Traditional, positivist assessment approaches generally fail to capture the nuances of learners’ clinical competence in medical programmes. This has led to the implementation of an alternate assessment approach known as ‘programmatic assessment’, which embraces subjectivity of human judgement in holistic decision making in clinical settings. Faculty and staff have found the introduction of programmatic assessment to be challenging because it is a major, complex change to the traditional way of carrying out assessment. Extending our previous work, where we used critical (...) realism to explore students’ experiences of programmatic assessment, we here unpack the underlying conditions and mechanisms triggered by programmatic assessment’s implementation. We applied Bhaskar’s concept of ontological stratification, retroduction and Archer’s theoretical accounts of morphogenesis/stasis to theorize the interplay between the socio-cultural entities that constrain and enable desired changes in assessment practices, and those that condition students and staff to accept or reject the new ‘non-traditional’ assessment processes. (shrink)

Computability and Logic has become a classic because of its accessibility to students without a mathematical background and because it covers not simply the staple topics of an intermediate logic course, such as Godel's incompleteness theorems, but also a large number of optional topics, from Turing's theory of computability to Ramsey's theorem. This 2007 fifth edition has been thoroughly revised by John Burgess. Including a selection of exercises, adjusted for this edition, at the end of each chapter, it offers (...) a simpler treatment of the representability of recursive functions, a traditional stumbling block for students on the way to the Godel incompleteness theorems. This updated edition is also accompanied by a website as well as an instructor's manual. (shrink)

Many guidelines and commentators endorse the view that clinical research is ethically acceptable only when it has social value, in the sense of collecting data which might be used to improve health. A version of this social value requirement is included in the Declaration of Helsinki and the Nuremberg Code, and is codified in many national research regulations. At the same time, there have been no systematic analyses of why social value is an ethical requirement for clinical research. Recognizing this (...) gap in the literature, recent articles by Alan Wertheimer and David Resnik argue that the extant justifications for the social value requirement are unpersuasive. Both authors conclude, contrary to almost all current guidelines and regulations, that it can be acceptable across a broad range of cases to conduct clinical research which is known prospectively to have no social value. The present article assesses this conclusion by critically evaluating the ethical and policy considerations relevant to the claim that clinical research must have social value. This analysis supports the standard view that social value is an ethical requirement for the vast majority of clinical research studies and should be mandated by applicable guidelines and policies. (shrink)

Menschliches Bewusstein findet sich immer schon als verkörpertes vor. Diese Einsicht steht im Zentrum des kognitionswissenschaftlichen Paradigmas der embodied cognition: Der Geist ist „innig an einen Körper gebunden und innig in seine Welt eingebettet“. Der Geist ist kein in einem vermeintlichen Innenraum verborgenes und von der Welt weitgehend gelöstes neuronales Netzwerk, sondern als eine dynamische Weise des leiblichen In-der-Welt-Seins zu verstehen. Mit der Philosophie der Verkörperung gewinnt die Theologie einen Gesprächspartner, der ihr hilft, ihre eigene Körpervergessenheit zu überwinden und Anschluss (...) an die biblischen Anthropologien zu gewinnen. Denn diese verstehen die menschliche Existenz grundsätzlich als leiblich verfasst. Aktuelle Forschungen an der Schnittstelle von Neurobiologie und Philosophie einerseits und Exegese und Systematik andererseits lassen sich so in einen spannenden Diskurs bringen, an dessen Ende eine neue interdisziplinäre Anthropologie stehen könnte. Der vorliegende Band eröffnet diesen Diskurs mit Beiträgen aus Philosophie, Exegese und Systematischer Theologie. (shrink)

After 150 years of scientific developments, the periodic system of chemical elements is still an icon of modern science. Its resilience is striking. The icon used today by scientists and teachers is in fact the outcome of many rearrangements and reinterpretations by the scientific community during that period. This success is often explained as a result of the underlying atomic structure, discovered in the first decades of the 20th century, an explanation that completely neglects the fine structure of the process (...) of ongoing renegotiation and successive stabilizations. How did indeed contemporary scientists navigate in times of reinterpretation? The physicist Lise Meitner and the chemist Ida Noddack were, in different ways, involved in discoveries and interpretations of the periodic system. In 1934, as part of the celebration of the centenary of Dmitri Mendeleev's birth, they each published an article on the system: Meitner in Die Naturwissenschaften, and Noddack in Angewandte Chemie. These two articles, written from the perspectives of a nuclear physicist and a chemist experienced in searching for undiscovered elements, respectively, constitute excellent sources for understanding what new discoveries and insights meant for the meaning and value of the periodic system at the very beginning of the nuclear age in science. Through an analysis of the two contributions, we will argue that resilience is the foremost value of the periodic system. We will also discuss what this value means for the future of the periodic system and its representations. (shrink)

Pedagogy, power and practice ethics: clinical teaching in psychiatric/mental health settings Often, baccalaureate nursing students initially approach a psychiatric mental health practicum with uncertainty, and even fear. They may feel unprepared for the myriad complex practice situations encountered. In addition, memories of personal painful life events may be vicariously evoked through learning about and listening to the experiences of those diagnosed with mental disorders. When faced with such challenging situations, nursing students often seek counsel from the clinical and/or classroom faculty. (...) Pedagogic boundaries may begin to blur in the face of student distress. For the nurse educator, several questions arise: Should a nurse educator provide counseling to students? How does one best negotiate the boundaries between ‘counselor’, and ‘caring educator’? What are the limits of a caring and professional pedagogic relation? What different knowledges provide guidance and to what differential consequences for ethical pedagogic relationships? This paper offers a comparative analysis of three philosophical stances to examine differences in key assumptions, pedagogic positioning, relationships of power/knowledge, and consequences for professional ethical pedagogic practices. While definitive answers are difficult, the authors pose several questions for consideration in discerning how best to proceed and under what particular conditions. (shrink)

What if our politics are shaped by the texture of wounds rather than the identity of selves? What possible future will have been opened up by posing that very question? I take up Eve Sedgwick’s invitation to begin with stigma “as a near-inexhaustible source of transformational energy” for a transformative queer politics and elaborate Sedgwick’s attention to spoiled identity through Hortense Spiller’s conceptualization of the flesh. The flesh substantiates the grounds for a materialist ontology that begins with stigma, the materiality (...) of the wound, to constitute a transformative politics toward a fugitive elsewhere. Reading Sedgwick and Spillers together opens up a transformative ontological register that spans the material, affective, and fugitive. I argue that the hieroglyphics of the flesh give us knowledge of ourselves and others and the world we have lived through but also invite us to transform who and what we are, how we relate, and what a world might look like where our being is not constituted by fugitive survival. I suggest that such hieroglyphics can be engaged by touching wounds understood as a haptic reading of textures impressed on our embodied being while paying attention to the lines of flight that erupt from the wound. (shrink)

We welcome network theory as a tool for modelling the multi-directional interactions that characterise disease. However, we feel that Cramer et al. have neglected one important aspect: how diseases change over developmental time. We discuss principles such as fan in, fan out, bottlenecks, and common pathways, and argue that modelling these developmental aspects can be vital, particularly in deriving properly targeted treatments.

The study of alternative genetic systems and mixed modes of reproduction, whereby sexual and asexual reproduction is combined within the same lifecycle, is of fundamental importance as they may shed light on classical evolutionary issues, such as the paradox of sex. Recently, several such cases were discovered in social insects. A closer examination of these systems has revealed many amazing facts, including the mixed use of asexual and sexual reproduction for the production of new queens and workers, males that can (...) clone themselves and the routine use of incest without deleterious genetic consequences. In addition, in several species, remarkable cases of asexually reproducing socially parasitic worker lineages have been discovered. The study of these unusual systems promises to provide insight into many basic evolutionary questions, including the maintenance of sex, the expression of sexual conflict and kin conflict and the evolution of cheating in asexual lineages. (shrink)

En el texto se exponen las opiniones de Saul Kripke acerca del funcionalismo en la filosofía de la mente, que aún permanecen en gran parte sin publicarse, con base en la transcripción de una charla suya de 1984 sobre este tema, y se identifican algunas preguntas sin resolver.

This article explores the arguments for and against victims’ mitigating opinions on sentence. It describes a recent South African appeal case, compares it with a similar New Zealand appeal court judgment, and then investigates the legal position in England and Wales. It appears that, as a general rule, victims’ recommendations as to penalty must be avoided. However, unlike in South Africa and New Zealand, the jurisprudence in England and Wales has developed exceptions in this regard when certain categories of victims (...) request a more lenient sentence. Several cases from England and Wales reveal that, through considering the harms and needs of victims and ameliorating the sentences accordingly, a restorative justice approach is blended with a just deserts requirement for the protection of lower limits in sentencing. This ensures that the principles of proportionality, certainty and consistency are still adhered to. It is concluded that, had the South African court properly considered these comparative legal developments, it would, at the very least, have created a better precedent by providing guidelines to inform the complex, but important, process of considering victims mitigating opinions in the sentencing process. (shrink)

Thomas GRAUMANN (G.) untersucht in seiner im Wintersemester 1999/2000 von der Evangelisch-Theologischen Fakultät der Ruhr-Universität Bochum als Habilitationsschrift angenommenen Studie die Entstehung einer „patristischen“, sich auf in Zitaten fassbare „Väter“ rückbeziehende und stützende Theologie von ihren Anfängen in der trinitätstheologischen Kontroverse des 4. Jahrhunderts bis zum ihrem (ersten) Höhepunkt im Verlauf der ökumenischen Synode von Ephesos (431).

Few studies have been conducted into the use of mobile technologies at community-based organizations. Community sport organizations (CSOs) typically operate within a defined geographic area and rely on the primary support of volunteers. Based on the characteristics of mobile-based information services, this article proposes a model that provides a guide for CSOs to classify mobile applications through four mobile utility factors and three innovation adoption determinants (cost, skill requirements, and compatibility). The model is supported visually by the use of Microsoft (...) Excel generated “radar graphs” to illustrate desired practical and actual performance. The contribution of the theoretical model is one of providing a vehicle for evaluating mobile technology applications by CSOs to identify the potential effectiveness of mobile devices, particularly in a preadoption scenario. (shrink)

This essay argues that Pavel Florensky (1882–1937), one of Russia’s most creative religious philosophers, makes an important contribution to Christian social ethics by positing “blessing” as a central moral act. Drawing on Orthodox liturgical practices of blessing, Florensky redescribes reality; it is filled with God’s energies. Especially in letters from the gulag, after his arrest in 1933 for “counter-revolutionary” activity, Florensky calls forth the sacramental mystery of the natural world around the camps and of each person to whom he writes. (...) In attending to them in their concrete particularity, he offers resistance to a totalitarian regime that would reduce them to raw, exploitable material. (shrink)