Despite its lack of conceptual clarity and uniform definition, the term drug‐seeking is used frequently by nurses from a variety of practice environments. The drugs patients are referred to as seeking are often pain medications. This is important because nursing has widely adopted a patient‐centric definition of pain. Nursing also has a robust ethical code that places high value on human dignity and nurses’ role in patient advocacy. A review of literature was conducted with the aims of describing whether/how the (...) term drug‐seeking has changed over time and to determine whether the use of the term in nursing literature is consistent with nursing values. Use of the term has shifted from objective counts of patient requests for medication to a confusing mixture of observable patient behavior and subjective interpretations of patient motivation. Its use is not consistent with nursing values. It is, in fact, a good illustration of stigmatization in nursing. Stigmatization is contrary to nursing values. Nurses in practice, research, education, authors, reviewers, and editors all have a role in ending this stigmatization. (shrink)

Women are cited less frequently than men in a variety of scientific fields. Drawing theoretical resources from Fricker and Hookway, I argue that these gendered citation practices constitute a form of participatory epistemic injustice insofar as they prevent female scientists from fully engaging in the epistemic practices of science. Furthermore, Longino’s notion of “uptake” gives us a way of understanding gendered citation practices as an epistemic harm accrued not simply by individuals but by scientific communities as a whole. Finally, I (...) discuss the cumulative harms of this kind of participatory epistemic injustice for individuals and for marginalized groups. (shrink)

Charting a "middle way" between the extremes represented by Alvin Plantinga and Richard Swinburne, Garth Hallett explores the thesis that if belief in other minds is rational and true, so too is belief in God. He makes a strong case that when this parity claim is appropriately restricted to a single, sound other-minds belief, belief in God and belief in other minds do prove epistemically comparable. This result, and the distinctive path that leads to it, will interest students and (...) scholars in philosophy of religion and theology. (shrink)

Abstract:Political ecology is an epistemologically plural field of social scientific research. This article seeks to contribute to mapping out the terrain, with emphasis on contributions from Latin America. This is done by sketching out two prototypical forms of political ecology: materialist and poststructuralist, and by exploring the degree to which they can be reconciled in a third form which seeks to avoid the extremes of structural determinism and absolute relativism, by taking recourse to either eclecticism or dialectics. The underlying argument (...) is that, on the basis of ontological materialism and dialectical reasoning, a third form of political ecology can provide the epistemological foundation for illuminating research on why social environmental movements and conflicts emerge at certain historical conjunctures and in specific geographical and cultural contexts, and of how resistance movements against dispossession and the destruction of natural resources are organized and sustained. (shrink)

We demonstrate in this article how critical realism can be used to explain indeterminacy in role behaviour systematically. In so doing, we both rebut various criticisms of critical realism made recently by Kemp and Holmwood and attempt to illustrate the weaknesses and absences of approaches that concentrate unduly on the collection of expectations of actors concerning roles and the behaviour of incumbents. Within a framework that recognises that structure and agency are ontologically distinct but necessarily empirically related entities, we argue (...) that structures should be seen as sources of indeterminacy within role behaviour for at least four reasons: the co-determination of roles through the intersection of structures; conflicting role expectations caused by contradictions inhering within structures; asymmetries of power within social relations; and asymmetric repetition within structural reproduction/transformation. In light of this discussion of structural sources of indeterminacy, we then go on to demonstrate how critical realism is also able to analyse systematically the agential sources of indeterminacy within role behaviour and expectations through theories of psychobiography and reflexivity. We thus conclude that critical realism contains the conceptual tools required to illuminate the point of intersection between structure, culture and agency which is central to understanding both role behaviour and the plurality of expectations concerning such behaviour. (shrink)

Tourism has received relatively scant attention in feminist analysis of women's work under economic restructuring. The industry creates a sector without a shop floor based on the provision of authenticity, leisure, and price-sensitive services. Migrant women from the First World and the Third World labor with national workers in a highly informalized and stratified employment setting. This article examines how structural conditions shape tourism employment in Puerto Viejo, Costa Rica. Drawing from data including observation, interviews, and a longitudinal business survey, (...) I offer several findings. The tourism industry segments possibilities for women who vary in their ability to produce and interpret/translate authentic cultural experiences. As a result, women working in tourism constitute a nationally and ethnically more diverse workforce compared with other global industry sectors. The particular demands of tourism create an important case to further understand how social location shapes women's working lives in the global economy. (shrink)

Stigmatization of patients exists in nursing and results in less than optimal nursing care and poor patient outcomes. It is also a violation of our code of ethics. In order to eliminate stigmatization from nursing practice, it is necessary to understand how it develops. Two possible theoretical pathways are proposed to explain the development of stigmatization in nursing. These pathways are informed by a conceptual understanding of stigma and theories of professional socialization, professional formation, symbolic interactionism, and social cognitive theory. (...) Re‐labeling and role‐taking and moral disengagement are proposed as two possible processes that may lead to stigmatization of patients. Both proposed pathways have implications on professional socialization, formation, and the development of professional identity. Devoting attention to and reframing normative behavioral expectations, eliminating labeling, developing empathy, focusing on relationships, and cultivating ethical comportment and moral maturity during nursing formation may reduce the stigmatization of patients by nurses. (shrink)

'Teoria geral do Estado' trata de temas da ciência política e do Estado em seus variados aspectos. O livro é um tratado geral sobre o Estado, começando por sua noção e suas origens e percorrendo todas as demais informações relacionadas ao tema (soberania, poder político, nação, território, formas de governo), assim como as relações entre Estado, política e direito constitucional.

This article proposes that untethering amerina at Stat. Silv. 1.6.18 from Pliny's mention of varieties of apples and pears called Amerina allows us to read the line as instead referring to a type of pastry originating in Umbrian Ameria, which is within ancient naming practices for pastries and fits better into the context of the catalogue in which the line occurs. In this case, the second half of the catalogue is closely akin to the crustulum et mulsum donative of wealthy (...) Italian patrons in the early empire. (shrink)

This case study applies Integral Ecology to analyze the broad range of strategies environmentalists have undertaken to create protected areas and change forest practices in the Great Bear Rainforest, British Columbia, Canada. Rainforest conservation efforts in the region promoted holistic, trans-disciplinary solutions and fostered agreement among diverse stakeholders, modeling an Integral Ecology approach. Environmentalists worked locally and globally, engaging with economic, cultural, political, and scientific systems to create change. The campaign involved transformations at personal and cultural levels that have enabled (...) negotiated solutions involving over twenty million acres of rainforest on British Columbia's coast. (shrink)

Crocodile starts with Rob and Mia having a night out that ends tragically with Rob hitting and killing a cyclist. In a panic, they hide the body and don't report the accident. Years later, racked with guilt, Rob contacts Mia to tell her he's decided to anonymously report the accident so the cyclist's family can get closure. Mia panics, worried that the consequences would be dire for her, her family, and her reputation. In the rest of the episode, Mia takes (...) a series of actions to protect the life she's built. This chapter utilizes the ethical theories of Utilitarianism, Kant, Feminist Ethics of Care, and Aristotelian Virtue Ethics to determine whether Mia's actions are justifiable forms of self‐defense. (shrink)

This chapter contains sections titled: Defensible Taping The Public Appeal Sexual Appeal The Allure of Taping Motivations for Release The Complications of Releasing a Sex Tape When Trust Fails A Failed Career Move Why We Still Tape Notes.

Social intrapreneurs can help corporations to address grand challenges and create hybrid value—that is simultaneous commercial and social value—by identifying and exploring entrepreneurial opportunities that address social or environmental issues. However, we still know little about how individuals assume social intrapreneurial roles in corporations. Based on a qualitative study of social intrapreneurs and their supporters, we identify variations in social intrapreneurial profiles along two dimensions: the role of the social intrapreneur in the entrepreneurial process (idea initiator versus idea explorer), and (...) their position (within core business departments versus within sustainability departments). We contribute to the literature by identifying four different types of social intrapreneurs as corporate change agents—the Visionary Business Insurgent, the Visionary Sustainability Transformer, the Enabled Business Expert, and the Enabled Sustainability Expert—and by shedding light on four pathways to social intrapreneurship that vary in initial levels of agency and ethical expression. (shrink)

The development of novel neurotechnologies, such as brain-computer interface (BCI) and deep-brain stimulation (DBS), are very promising in improving the welfare and life prospects many people. These include life-changing therapies for medical conditions and enhancements of cognitive, emotional, and moral capacities. Yet there are also numerous moral risks and uncertainties involved in developing novel neurotechnologies. For this reason, the progress of novel neurotechnology research requires that diverse publics place trust in researchers to develop neural interfaces in ways that are overall (...) beneficial to society and responsive to ethical values and concerns. In this article, we argue that researchers and research institutions have a moral responsibility to foster and demonstrate trustworthiness with respect to broader publics whose lives will be affected by their research. Using Annette Baier’s conceptual analysis of trust, which takes competence and good will to be its central components, we propose that practices of ethical reflexivity could play a valuable role in fostering the trustworthiness of individual researchers and research institutions through building and exhibiting their moral competence and good will. By ethical reflexivity, we mean the reflective and discursive activity of articulating, analyzing, and assessing the assumptions and values that might be underlying their ethical actions and projects. Here, we share an ethics dialog tool—called the Scientific Perspectives and Ethics Commitments Survey (or SPECS)—developed by the University of Washington’s Center of Neurotechnology (CNT) Neuroethics Thrust. Ultimately, the aim is to show the promise of ethical reflexivity practices, like SPECS, as a method of enhancing trustworthiness in researchers and their institutions that seek to develop novel neurotechnologies for the overall benefit of society. (shrink)

The success or failure of an ineffective assistance of counsel claim turns largely on the testimony of trial counsel. It is therefore common for the government to communicate ex parte with trial co...

In a very famous analysis and panegyric of the philosopher, Plato claimed that he is a man magnificent in mind and the spectator of all time and all existence. These are great words, and words made venerable by ancient repute and centuries of citation. Unfortunately, however, like many such utterances they can only be regarded as hyperbolic and rhetorical; and in an age that, failing in inspiration and fecundity of intuition, seeks at least to be precise, thay must suffer limitation. (...) For the lumen siccum of reason shows that the phrase “all time” involves a contradiction, and that the human mind, by nature limited both in amplitude and in profundity. (shrink)

The subject on which I am to address you this evening is one which, though it is of fundamental importance both for philosophy and for practice, cannot but present the gravest difficulties for such treatment as falls within the limits of this occasion. Philosophical problems are always difficult, but those of ultimate metaphysics are in this respect egregious. For the simplifications that are open to the scientific phenomenologist who can rest content with a spatiotemporal world, or to the analyst who (...) concentrates on the objective content with which the human understanding most conspicuously concerns itself, are not open to the metaphysician. He must meet the full complexity of things: not limiting himself to their appearances as objects within human experience, nor to a reflective analysis of their objective content, but taking them as they must be in themselves in order that they may appear as they empirically and reflectively do appear for the special cognitive faculties of man. I ask, therefore, for your patience and attention as I try first of all to lead you into, and then, as I hope, out of, the metaphysical labyrinth. For what I have to describe is something of a metaphysical adventure, or, if you like, a metaphysical ghoststory, in which the ghosts assume such reality as to make the solid things “give up the ghost”—which is just as it should be in a good ghost-story! (shrink)

Prima facie knowledge is an ineradicable monster. Conceived as a relation of a mind to objects extrinsic to it, it is chimerical: for knowledge, as such, is of the real , i.e. of things as they are in se ; but the prima facie form of knowledge precludes this. Its object is a thing apprehended ab extra , i.e. as referred to a subject to which it is extrinsic. To seek to escape this impasse either by making the object intrinsic (...) to the subject, or the subject a function of the object, is to reject the prima facie character of knowledge as a relation of compresent terms. The incoherence of prima facie knowledge is that its object must be both extrinsic and intrinsic to mind—extrinsic as independently real, intrinsic as known—yet can be neither : not extrinsic since thus its inseitas is occulted, not intrinsic since thus truth is mere appearance. And this chimaera becomes a monster because knowledge is also ineradicable. We cannot know that knowledge is impossible; and, though we may be in doubt about its extancy, that very doubt is epistemic in form. It is our acceptance of the demands of knowledge that lies at the basis of our doubt; and this applies not only to legitimate doubt about the extancy of knowledge, but also to chimerical doubt about its possibility. Doubt is an inchoation of knowledge, which is thus ineradicable. (shrink)

Si la phénoménologie a pour principe fondamental d?exprimer la chose même, son objet ne peut être le phénomène mais la phénoménalité, à savoir la façon dont les phénomènes se montrent à nous, c?est-à-dire leur apparaître et ce, parce que c?est précisément cette phénoménalité qui nous livre accès aux phénomènes. Par conséquent la méthode phénoménologique doit en tout point coïncider avec la phénoménalité en tant que c?est elle qui opère la révélation : « L?objet de la phénoménologie constitue identiquement sa méthode (...) et son langage » 1 . Cela conduit Henry à souligner un premier problème inhérent à la démarche phénoménologique : la méthode phénomé­nologique, et le projet qu?elle entreprend de dévoiler la chose même, pré­suppose déjà, comme sa propre possibilité « cette illumination première hors de laquelle aucune chose n?existe » 2 . En ce sens nous ne pouvons définir la méthode phénoménologique comme originelle puisque l?objet dévoilé par elle n?est autre que sa possibilité. Voilà en quoi la réduction est d?ores et déjà falsifiée puisque l?apparaître auquel elle ouvre n?est autre que sa condition propre déjà présupposée. Autrement dit, ce que la phénoménologie nous donne juste­ment, c?est la condition de son faire voir et rien d?autre. En ce sens : La méthode phénoménologique n?est rien d?autre que la mise en ?uvre systématique d?un procès. (shrink)

This chapter contains sections titled: The world in which we live Leadership today Ethics today What is leadership? The human materials of leadership Ethics and corporate leadership Leadership in the twenty‐first century.

J?aimerais interroger ici le problème de la négation de la vie à partir de certains textes de Michel Henry consacrés à Friedrich Nietzsche dans Généalogie de la psychanalyse . Par négation de la vie, Michel Henry désigne l?ensemble des modes de vie que nous pouvons ramener sous le projet de rompre avec la vie. Il emprunte à Friedrich Nietzsche des exemples tels que le doute à l?égard de soi, l?objectivisme, le scientisme, la critique de soi, la mauvaise conscience et une (...) figure devenue l?archétype de la négation, celle du prêtre. Le prêtre est l?homme qui tourne le dos à la vie, qui l?infirme et qui la nie pour aspirer à un au-delà, un ailleurs, une autre vie. Naïvement, le problème de la négation se formule de la manière suivante : l?individu peut-il se tourner contre la vie et la nier ? Pour répondre à cette première question, il me faut reprendre sommairement les principaux aspects de l?articulation de la vie et de la conscience telle qu?elle ressort des analyses des textes de Nietzsche par Michel Henry. Premièrement, la conceptualisation henryenne de l?articulation de la vie et de la conscience repose sur une idée fondamentale : « La vie, en tant que se supportant soi-même », en tant que s?éprouvant soi-même dans tout ce que l?individu est amené à vivre est un « a priori insupportable 1 . » Dans Du communisme au capitalisme , Henry revient sur cet être-rivé à soi de la vie : pure présence à. (shrink)

This essay will examine an illuminating convergence in the thoughts of Pope John Paul II and the cultural anthropologist René Girard. It will be seen that this convergence is a consequence of the shared concern of both to understand the human person in terms of its relation to other persons. So while not a personalist philosopher in the strict sense, René Girard’s concern for the interpersonal brings him close to the personalism of John Paul II, who likewise understands human subjectivity (...) in terms of the relations by which it is constituted. Both practice what might be called an “interpersonalist” personalism, which this essay will argue ought to characterize the practice of personalism in a Christian context. The essay will make this observation the basis for further reflections on the nature of personalism and its relation to the Christian intellectual tradition. (shrink)

Somites are transient structures which represent the most overt segmental feature of the vertebrate embryo. The strict temporal regulation of somitogenesis is of critical developmental importance since many segmental structures adopt a periodicity based on that of the somites. Until recently, the mechanisms underlying the periodicity of somitogenesis were largely unknown. Based on the oscillations of c-hairy1 and lunatic fringe RNA, we now have evidence for an intrinsic segmentation clock in presomitic cells. Translation of this temporal periodicity into a spatial (...) periodicity, through somite formation, requires Notch signaling. While the Hox genes are certainly involved, it remains unknown how the metameric vertebrate axis becomes regionalized along the antero–posterior (AP) dimension into the occipital, cervical, thoracic, lumbar, and sacral domains. We discuss the implications of cell division as a clock mechanism underlying the regionalization of somites and their derivatives along the AP axis. Possible links between the segmentation clock and axial regionalization are also discussed. BioEssays 22:72–83, 2000. ©2000 John Wiley & Sons, Inc. (shrink)

PURPOSE: The offer to return research results to participants is increasingly recognized as an ethical obligation, although few researchers routinely return results. We examined the needs and attitudes of parents of children with cancer and of adolescents with cancer to the return of research results. METHODS: Seven experts in research ethics scored content validity on parent and adolescent questionnaires previously developed through focus group and phone interviews. The questionnaires were revised and provided to 30 parents and 10 adolescents in a (...) tertiary care oncology setting. RESULTS: The content validity index for individual questions and the overall questionnaires scored as 0.86 for both questionnaires. All 30 parents and 10 adolescents who agreed to participate returned questionnaires. The majority (>95%) indicated that they had a strong or very strong right to receive results. Letter or e-mail was a satisfactory means to return results described as good or neutral (66% parents, 100% adolescents) but more participants wished face-to-face disclosure of results with negative implications (50% parents, 60% adolescents). Very few wanted results disseminated through a Web site. The majority acknowledged the need for peer-review before disclosure (60% of adolescents and parents) but did not want "to be the last to know." CONCLUSIONS: Our data suggest that pediatric oncology patients and parents of children with cancer strongly feel that they have a right to research results, and that they wish to receive these in a timely manner. (shrink)

Since its first publication in 1961 E.H. Carr's What is History? has established itself as the classic introduction to the subject. Ranging across topics such as historical objectivity, society and the individual, the nature of causation, and the possibility of progress, Carr delivered an incisive text that still has power to provoke debate today. For this fortieth anniversary reissue, Richard J. Evans has written an extensive new introduction that discusses the origins and the impact of the book, and assesses its (...) relevance in the age of the 21st century postmodernism and epistemological anxiety. (shrink)