Many Western countries have introduced market principles in healthcare. The newly introduced financial instrument of “care-intensity packages” in the Dutch long-term care sector fit this development since they have some characteristics of a market device. However, policy makers and care providers positioned these instruments as explicitly not belonging to the general trend of marketisation in healthcare. Using a qualitative case study approach, we study the work that the two providers have done to fit these instruments to their organisations and how (...) that enables and legitimatises market development. Both providers have done various types of work that could be classified as market development, including creating accounting systems suitable for markets, redefining public values in the context of markets, and starting commercial initiatives. Paradoxically, denying the existence of markets for long-term care and thus avoiding ideological debates on the marketisation of healthcare has made the use of market devices all the more likely. Making the market invisible seems to be an operative element in making the market work. Our findings suggest that Dutch long-term care reform points to the need to study the ‘making’ rather than the ‘liberalising’ of markets and that the study of healthcare markets should not be confined to those practices that explicitly label themselves as such. (shrink)

Corporate citizenship challenges the foundations and working of the basic institutions market, state and civil society. These institutional changes complicate the work of the manager, because the responsibilities of management are not only increasing, they are also becoming vaguer and more elusive. In this paper, I will analyze the new, complex responsibilities of management in terms of the scope and the legitimizationof corporate citizenship. What may we expect of individual organizations? Which wishes of which stakeholders should be honored? How can (...) we legitimize the new societal and public role of business firms? The outcome of this analysis will be translated to the practice of management; how can we strengthen the social responsibility of managers? Four options will be discussed. (1) Market regulation, which binds the actions of managers. (2) Professionalization of management, which seeks for better information. (3) Moral management, which incorporates norms and values from outside the market. (4) Stakeholder management, which leaves room for the participation of stakeholders. These options can be schematized according to an internal-external axis and an objective-subjective axis. I will show that stakeholder management fits the best with the idea of corporate citizenship, but has serious risks of failing. (shrink)

Serious incident investigations—often conducted by means of Root Cause Analysis methodologies—are increasingly seen as platforms to learn from multiple perspectives and experiences: professionals, patients and their families alike. Underlying this principle of inclusiveness is the idea that healthcare staff and service users hold unique and valuable knowledge that can inform learning, as well as the notion that learning is a social process that involves people actively reflecting on shared knowledge. Despite initiatives to facilitate inclusiveness, research shows that embracing and learning (...) from diverse perspectives is difficult. Using the concept of ‘epistemic injustice’, pointing at practices of someone’s knowledge being unjustly disqualified or devalued, we analyze the way incident investigations are organized and executed with the aim to understand why it is difficult to embrace and learn from the multiple perspectives voiced in incident investigations. We draw from 73 semi-structured interviews with healthcare leaders, managers, healthcare professionals, incident investigators and inspectors, document analyses and ethnographic observations. Our analysis identified several structures in the incident investigation process, that can promote or hinder an actor’s epistemic contribution in the process of incident investigations. Rather than repeat calls to ‘involve more’ and ‘listen better’, we encourage policy makers to be mindful of and address the structures that can cause epistemic injustice. This can improve the outcome of incident investigations and can help to do justice to the lived experiences of the involved actors in the aftermath of a serious incident. (shrink)

This book is the first comprehensive study on Moses Mendelssohn's (1729-1786) language philosophy. While guiding the reader throughhis oeuvre, a new perspective is gained that brings Mendelssohn closer to the skeptical currents of Enlightenment. The dialectics of human and sacred language play a constitutive role for his language theory as well as for his aesthetics and metaphysics, and finally lead into the political idea of a just, social order. Thus, he developed an important alternative to monolingual, national language concepts.

Students of the Enlightenment have long assumed that the major movement towards atheism in the Ancien Régime was centered in the circle of intellectuals who met at the home of Baron d'Holbach during the last half of the eighteenth century. This major critical study shows, contrary to the accepted views, that in fact, atheism was not the common bond of a majority of the members and that, far from being alienated figures, most of the members were privileged and publicly successful (...) citizens devoted to peaceful and gradual reform. Alan Charles Kors determines the coterie's membership and discovers it to have been a diverse assemblage of philosophes, men of letters, and scientists. Analyzing the thought and behavior of those members who lived past 1789, the author argues that the hostility to the Revolution expressed by the coterie's survivors was fully consistent with their world view. Originally published in 1976. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905. (shrink)

Name der Zeitschrift: Kant-Studien Jahrgang: 108 Heft: 2 Seiten: 247-269.

Background Policy instruments based on the working of markets have been introduced to empower consumers of healthcare. However, it is still not easy to become a critical consumer of healthcare. Objectives The aim of this study is to analyse the possibilities of the state to strengthen the position of patients with the aid of a new financial regime, such as personal health budgets. Methods Data were collected through in-depth interviews with executives, managers, professionals and client representatives of six long-term care (...) institutions. Results With the introduction of individual budgets the responsibility for budgetary control has shifted from the organisational level to the individual level in the caregiver-client relationship. Having more luxurious care on offer necessitates a stronger demarcation of regular care because organisations cannot simultaneously offer extra care as part of the standard care package. New financial instruments have an impact on the culture of receiving and giving care. Distributive justice takes on new meaning with the introduction of financial market mechanisms in healthcare; the distributing principle of ‘need’ is transformed into the principle of ‘economic demand’. Conclusion Financial instruments not only act as a countervailing power against providers insufficiently client-oriented, but are also used by providers to reinforce their own positions vis-à-vis demanding clients. Tailor-made finance is not the same as tailor-made care. (shrink)

The article is devoted to spelling errors of Russian learners in a French-speaking environment. Based on 1,816 spelling errors, the analysis focuses on four mechanisms (transposition, insertion, omission, and substitution), and the influence of contextual and non-contextual (cognitive, inter- and intralinguistic, extralinguistic) factors is taken into account for each mechanism in question. Despite the multidimensional nature of the factors involved, the recurrence of certain errors makes it possible to distinguish clear trends in the acquisition of linguistic facts. In addition, a (...) quantitative analysis of the obtained data allows cross-sectional studies of errors, which traces back the steps in the acquisition of various aspects of Russian spelling, from A1 to C1 level for the first time. Moreover, the qualitative analysis of errors provides valuable data for pedagogical materials. (shrink)

Scientific communities expect early career researchers to become intellectually independent and to develop longer-term research plans. How such programs emerge during the early career phase is still poorly understood. Drawing on semistructured interviews with German ECRs in plant biology, experimental physics, and early modern history, we show that the development of such a plan is a research process in itself. The processes leading to IRPs are conditioned by the fields’ epistemic practices for producing new knowledge. By linking the conditions under (...) which ECRs work to the epistemic properties of their IRPs, we identify mechanisms that produce these programs and conditions facilitating or hindering the operation of these mechanisms. (shrink)

Using data from 1,352 middle-school Israeli adolescents, the current study examines the interface of spirituality and character strengths and its longitudinal contribution to subjective well-being and prosociality. Participants were approached three times over a 14-months period and completed measures of character strengths, spirituality, subjective well-being (positive emotions, life satisfaction), and prosociality. Findings revealed a fourth-factor structure of character strengths that included the typical tripartite classification of intrapersonal, interpersonal, and intellectual strengths together with spirituality emerging as a statistically autonomous factor. Spirituality (...) was stable over time and contributed to higher subjective well-being and prosociality both cross-sectionally and longitudinally. Discussion focuses on spirituality as a fundamental character strength and an important aspect of positive development. (shrink)

Defining the Enlightenment as the "long eighteenth century," the Encyclopedia focuses on the entire range of philosophic and social changes engendered by the Enlightenment. It extends the conventional geographical boundaries of the Enlightenment, covering not only France, England, Scotland, the Low Countries, Italy, English-speaking North America, the German states, and Hapsburg Austria but also Iberian, Ibero-American, Jewish, Russian, and Eastern European cultures. Nor does the Encyclopedia of the Enlightenment limit itself to major centers like Paris in France and Edinburgh in (...) Scotland, but shares the rich lode of recent scholarship on "secondary" and "provincial" centers such as Berlin and Geneva; Philadelphia and Milan. The Encyclopedia of the Enlightenment brings a similar spirit of inclusion to the new theoretical and methodological approaches that have flowered in the humanities during the past two decades. Including feminist and various post-modernist reassessments alongside more traditional perspectives, the four volumes offer the broadest possible range of current knowledge. Accessibility combined with scholarly rigor make the encyclopedia the first choice for researching any aspect of the Enlightenment. Designed and organized for ease of use, its special features include more than 700 signed articles; annotated bibliographies following each article to guide further study; an extensive system of cross-references; a synoptic outline of contents; a comprehensive topical index providing easy access to networks of related articles; and high quality illustrations, including photographs, line drawings, and maps. (shrink)

John Stuart Mill is the critical transitional figure between the classical liberalism of the 19th century, with its emphasis upon the creative power of free individuals unfettered by government or social interventions, and the welfare-state liberalism of the 20th century, with its combination of individual choice in matters of belief and lifestyle and the political redistribution of wealth. In On Liberty and The Subjection of Women , Mill offered a defense of self-sovereignty and voluntary association that appeared to extend explicitly (...) to the economic spheres. Both works are celebrations of the productive and moral enhancements of individual liberty. In The Principles of Political Economy , however, Mill's categorical distinction between “production” and “distribution” assigned the latter to the “expedient” discretion of the state, inviting, in theory, a democratic redistributionist state. Mill's posthumous Essays on Socialism reveal that he was no friend of socialism or Marxism, but that he welcomed a more active and interventionist state. One of individual liberty's most notable defenders, paradoxically, provided the theoretical underpinning of its current diminution. (shrink)

Lecture 1. Locke's theory of knowledge, guest lecture / by Alan Kors ; lecture 2. Locke's political theory, guest lecture / by Dennis Dalton ; lecture 3. montesquiey and the beginnings of political science ; lecture 4. Berkeley's idealism and the critique of materialism ; lecture 5. Hume's epistemiology ; lecture 6. Hume's theory of morality ; lecture 7. Smith's wealth of nations ; lecture 8. Rousseau's dissent, the challenge to the idea of progress, guest lecture / by Alan Kors (...) ; lecture 9. Kant's copernicus revolution, epistemiology and the critique of metaphysics ; lecture 10. Kant's moral philosophy ; lecture 11. Burke and the birth of enlightened conservatism ; lecture 12. naturalism and materialism, the boundaries of the enlightenment, guest lecture. (shrink)

This article discusses the meanings, origin, context, scope, and central intellectual claims of atheism in the Age of the European Enlightenment. It emphasizes debates about proofs of the existence of God and about the problem of categorical naturalism, that is, of whether or not the world we observe and its seeming design could be the product of unintelligent causes. It explores the philosophical origins of Enlightenment atheism both in prior heterodox and Epicurean thought, and, of even greater importance, in the (...) orthodox debates, scholarship, and mutual contestations that generated so many of the themes and often arguments of Enlightenment atheists. It pays special attention to the complexity of the relationship between philosophical skepticism and atheistic thought. Given the flowering of explicitly atheistic thought in the late French Enlightenment, the article looks closely at the work of Denis Diderot, the baron d’Holbach, and Jacques-André Naigeon. (shrink)

In recent years, membrane contact sites (MCS), which mediate interactions between virtually all subcellular organelles, have been extensively characterized and shown to be essential for intracellular communication. In this review essay, we focus on an emerging topic: the regulation of MCS. Focusing on the tether proteins themselves, we discuss some of the known mechanisms which can control organelle tethering events and identify apparent common regulatory hubs, such as the VAP interface at the endoplasmic reticulum (ER). We also highlight several currently (...) hypothetical concepts, including the idea of tether oligomerization and redox regulation playing a role in MCS formation. We identify gaps in our current understanding, such as the identity of the majority of kinases/phosphatases involved in tether modification and conclude that a holistic approach—incorporating the formation of multiple MCS, regulated by interconnected regulatory modulators—may be required to fully appreciate the true complexity of these fascinating intracellular communication systems. (shrink)

There is no “after socialism.” There will not be in our or in our children's lifetimes an “after socialism.” In the wake of the Holocaust and the ruins of Nazism, anti-Semitism lay low a bit, embarrassed by its worst manifestation, its actual exercise of state dominion. In the wake of the collapse of Communism, socialism's only real and full experience of power, socialism too lays low for just a moment. Socialism's causes in the West, however, remain ever with us, the (...) product of the convergence of two extraordinary achievements: liberal free enterprise and political democracy. The former creates wealth that has transformed all human possibility, but it also gives rise to particularly deep envy. The latter allows ambition a route to power by an appeal to the democratic state to seize and redistribute wealth in the name of social equality. As Friedrich Hayek and Ludwig von Mises understood perfectly, the bounty of free enterprise leads the unproductive to believe that such wealth is a fact of nature, there for the taking. (shrink)

Atheism was the most foundational challenge to early-modern French certainties. Theologians and philosophers labelled such atheism as absurd, confident that neither the fact nor behaviour of nature was explicable without reference to God. The alternative was a categorical naturalism, whose most extreme form was Epicureanism. The dynamics of the Christian learned world, however, which this book explains, allowed the wide dissemination of the Epicurean argument. By the end of the seventeenth century, atheism achieved real voice and life. This book examines (...) the Epicurean inheritance and explains what constituted actual atheistic thinking in early-modern France, distinguishing such categorical unbelief from other challenges to orthodox beliefs. Without understanding the actual context and convergence of the inheritance, scholarship, protocols, and polemical modes of orthodox culture, the early-modern generation and dissemination of atheism are inexplicable. This book brings to life both early-modern French Christian learned culture and the atheists who emerged from its intellectual vitality. (shrink)

Covering the "long" Enlightenment, from the rise of Descartes' disciples in 1670 to the restoration of the Bourbon monarchy in 1815, the Encyclopedia of the Enlightenment contains articles ranging from discussions of mercantilism and democracy to the dissemination of ideas in salons and coffeehouses. It is also an e-reference text from Oxford's Digital Reference Shelf.

Atheism was the most fundamental challenge to early-modern French certainties. Leading educators, theologians and philosophers labelled such atheism as manifestly absurd, confident that neither the fact nor behaviour of nature was explicable without reference to God. The alternative was a categorical naturalism. This book demonstrates that the Christian learned world had always contained the naturalistic 'atheist' as an interlocutor and a polemical foil, and its early-modern engagement and use of the hypothetical atheist were major parts of its intellectual life. In (...) the considerations and polemics of an increasingly fractious orthodox culture, the early-modern French learned world gave real voice and eventually life to that atheistic presence. Without understanding the actual context and convergence of the inheritance, scholarship, fierce disputes, and polemical modes of orthodox culture, the early-modern generation and dissemination of absolute naturalism are inexplicable. This book brings to life that Christian learned culture, its dilemmas, and its unintended consequences. (shrink)

lecture 1. Introduction : intellectual history and conceptual change -- lecture 2. The dawn of the 17th century : Aristotelian scholasticism -- lecture 3. The new vision of Francis Bacon -- lecture 4. The new astronomy and cosmology -- lecture 5. Descartes's dream of perfect knowledge -- lecture 6. The specter of Thomas Hobbes -- lecture 7. Skepticism and Jansenism : Blaise Pascal -- lecture 8. Newton's discovery -- lecture 9. The Newtonian revolution -- lecture 10. John Locke, the revolution (...) in knowledge -- lecture 11. The Lockean moment -- lecture 12. Skepticism and Calvanism : Pierre Bayle -- lecture 13. The moderns, the generation of 1680-1715 -- lecture 14. Introduction to deism -- lecture 15. The conflict between deism and Christianity -- lecture 16. Montesquieu and the problem of relativism -- lecture 17. Voltaire, bringing England to France -- lecture 18. Bishop Joseph Butler and God's providence -- lecture 19. The skeptical challenge to optimism, David Hume -- lecture 20. The assault upon philosophical optimism, Voltaire -- lecture 21. The philosophes : the triumph of the French Enlightenment -- lecture 22. Beccaria and enlightened reform -- lecture 23. Rousseau's dissent -- lecture 24. Materialism and naturalism, the boundaries of the Enlightenment. (shrink)

lecture 1. The patriarch, an overview -- lecture 2. The education of a philosophe -- lecture 3. Philosophical letters, part I -- lecture 4. Philosophical letters, part II -- lecture 5. The years at Cirey -- lecture 6. From optimism to humanism -- lecture 7. Voltaire and the "philosophical tale" -- lecture 8. Voltaire at Ferney -- lecture 9. Voltaire and God -- lecture 10. Voltaire and history -- lecture 11. Voltaire and toleration -- lecture 12. Apotheosis.

Der vorliegende Band gibt in neunzehn Beiträgen den aktuellen Stand der wissenschaftlichen Diskussion zu Willensfreiheit, Determinismus und Verantwortlichkeit in praktischen Kontexten wieder. Er klärt zunächst die genannten Begriffe, um dann die wichtigsten Methoden und Ergebnisse der Hirnforschung zu präsentieren. Diese Forschungsergebnisse werden im Weiteren philosophisch interpretiert und innerhalb ethischer Koordinaten bestimmt. Abschließende Beiträge reflektieren ihre Anwendung auf die Gebiete der Rechtssprechung und Demenzforschung. Damit eröffnet der Band ein breites Spektrum interdisziplinärer Perspektiven auf ein vieldiskutiertes Thema.