practices in Europe and possibly outside. Networks on paediatric research acting at international level will be crucial in this effort. (shrink)

This article begins by surveying the names of the Father and their occurrences in the Cassiciacum Dialogues, then moves from language to ideas. It explores the meaning, sources and content of notions associated with each named Father. It concludes with a philosophical synthesis focused on the theoretical features of the figure of “the Father”, which conforms with Christian faith as interpreted through careful use of neoplatonic thought.

The behavioral sciences have come under attack for writings and speech that affront sensitivities. At such times, academic freedom and tenure are invoked to forestall efforts to censure and terminate jobs. We review the history and controversy surrounding academic freedom and tenure, and explore their meaning across different fields, at different institutions, and at different ranks. In a multifactoral experimental survey, 1,004 randomly selected faculty members from top-ranked institutions were asked how colleagues would typically respond when confronted with dilemmas concerning (...) teaching, research, and wrong-doing. Full professors were perceived as being more likely to insist on having the academic freedom to teach unpopular courses, research controversial topics, and whistle-blow wrong-doing than were lower-ranked professors (even associate professors with tenure). Everyone thought that others were more likely to exercise academic freedom than they themselves were, and that promotion to full professor was a better predictor of who would exercise academic freedom than was the awarding of tenure. Few differences emerged related either to gender or type of institution, and behavioral scientists' beliefs were similar to scholars from other fields. In addition, no support was found for glib celebrations of tenure's sanctification of broadly defined academic freedoms. These findings challenge the assumption that tenure can be justified on the basis of fostering academic freedom, suggesting the need for a re-examination of the philosophical foundation and practical implications of tenure in today's academy. (Published Online February 8 2007) Key Words: academia; academic freedom; ethical issues; faculty beliefs; professoriate; promotion; scientific misconduct; tenure; whistle-blowing. (shrink)

A condição cultural contemporânea desafia a vivência religiosa. Vivemos um momento de nova demanda: busca-se hoje, uma relação com o dogma e uma vivência religiosa mais livres. Corre-se o risco, todavia, que esse desejo, que é de fato um dos grandes valores de nossa cultura, acabe se satisfazendo com propostas espirituais superficiais. A partir dessa preocupação, e entendendo que a mística, enquanto processo vivido pelo sujeito rumo ao encontro com o Mistério Santo, tem contribuições importantes para essa problemática, procuraremos empreender (...) uma reflexão sobre a relação entre mística e teologia, o desencontro moderno e os sinais de reencontro que já se pode visualizar na atualidade. Refletiremos sobre a marginalização e mística, ocorrida na modernidade, as suspeitas que pairaram sobre os místicos, a divisão entre espiritualidade e teologia que adveio do triunfo do racionalismo e finalmente sobre o novo interesse pela mística que vai se esboçando na teologia contemporânea a partir da afirmação de uma nova concepção de revelação no contexto de renovação conciliar. Palavras-chaves : Mística. Espiritualidade. Teologia.Our contemporary cultural condition challenges our religion experience. As a result, we live in a moment of a new spiritual demand: people are seeking a relationship with the dogma and at the same time a less strict religious experience. However, we are taking a risk with this new spiritual desire, which is in fact one of the strongest values in our culture; this might lead to religious satisfaction via superficial spiritual propositions. This concern, along with the mysticism involved in the process of one’s path towards the acceptance of the holy mysticism, has indeed contributed to this issue. We shall reflect upon the relationship between mysticism and theology and its modern mismatch, as well as on the signs of reunion that we can already visualize nowadays. We shall reflect about the marginalization of mysticism which occurred in modern times, and on the suspicious attitudes that float over the so-called mystics. Furthermore, the separation between spirituality and theology that arose from the triumph of the rationalism; and finally about the new interest concerning mysticism , which emerged in contemporary theology from the declaration of a new revelation concept, in the context of Vatican II renewal. Keywords : Mystique. Spirituality. Theology. New Roc�;o�NN;mso-fareast-language:PT-BR'>Keywords : D. Luciano Mendes de Almeida. Biography. Internalization. Testimony. (shrink)

We present a theoretical model and corresponding research design (Bronfenbrenner & Ceci 1994) that could yield stronger evidence for (or perhaps against) Howe et al.'s conclusions. The model assesses levels of heritability (h²) under different amounts of training and practice, thus providing estimates of the independent contribution of “innate talent” to the quality of development outcomes. The design can also reveal the extent to which this independent contribution varies systematically as a function of other influential factors identified by Howe (...) et al. (shrink)

A pair of studies demonstrates that simply asking children to make a blatantly false accusation in the guise of helping others can result in both immediate and long-term false claims. In the pilot study, the initial willingness to make a blatantly false statement was associated with some children making false statements a week later despite being told that the first interviewer had made mistakes during the initial interview. On a positive note, the majority of participants accurately stated that they did (...) not have first-hand knowledge of their accusation's accuracy. Across both studies, the rate of false accusation rates was high. The main experiment demonstrated that children who were young, possessed the lowest verbal intelligence or who were from the lowest SES homes made the most accusations. These findings illustrate not only the dangers of encouraging children to make false statements, but the ease and durability of making such false statements. (shrink)

To address the growing costs associated with chronic illness care, many countries, both developed and developing, identify increased patient self‐management or self‐care as a focus of healthcare reform. Health coaching, an implementation strategy to support the shift to self‐management, encourages patients to make lifestyle changes to improve the management of chronic illness. This practice differs from traditional models of health education because of the interactional dynamics between nurse and patient, and an orientation to care that ostensibly centres and empowers patients. (...) The theoretical underpinnings of coaching reflect these differences, however in its application, the practices arranged around health coaching for chronic illness self‐management reveal the social regulation and professional management of everyday life. This becomes especially problematic in contexts defined by economic constraint and government withdrawal from activities related to the ‘care’ of citizens. In this paper, we trace the development of health coaching as part of nursing practice and consider the implications of this practice as an emerging element of chronic illness self‐management. Our purpose is to highlight health coaching as an approach intended to support patients with chronic illness and at the same time, problematize the tensions contained in (and by) this practice. (shrink)

In our target article, we took the position that tenure conveys many important benefits but that its original justification – fostering academic freedom – is not one of them. Here we respond to various criticisms of our study as well as to proposals to remedy the current state of affairs. Undoubtedly, more research is needed to confirm and extend our findings, but the most reasonable conclusion remains the one we offered – that the original rationale for tenure is poorly served (...) by the current system as practiced at top-ranked colleges and universities. (Published Online February 8 2007). (shrink)