Objective: Although nurses have an important role in the care process surrounding artificial food or fluid administration in patients with dementia or in terminally ill patients, little is known about their attitudes towards this issue. The purpose of this study was to thoroughly examine nurses’ attitudes by means of a literature review.Method: An extensive systematic search of the electronic databases PubMed, Cinahl, PsycINFO, The Cochrane Library, FRANCIS, Philosopher’s Index and Social Sciences Citation Index was conducted to identify pertinent articles published (...) from January 1990 to January 2007.Findings: Nurses’ arguments for or against could be categorised as ethical-legal, clinical or social-professional. The most important arguments explicitly for artificial food and fluid administration in patients with dementia or in terminally ill patients were sanctity of life, considering artificial food and fluid administration as basic nursing care, and giving reliable nutrition, hydration or medication. An explicit counter-argument was the high cost of treatment. Arguments used by opponents and proponents were quality of life and dignified death. The arguments were not strikingly different for the two patient populations. It turned out that the nurses’ ethical arguments remarkably reflected the current ethical debate. But some of their clinical presuppositions contradicted current clinical evidence.Conclusion: The interaction between clinical facts and ethical reflections makes the findings of this review extremely relevant for clinical ethics. A large need exists to clearly communicate to nurses the latest clinical evidence and the main results of ongoing ethical debates. (shrink)

THIS BOOK REVEALS an amazingly long-overlooked psychological reality that dawned on the author when he woke up from a dream and thought: “Suppose I had never woken up? Though others would know, how would I ever know it was over?” Based on cognitive science research and analysis, the author found that consciousness is not extinguished with death but, from a dying person’s perspective, only imperceptibly “paused.” -/- Given this, from your perspective, you’ll never lose your mind, self, and soul. And, (...) given dreams and near-death experiences, you may experience a timeless natural—i.e., scientifically supported—afterlife, which can be a heaven of utmost happiness. -/- Charles Darwin’s theory of natural selection was an earth-shattering revelation about how life evolved. This book is about an equally earth-shattering scientific theory about how a human life ends, including its possible impact on society and on you. (shrink)

A variety of recent philosophical discussions, particularly on topics relating to complexity, have begun to reemploy the concept of 'emergence'. Although multiple concepts of 'emergence' are available, little effort has been made to systematically distinguish them. In this paper, I provide a taxonomy of higher-order properties that (inter alia) distinguishes three classes of emergent properties: (1) ontologically basic properties of complex entities, such as the mythical vital properties, (2) fully configurational properties, such as mental properties as they are conceived of (...) by functionalists and computationalists, and (3) highly configurational/holistic properties, such as the higher-level patterns characteristic of complex dynamical systems. Or more simply: emergence as ontological liberality, emergence as multiple realizability, and emergence as interactive complexity. (shrink)

A variety of recent philosophical discussions, particularly on topics relating to complexity, have begun to reemploy the concept of 'emergence'. Although multiple concepts of 'emergence' are available, little effort has been made to systematically distinguish them. In this paper, I provide a taxonomy of higher-order properties that distinguishes three classes of emergent properties: ontologically basic properties of complex entities, such as the mythical vital properties, fully configurational properties, such as mental properties as they are conceived of by functionalists and computationalists, (...) and highly configurational/holistic properties, such as the higher-level patterns characteristic of complex dynamical systems. Or more simply: emergence as ontological liberality, emergence as multiple realizability, and emergence as interactive complexity. (shrink)

The aim of this study was to explore and describe how Flemish nurses experience their involvement in the care of hospitalized patients with dementia, particularly in relation to artificial nutrition or hydration (ANH). We interviewed 21 hospital nurses who were carefully selected from nine hospitals in different regions of Flanders. ‘Being touched by the vulnerability of the demented patient’ was the central experience of the nurses, having great impact on them professionally as well as personally. This feeling can be described (...) as encompassing the various stages of the care process: the nurses' initial meeting with the vulnerable patient; the intense decision-making process, during which the nurses experienced several intense emotions influenced by supporting or hindering contextual factors; and the final coping process, a time when nurses came to terms with this challenging experience. From our examination of this care process, it is obvious that nurses' involvement in ANH decision-making processes that concern patients with dementia is a difficult and ethically sensitive experience. On the one hand, the feeling of ‘being touched’ can imply strength, as it demonstrates that nurses are willing to provide good care. On the other hand, the feeling of ‘being touched’ can also imply weakness, as it makes nurses vulnerable to moral distress stemming from contextual influences. Therefore, nurses have to be supported as they carry out this ethically sensitive assignment. Practical implications are given. (shrink)

The aim of this study was to explore and describe how Flemish nurses experience their involvement in the care of hospitalized patients with dementia, particularly in relation to artificial nutrition or hydration (ANH). We interviewed 21 hospital nurses who were carefully selected from nine hospitals in different regions of Flanders. ‘Being touched by the vulnerability of the demented patient’ was the central experience of the nurses, having great impact on them professionally as well as personally. This feeling can be described (...) as encompassing the various stages of the care process: the nurses' initial meeting with the vulnerable patient; the intense decision‐making process, during which the nurses experienced several intense emotions influenced by supporting or hindering contextual factors; and the final coping process, a time when nurses came to terms with this challenging experience. From our examination of this care process, it is obvious that nurses' involvement in ANH decision‐making processes that concern patients with dementia is a difficult and ethically sensitive experience. On the one hand, the feeling of ‘being touched’ can imply strength, as it demonstrates that nurses are willing to provide good care. On the other hand, the feeling of ‘being touched’ can also imply weakness, as it makes nurses vulnerable to moral distress stemming from contextual influences. Therefore, nurses have to be supported as they carry out this ethically sensitive assignment. Practical implications are given. (shrink)

Focusing solely on the near-death cognizance of the dying, rather than the material perspective of the living, reveals a new understanding of death. Its significance to psychology, philosophy, and religion is huge for what emerges is a long overlooked phenomenon: a nonsupernatural, relativistic, and timelessly eternal consciousness, which can be a natural afterlife. Ironically, the validity of the theory of a natural eternal consciousness (NEC) assumes the loss of all materially based consciousness with death—more specifically, the permanent loss of time (...) perception. The theory claims, and the article deduces from empirical knowledge, that by imperceptibly entering the timelessness before death, one’s last conscious moment, whatever the type, becomes by default—psychologically, from one’s perspective—a forever present moment. To help explain and validate the theory, the article presents thought experiments and a formal model of all of life’s moments and all transitions between periods of time perception and those of timelessness. An open-minded reading should reveal that the NEC does not threaten faith in a god or a heaven. (shrink)

For centuries humans have considered just two main possibilities for what awaits us at death: a “nothingness” like that of our before-life or some type of supernatural afterlife. The theory of a natural afterlife defines a vastly different, real possibility. The natural afterlife embodies all of the sensory perceptions, thoughts, and emotions present in the final moment of a near-death, dreamlike experience. With death this moment becomes timeless and everlasting to the dying person—essentially, a never-ending experience. The relativeness and timelessness (...) of the natural afterlife must be clearly understood to appreciate why it’s not supernatural yet indeed an afterlife and potentially the optimal heaven. The theory of a natural afterlife is now only a hypothesis; however, science, human experience, and logical deduction suggest that it’s extremely plausible and advances in science and technology could someday make it a scientific theory. This paper states the theory, describes the unconventional afterlife it defines, extensively analyzes its validity, and briefly addresses how it can significantly impact how people view death. Analytical tools, typically used for system modeling and language definition, are applied here to present an abstract model of a lifetime within time eternal. The model is used to support and explain the theory. (shrink)

Antireductionist philosophers have argued for higher-order classifications of qualia that locate consciousness outside the scope of conventional scientific explanations, viz., by classifying qualia as intrinsic, basic, or subjective properties, antireductionists distinguish qualia from extrinsic, complex, and objective properties, and thereby distinguish conscious mental states from the possible explananda of functionalist or physicalist explanations. I argue that, in important respects, qualia are intrinsic, basic, and subjective properties of conscious mental states, and that, contrary to antireductionists' suggestions, these higher-order classifications are compatible (...) with qualia reduction. I demonstrate this compatibility by examining the putative higher-order properties of qualia and comparing them to the higher-order properties characteristic of connectionist models of cognitive processes. I contend that the higher-order properties characteristic of connectionist networks approximate the putative higher-order properties of qualia sufficiently well to conclude that qualia reductionism can accommodate claims that qualia are intrinsic, basic, and subjective properties, and explain the motivating intuitions for those claims generated by inverted, absent, and alien qualia thought experiments. In this way I argue that the putative higher-order classifications of qualia not only fail to defeat qualia reduction but, ironically, turn out to support it. (shrink)

The current orthodoxy in the philosophy of mind can be thought of as a kind of third-person imperialism, viz. the view that consciousness, like other natural phenomena, will yield to scientific explanation at some level of analysis. Among its dissenters are a group of antireductionists and antimaterialists who advocate a kind of first-person isolationism, viz. the view that consciousness, unlike other natural phenomena, will fail to yield to scientific explanation at any level of analysis. In its various forms, the latter (...) view is based on arguments that identify first-person phenomena, such as subjectivity and qualia, that no third-person approach to consciousness can explain. ;I argue that neither subjectivity nor qualia constitute insuperable obstacles for scientific explanations of consciousness. By identifying a set of persistent ambiguities within the subjectivity-based arguments of antiphysicalists, I provide a general framework for systematically locating fallacies within them. I then examine the common antiphysicalist assumption that the meanings of phenomenal concepts are fully determined by the conscious mental states to which they refer. By showing how it results in a commitment to the existence of essentially private language, I contend that this assumption is indefensible, and that antiphysicalist arguments that rely on it are therefore unsound. ;I then argue that qualia are intrinsic, basic, and subjective properties of conscious mental states, and that, contrary to antireductionists' suggestions, this higher-order classification is compatible with qualia reduction. I show this compatibility by examining the putative higher-order properties of qualia and comparing them to the higher-order properties characteristic of connectionist models of cognitive processes. I contend that the higher-order properties characteristic of connectionist networks approximate the putative higher-order properties of qualia sufficiently well to conclude that qualia reductionism can accommodate claims that qualia are intrinsic, basic, and subjective properties, and explain the motivating intuitions for those claims generated by inverted, absent, and alien qualia thought experiments. In this way I argue that the putative higher-order classifications of qualia not only fail to defeat qualia reduction but, ironically, turn out to support it. (shrink)

The theory of a natural eternal consciousness (NEC) states that human consciousness is not extinguished with death but merely paused. That is, the last conscious moment of one’s last experience becomes imperceptibly timeless and deceptively eternal from their perspective. Moreover, if that experience is a vision, dream, or near-death experience (NDE) and is perceived as an afterlife, then the NEC is a natural afterlife. An earlier article by this author explains the NEC theory and claims its validity. This addendum provides (...) a brief overview of that article but, more significantly, these enhancements: (1) an easier to grasp description of the notation used to formally define the NEC and natural afterlife; (2) an extension to this notation to formally define the eventually timeless natural afterlife (etna) — a time-perceiving, activity-filled afterlife that concludes with the timeless natural afterlife and can provide optimal eternal happiness; (3) greater focus on the validity of the NEC theory: the role of self-awareness, the theory of Paused Consciousness in Timelessness (PCT) and its everyday verification, and the improbable falsification of the NEC theory as a hypothesis to the PCT theory; and (4) a new diagram that summarizes the meanings of NEC-related terms and the relationships among them. (shrink)

The theory of a natural eternal consciousness (NEC) states that human consciousness is not extinguished with death but merely paused. That is, the last conscious moment of one’s last experience becomes imperceptibly timeless and deceptively eternal from their perspective. Moreover, if that experience is a vision, dream, or near-death experience (NDE) and is perceived as an afterlife, then the NEC is a natural afterlife. An earlier article by this author explains the NEC theory and claims its validity. This addendum provides (...) a brief overview of that article but, more significantly, these enhancements: (1) an easier to grasp description of the notation used to formally define the NEC and natural afterlife; (2) an extension to this notation to formally define the eventually timeless natural afterlife (etna) — a time-perceiving, activity-filled afterlife that concludes with the timeless natural afterlife and can provide optimal eternal happiness; (3) more focus on the validity of the NEC theory: the role of self-awareness, the theory of Paused Consciousness in Timelessness (PCT) and its everyday verification, and the improbable falsification of the NEC theory as a hypothesis to the PCT theory; and (4) a new diagram that summarizes the meanings of NEC-related terms and the relationships among them. (shrink)

Brought together by an impressive, international array of contributors this book presents a representative study of some of the many misinterpretations that have evolved concerning the medieval period.

Durkheim écrit ce livre avec un but double : d'abord il voulait expliquer ce qui crée une société, ce qui la tient ensemble ; ensuite il voulait éclaircir l'influence qu'a la société sur la pensée logique. Pour Durkheim, la religion est la clé utilisée pour déverrouiller ces deux problématiques.Dans ce livre, Durkheim argumente que les représentations religieuses sont en fait des représentations collectives : l'essence du religieux ne peut être que le sacré. Il est une caractéristique qui se trouve universellement (...) dans toutes les religions. Le sacré, être collectif et impersonnel, représente ainsi la société elle-même. Ensuite il argumente que la société a un impact majeur dans la genèse de la pensée logique. C'est la société qui fournit à l'individu les catégories (le temps, l'espace, le nombre etc.) et les concepts nécessaires pour la pensée logique. (shrink)

When we perceive an object, we perceive the object from a perspective. As a consequence of the perspectival nature of perception, when we perceive, say, a circular coin from different angles, there is a respect in which the coin looks circular throughout, but also a respect in which the coin's appearance changes. More generally, perception of shape and size properties has both a constant aspect—an aspect that remains stable across changes in perspective—and a perspectival aspect—an aspect that changes depending on (...) one's perspective on the object. How should we account for the perspectival aspect of spatial perception? We present a framework within which to discuss the perspectival aspect of perception and put forward three desiderata that any account of the perspectival aspect of perception should satisfy. We discuss views on which the perspectival aspect of perception is analyzed in terms of constitutively mind-dependent appearance properties as well as views on which the perspectival aspect of perception is analyzed in terms of representations of mind-independent perspectival properties. (shrink)

With special emphasis on Foucault's many recently published lecture series this book provides an updated, comprehensive presentation of his most important diagnoses, his many ground-breaking analytical concepts as well as a systematic account of his unique conception of philosophy.

We argue that the trend toward providing users with feasible and actionable explanations of AI decisions—known as recourse explanations—comes with ethical downsides. Specifically, we argue that recourse explanations face several conceptual pitfalls and can lead to problematic explanation hacking, which undermines their ethical status. As an alternative, we advocate that explanations of AI decisions should aim at understanding.

A dialogue between a foreign philosopher and a powerful statesman outline Plato's reflections on the family, the status of women, property rights, and criminal law.

The Anthropocene is heralded as a new epoch distinguishing itself from all foregoing eons in the history of the Earth. It is characterized by the overarching importance of the human species in a number of respects, but also by the recognition of human dependence and precariousness. A critical human turn affecting the human condition is still in the process of arriving in the wake of an initial Copernican Revolution and Kant's ensuing second Copernican Counter-revolution. Within this landscape, issues concerning the (...) human - its finitude, responsiveness, responsibility, maturity, auto-affection and relationship to itself - appear rephrased and re-accentuated as decisive probing questions. In this book Sverre Raffnsøe explores how the change has ramifications for the kinds of knowledge that can be acquired concerning human beings and for the human sciences as a study of human existential beings in the world. (shrink)

Neste livro Gombrich discute as idéias e as posturas específicas que tiveram influência decisiva na prática da arte renascentista. Todos os estudos aqui reunidos tratam de algo a que se pode chamar clima renascentista de opiniões sobre a arte, além da influência desse clima sobre a prática e a crítica da arte.

What makes us human is our special motivation to share with others how we feel, what we believe, and what we want to happen in the future. We want to share with others what is real about the world. Shared reality is crucial to what we believe--sharing is believing. It is central to our sense of self, what we strive for and how we strive. It is basic to how we get along with others. It brings us together in fellowship (...) and companionship, but it also tears us apart by creating in-group "bubbles" that conflict with one another. Our shared realities are the best of us, and the worst of us. (shrink)

Criticism on Bhagavadgītā, Hindu sacred work.

Etienne Gilson Reason and Revelation in the Middle Ages, first delivered as the Richard Lectures in 1937, was published in 1938 and became an immediate success. Not only does it contribute to a major question of debate in Christian, Jewish, and Islamic philosophy and religion in the medieval period but it also insists on the validity of truth obtainable through reason as well as revelation, on rational argument alongside religious faith. This message is as important in the twenty-first century as (...) it was in the fourth century of the young Augustine, the thirteenth of St Thomas Aquinas, and the twentieth of the mature Gilson. (shrink)

A collection of Essays over the last 20 years, exploring different dimensions of the philosophical debate on "subjecthood" and "subjectivity" in Modernity, as it was framed by the "Controversy on the subject" from the 1960's, and showing how it is now continued in a "controversy on the Universal.".

This article critically reflects on the research portfolio by the ecological economist Clive Spash who has helped pinpoint specific and systemic blindspots in a political-economic system that prioritises myopic development trajectories divorced from ecological reality. Drawing on his published work and collaborations it seeks to make sense of the slow, or absent, progress in averting global warming and ecological destruction. Three strands of key concern and influence are identified and discussed with reference to their orientation and explicit expression regarding Ontology, (...) Epistemology and Axiology. Some complementary points about indeterminacy and holism are presented to further strengthen the arguments for a transition towards a social-ecological economic system that puts values and principles back into focus. While Clive Spash's work has made a strong case within the economic community and appealing to ecology professionals, the value-myopia or value-vacuum has to be tackled across all disciplines, politics and society for a meaningful and urgently required transformation in decision making. Hence, the article finishes with some suggestions for the (higher) education system, and highlights the importance of simplicity and sufficiency, as well as strong sustainability-driven citizen and community action as necessary catalysts of change in this social-ecological transformation. (shrink)