In healthcare practice, care providers are confronted with decisions they have to make, directly affecting patients and inevitably harmful. These decisions are tragic by nature. This study investigates the role of Moral Case Deliberation in dealing with tragic situations. In MCD, caregivers reflect on real-life dilemmas, involving a choice between two ethical claims, both resulting in moral damage and harm. One element of the reflection process is making explicit the harm involved in the choice. How harmful are our decisions? We (...) investigated how facilitators of MCD experience the importance of addressing harm in MCD and what participants learn from reflecting on harm. The study was qualitative, focusing on the views and experiences of the facilitators of MCD. Semi-structured interviews were conducted with facilitators of MCD. The research focuses on the subjective experiences of facilitators. Grounded Theory was used for analysis. The results show two main categories. The first concerns the awareness of tragedy. Within this category, five themes were discerned: making explicit that there is no solution, visualizing consequences, uncovering pain, focusing on emotion, and exploring perspectives on harm. The second category concerns the support for healthcare professionals in dealing with the tragedy of the choices they face. In this category, five themes came forward: acknowledging, offering comfort, managing harm, consideration through dialogue and repairing harm. Our study shows that addressing harm in MCD in tragic situations provides an important moral learning opportunity for participants. By formulating and becoming aware of harm, MCD aids healthcare professionals in the task they are faced with, namely making difficult and painful choices. MCD helps healthcare professionals to repair moral damage, making clear at the same time that harm cannot be undone. (shrink)

In healthcare practice, care providers are confronted with tragic situations, in which they are expected to make choices and decisions that can have far-reaching consequences. This article investigates the role of moral case deliberation in dealing with tragic situations. It focuses on experiences of care givers involved in the treatment of a pregnant woman with a brain tumour, and their evaluation of a series of MCD meetings in which the dilemmas around care were discussed. The study was qualitative, focusing on (...) the views and experiences of the participants. A case study design is used by conducting semi-structured interviews with health care professionals who both played a role in the treatment of the patient and attended the MCD. The results show that MCD helps people to deal with tragic situations. An important element of MCD in this respect is making explicit the dilemma and the damage, demonstrating that there is no simple solution. MCD prompts participants to formulate and share personal experiences with one another and thus helps to create a shared perception of the situation as tragic. The article concludes that MCD contributes to the sharing of tragic experiences, and fosters mutual interaction during a tragedy. Its value could be increased through explicit reflection on the aspect of contingency that characterises tragedy. (shrink)

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work.This work is in the public domain in (...) the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Moral Case Deliberation is intended to assist healthcare professionals faced with difficult dilemmas in their work. These are situations that involve emotions. During Moral Case Deliberation, participants are invited to reflect on moral views and deliberate on them. Emotions are not explicitly addressed. This article aims to elucidate the role of emotions in Moral Case Deliberation, by analysing experiences of Moral Case Deliberation facilitators. Our research shows the role of emotions varies according to the phase of the Moral Case Deliberation (...) process. One negative aspect of emotions is that they can obstruct the Moral Case Deliberation discussion or distract from the moral question. A positive aspect is that they bring the dilemma into sharper focus. Devoting attention to emotions can help to ensure that responsible decisions are made, while also increasing the moral resilience of participants. (shrink)

This never published paper by Benita Luckmann describes the ori­gins and uniqueness of the New School for Social Research. It portrays Alfred Schutz’s arrival in the United States, his reasons for working at the New School, his exchange with Talcott Parsons, the debate over his presentation of the Stranger in the General Seminar, and his many efforts to recruit Aron Gurwitsch to the New School. It also provides an account of Gurwitsch’s experience of life in exile, his friendship with (...) Schutz, and his time at the New School after Schutz’s death. (shrink)

In this article, I argue that members of the Women's Caucus of ACT UP/la formed a boundary between themselves and male members to increase the WC's power within the feminist-friendly organization. The WC's boundary-making strategies—formalizing women's space and reinscribing gender difference—combatted “slippage” of ACT UP/la's focus away from women's issues precipated by men's greater numbers in the group. ACT UP/la's feminist-friendly politics, legitimated WC efforts, and caused male members to defer to the WC; the WC became “official women,” gaining control (...) over their agenda, over their participation within ACT UP/la, and over male contributions to the WC itself. Boundary making had an unintended effect, compartmentalization, whereby women's issues became the sole responsibility of the WC. I conclude that the WC's boundary making in ACT UP/la's feminist-friendly milieu was at once successful and problematic, and that the efforts of feminists in such organizations deserve greater scrutiny. (shrink)

A position joining critical theory with the Marxist critique of imperialism informs the following discussion on the perceived shortcomings of Chibber’s study in its avowed claim to disavow postcolonial theory. Chibber’s insistence on reading Subaltern Studiesaspostcolonial theory is unsustainable in that it fails to address the epistemological premises of a theory adopted and not initiated by the project. Whereas Chibber does ably contest assertions made by Subaltern Studies concerning the special conditions of India halting capitalism’s universalising drive, his concentrated but (...) narrowly-focused and repetitive criticism disregards prior work contiguous to his own specialism as well as disciplines other than the social sciences. Thus the explanatory power of Uneven and Combined Development in understanding the internal conditions of societies conscripted into capitalism is cast aside, as are the resources of Marxist cultural criticism in writing a metanarrative of these consequences inallof their aspects: economic, social, cultural and experiential – omissions that paradoxically are to the fore in postcolonial theory. (shrink)

We describe the parallel changes that have taken place in recent years in two countries, Israel and The Philippines, the former once an “exporter” of transplant tourists and the latter once an “importer” of transplant tourists. These changes were in response to progressive legislation in both countries under the influence of the Declaration of Istanbul. The annual number of Israeli patients who underwent kidney transplantation abroad decreased from a peak of 155 in 2006 to an all-time low of 35 in (...) 2011 while in the Philippines the annual number of foreign transplant recipients fell from 531 in 2007 to two in 2011. The experience of these two countries provides a “natural experiment” on the potential impact of legal measures to prevent transplant tourism. (shrink)

Environmentally Conscious Supply Chain Management (ECSCM) refers to the control exerted over all immediate and eventual environmental effects of products and processes associated with converting raw materials into final products. While much work has been done in this area, the focus has traditionally been on either: product recovery (recycling, remanufacturing, or re-use) or the product design function only (e.g., design for environment). Environmental considerations in manufacturing are often viewed as separate from traditional, value-added considerations. However, the case can be made (...) that professional engineers have an ethical responsibility to consider the immediate and eventual environmental impacts of products and processes that they design and/or manage. This paper describes ECSCM as a component of engineering ethics, and highlights the major issues associated with ethical decision-making in supply chain management. (shrink)

In this study, we sought to obtain detailed opinion on some of the practical issues that might arise should physician-assisted suicide (PAS) ever be legalized in the UK. We carried out an anonymous postal questionnaire of medical students, junior and senior doctors working at an acute hospital trust, over a three-week period. A total of 435 questionnaires were distributed and we had an overall return rate of 34%. We found that opinions changed very little as doctors progressed from medical school (...) through to senior clinical positions. Overall, there was neutral opinion on whether PAS should be legalized. There was strong support for a multidisciplinary approach to the process and the involvement of the coroner. An opt-out clause for physicians who did not want to be involved in assisted suicide also received strong support. (shrink)

La democracia clásica ateniense constituye para la teoría política de Occidente el primer ejemplo donde se desarrolla plenamente lo que Max Weber denominó homo politicus. La constitución de esta ciudad-estado fue conformándose sobre la base del principio político de isonomía, sinónimo de democracia. Todas las instituciones políticas de la democracia ateniense estaban ocupadas por ciudadanos. Las diferentes magistraturas, el Consejo —Bulé—, la Asamblea —Ekklesía— y los Tribunales —Heliea—, entre otras instituciones, requerían de la participación y del compromiso constante del conjunto (...) de los ciudadanos atenienses. La identificación de la ciudad-estado ateniense con el conjunto de sus ciudadanos supuso la realización de la politike areté, que significa que todos los ciudadanos se ponen en relación de cooperación e inteligencia en el espacio vital de la polis. Las exigencias políticas, sociales y militares que la democracia ateniense demandó a sus ciudadanos sirve para entender que significa realmente ser ciudadano de una comunidad política. La ciudadanía de la democracia ateniense supone el primer ejemplo de homo politicus de la historia política de Occidente. (shrink)

In the wake of two decades in which postmodern theory has become very popular in university humanities and social science departments around the world, Gavin Kitching claims that postmodernism is causing harm to students intellectually. Postmodern theory has engaged the hearts and heads of the brightest students because of its apparent political and social radicalism. Yet Kitching writes: “At the heart of postmodernism is very poor, deeply confused, and misbegotten philosophy. As a result even the very best students (...) who fall under its sway produce radically incoherent ideas about language, meaning, truth, and reality.” This is not another conservative attack on postmodern theory. Rather, it is a carefully considered analysis from a dedicated university teacher who is convinced that we have gone terribly astray. He analyzes why typical postmodern theoretical approaches simply aren’t effective tools for dealing with the realities of people and their activities, and he describes the philosophical confusion that lies at the heart of the problem. He also demonstrates the political implications for students, their universities, and society when students learn to use poorly constructed arguments as the basis of their writing. _The Trouble with Theory _is essential reading for all students writing a thesis in the humanities and the social sciences and for their teachers. (shrink)

In this major study, Professor Kitching builds on recent scholarship on Marx and Wittgenstein to provide an incisive, readable account and critique of the whole of Marx's work. He presents the philosophical, economic, and political Marx as one thinker, and argues that the key to understanding Marx is his commitment to a 'philosophy of praxis'. This sees thought as just part of that purposive activity (or praxis) which distinguishes human beings from other creatures. This is the first book to (...) analyse all of Marx's thought from a Wittgenstein perspective; in doing so, it clarifies and deepens our understanding of Marx. (shrink)

Sugar on the ground -- Someday -- Monday -- Haikool -- Free at last -- Man wo -- Oran nan raiders -- Green power -- Ishidatami -- Chemistry -- Blue Jay Way.

Two linked studies explored whether students’ perceptions differentiate between teachers’ autonomy support and control when presenting mastery goals, and the outcomes of these two practices, in terms of students’ internalization of mastery goals and their behavioral engagement. In two phases, Study 1 sought to validate a new instrument assessing students’ perceptions of teachers’ autonomy support and control when presenting mastery goals. Study 2 demonstrated that at both within- and between-classroom levels, perceptions of teachers’ autonomy support for mastery goals were related (...) to students’ mastery goals’ endorsement and behavioral engagement. These relations were mediated by students’ autonomous reasons to pursue learning activities. Perceptions of teachers’ control predicted disengagement through controlled reasons for learning, but only at the within-classroom level. This research joins a growing body of work demonstrating that combining achievement goal theory with SDT can further our understanding of the underpinnings of achievement motivation. It suggests that if teachers want their students to endorse mastery goals, they need to use more autonomy supportive practices and less controlling ones. (shrink)

The new technologies of television viewership following the digital turn have introduced new anxieties and possibilities. While new screen cultures facilitate a transnational viewership, the importance of ethically and morally grounded representations cannot be overstated. In this context, Delhi Crime, the Emmy award-winning Indian series based on the Delhi gang rape and murder of a 23-year-old woman in Delhi, will be instrumental in informing the ethico-political concerns that ought to be prioritized while representing the subaltern subject and the novel socialites (...) fashioned through the new viewership patterns. This article attempts to understand the way in which the emerging screen economies provide new terrains for ethical representation and engendering digital publics. Thus, this article is interested in understanding the intersection of media ecologies and ethico-political concerns to introduce new dialectical possibilities. (shrink)

In 1980 Alvin Gouldner identified two traditions of Marxist thought—Marxism as science and Marxism as critique. This book is concerned with the first and by far the most politically influential of those traditions—Marxism as science. It analyzes the claim, first made by Marx and Engels themselves, that Marxism is some kind of "hard" natural science of society able to identify laws of social development and to provide a scientific guide to revolutionary activity. _Marxism and Science_ breaks new ground by using (...) Wittgensteinian analysis of Marxist discourse to construct a totally different conception of Marxism appropriate to the postmodern world. In this conception, Marxism is a point of view that can be advanced, rationally defended, and made convincing and persuasive to others, but that is as partial in some respects as any other political point of view. Reconceiving Marxism thus requires not only understanding language in a different nonobjectivist way but also adopting a new political practice and program, which the book proceeds to outline. _Marxism and Science _concludes that, intellectually, Marxism as hard science is fairly obviously and profoundly untenable. But it goes on to argue that the purely intellectual grounds for this claim are much less interesting than the political and psychological purposes that such a claim has always served for Marxists in particular and scientific socialists in general. The most important of these purposes has been to provide a sort of psychological and emotional certitude to set against the overwhelming existential domination of capitalism in the world. Claiming this certitude to be as spurious as the arguments used to sustain it, the author calls upon Marxists and socialists to admit this and accept the doubt and uncertainty that come with a frank avowal of an open and unforeclosed future. (shrink)

At first sight, Karl Marx and Ludwig Wittgenstein may well seem to be as different from each other as it is possible for the ideas of two major intellectuals to be. Despite this standard conception, however, a small number of scholars have long suggested that there are deeper philosophical commonalities between Marx and Wittgenstein. They have argued that, once grasped, these commonalities can radically change and enrich understanding both of Marxism and of Wittgensteinian philosophy. This book develops and extends this (...) unorthodox view, emphasising the mutual enrichment that comes from bringing Marx's and Wittgenstein's ideas into dialogue with one another. Essential reading for all scholars and philosophers interested in the Marxist philosophy and the philosophy of Wittgenstein, this book will also be of vital interest to those studying and researching in the fields of social philosophy, political philosophy, philosophy of social science and political economy. (shrink)

At first sight, Karl Marx and Ludwig Wittgenstein may well seem to be as different from each other as it is possible for the ideas of two major intellectuals to be. Despite this standard conception, however, a small number of scholars have long suggested that there are deeper philosophical commonalities between Marx and Wittgenstein. They have argued that, once grasped, these commonalities can radically change and enrich understanding both of Marxism and of Wittgensteinian philosophy. This book develops and extends this (...) unorthodox view, emphasising the mutual enrichment that comes from bringing Marx's and Wittgenstein's ideas into dialogue with one another. Essential reading for all scholars and philosophers interested in the Marxist philosophy and the philosophy of Wittgenstein, this book will also be of vital interest to those studying and researching in the fields of social philosophy, political philosophy, philosophy of social science and political economy. (shrink)

A multidisciplinary collection which brings together cutting edge research about the cultural politics of space.

At first sight, Karl Marx and Ludwig Wittgenstein may well seem to be as different from each other as it is possible for the ideas of two major intellectuals to be. Despite this standard conception, however, a small number of scholars have long suggested that there are deeper philosophical commonalities between Marx and Wittgenstein. They have argued that, once grasped, these commonalities can radically change and enrich understanding both of Marxism and of Wittgensteinian philosophy. This book develops and extends this (...) unorthodox view, emphasising the mutual enrichment that comes from bringing Marx's and Wittgenstein's ideas into dialogue with one another. Essential reading for all scholars and philosophers interested in the Marxist philosophy and the philosophy of Wittgenstein, this book will also be of vital interest to those studying and researching in the fields of social philosophy, political philosophy, philosophy of social science and political economy. (shrink)

Posthuman Urbanism explores what it means to live in an urban environment with reference to posthuman theory. The book argues that contemporary science and technology offers radically different ways for changing the way we live in city spaces today. It will be of interest to students and academics in Cultural Studies, Urban Studies, Critical Geography, Science and Technology Studies, Sociology, Architecture and Anthropology.

In this collection of essays Gavin Kitching argues that the whole project of a 'science of society' is radically misconceived - the pursuit of an objective that ...

El libro La indianización. Cautivos, renegados, “hommes libres” y misioneros en los confines americanos (S. XVI-XIX) es una cuidada publicación en español y francés en la que contribuyen, además de sus coordinadores, una docena de investigadores de diversas universidades y centros de investigación europeos y americanos. El germen de esta obra colectiva fue el coloquio internacional organizado por Giudicelli, Bernabéu y Havard en la Escuela de Estudios Hispano-Americanos (EEHA) de Sevilla en s...

These essays apply influential, pathbreaking psychological studies about women's lives to literature. In their analyses of fictional portraits, contributors both challenge and confirm psychological theories about female identity, about 'connection/separation' as developmental catalysts, and about the impact of gender on 'voice,' moral decision-making, and epistemology in relation to classical and contemporary literary texts, written by both women and men.

‘Teachers expect parents to teach you. Parents expect teachers to teach you. So actually you learn nothing and nobody wants to talk about it’. This quote from this research study is an adolescent girls’ cry for liberation from the silence related to sexuality because of the general reluctance of adults to talk to them about it. Given the growing concerns raised about the sexual and reproductive health of adolescents in South Africa, the aim of this study was to conduct research (...) with adolescent girls as subjects in order for girls’ voices to enhance adult researchers’ understanding of children’s need for support and guidance in the context of sexuality education. The purposively selected sample included 75 participants from three diverse high schools in the Western Cape. The research was conducted using a phenomenological approach that values the lived experiences of participants as significant in contributing to the knowledge on adolescent sexuality. A qualitative interpretative research design was applied to collect the data. This article argues that adults cannot help adolescents in their sexual emancipation – to be free – if they themselves are not free. If they were free, they would have been able and willing to engage with adolescents in every aspect, which includes their sexuality. Including adolescent girls as partners in transforming sexuality education is presented as a core principle for the sexual emancipation of both adolescent girls and adults. (shrink)