The management of child protection concerns arouses strong emotions and controversies and creates ethical tensions for all concerned. This paper provides a rational analysis of some of the issues involved and suggests responses to them. The ethical and legal duties of health-care professionals are to act in the best interests of the child by safeguarding children and reporting concerns. But this may involve conflicts with parents and produce reluctance of professionals to become involved, especially in controversial types of abuse. Mandatory (...) reporting of concerns might overcome such reluctance, but may be ineffective in the face of diagnostic uncertainties. Assembly of a stronger diagnostic evidence base would seem ethically justified, but organization of the necessary case controlled studies might be problematic. Even with a comprehensive evidence base, individual diagnoses of abuse will always involve value judgements that should be underpinned by effective training and assessment of core competencies of professionals. These manoeuvres are unlikely to prevent both justified and vexatious complaints, often in relation to breaches in professional duties or concerning professional misconduct. The tendency to blame experts may have contributed to a reluctance of other professionals to become involved, despite proposals for reforms in the expert witness and court systems. Current approaches to child protection may neither promote greater understanding nor be in the best interests of children. A revised social contract for the effective protection of children could include: a duty of care that adequately addresses the primacy of the child's welfare; the acquisition of a sound evidence base; professional transparency and accountability (but with protection from malicious and vexatious complaints); and a shift emphasis towards a more inquisitorial system that embraced the principles of truth and reconciliation. (shrink)

We outline a process, undertaken at a large tertiary children's hospital, intended to provide practical guidance and support for those involved in the management of children with life-limiting conditions. Initial discussions with representatives of clinical and support services identified communication problems and ethical dilemmas as key issues. These were further explored in multidisciplinary hospital meetings, culminating in a conference (Living Well, Dying Well) where individual perspectives - clinical, multi-faith, parental and legal - and cases were presented. Communication problems were found (...) to involve unrealistic expectations, failures of anticipation and difficulties in discussing sensitive issues, while ethical dilemmas arose from balancing burdens and benefits, clinical uncertainty, respecting autonomy and achieving equity and justice in delivery of care. An integrated service has been developed that is intended to provide clinical and spiritual care, psychosocial and ethical support, advice and mediation for children, families and staff, and to address the latter's educational and training needs. (shrink)

Countries throughout the world are counting the health and socioeconomic costs of the COVID-19 pandemic, including the strategies necessary to contain it. Profound consequences from social isolation are beginning to emerge, and there is an urgency about charting a path to recovery, albeit to a ‘new normal’ that mitigates them. Children have not suffered as much from the direct effects of COVID-19 infection as older adults. Still, there is mounting evidence that their health and welfare are being adversely affected. Closure (...) of schools has been a critical component of social isolation but has a far broader impact than the diminution of educational opportunities, as important as these are. Reopening of schools is therefore essential to recovery, with some countries already tentatively implementing it. Children’s interests are vital considerations in any recovery plan, but the question remains as to how to address them within the context of how society views children; should they be regarded as pawns, pathfinders or partners in this enterprise? (shrink)

OBJECTIVES: To investigate the need for hospital clinical ethics committees by studying the frequency with which ethical dilemmas arose, the perceived adequacy of the process of their resolution, and the teaching and training of staff in medical ethics. DESIGN: Interviews with individuals and three multidisciplinary teams; questionnaire to randomly selected individuals. SETTING: Two major London children's hospitals. RESULTS: Ethical dilemmas arose frequently but were resolved in a relatively unstructured fashion. Ethical concerns included: the validity of consent for investigations and treatment; (...) lack of children's involvement in consent; initiation of heroic or futile treatments; resource allocation. Staff expressed the need for a forum which would provide consultation on ethical issues, develop guidelines for good ethical practice, undertake teaching and training, and provide ethical reflection outside the acute clinical setting. CONCLUSION: Multidisciplinary, accountable and audited clinical ethics committees with predominantly advisory, practice development and educational roles could provide a valuable contribution to UK clinical practice and perhaps in other countries that have not developed hospital clinical ethics committees. (shrink)

The book explores Peirce's non standard thoughts on a synthetic continuum, topological logics, existential graphs, and relational semiotics, offering full mathematical developments on these areas. More precisely, the following new advances are offered: (1) two extensions of Peirce's existential graphs, to intuitionistic logics (a new symbol for implication), and other non-classical logics (new actions on nonplanar surfaces); (2) a complete formalization of Peirce's continuum, capturing all Peirce's original demands (genericity, supermultitudeness, reflexivity, modality), thanks to an inverse ordinally iterated sheaf of (...) real lines; (3) an array of subformalizations and proofs of Peirce's pragmaticist maxim, through methods in category theory, HoTT techniques, and modal logics. The book will be relevant to Peirce scholars, mathematicians, and philosophers alike, thanks to thorough assessments of Peirce's mathematical heritage, compact surveys of the literature, and new perspectives offered through formal and modern mathematizations of the topics studied. (shrink)

Frege’s Grundgesetze der Arithmetik is formally inconsistent. This system is, except for minor differences, second-order logic together with an abstraction operator governed by Frege’s Axiom V. A few years ago, Richard Heck showed that the ramified predicative second-order fragment of the Grundgesetze is consistent. In this paper, we show that the above fragment augmented with the axiom of reducibility for concepts true of only finitely many individuals is still consistent, and that elementary Peano arithmetic (and more) is interpretable in this (...) extended system. (shrink)

This book explores the notion of endangerment which stands at the heart of a network of concepts, values and practices dealing with objects considered threatened by extinction, and with the procedures aimed at preserving them. It looks at some of the fundamental ways in which this process involves science, but also more than science: not only data and knowledge and institutions, but also affects and values. With a focus on endangerment sensibility, it encapsulates tensions between the normative and the utilitarian, (...) the natural and the cultural. (shrink)

[fr] Dans les Ḫaṣā’iṣ, Ibn Ǧinnī (m. 392/1002) fait état, incidemment, d’une différenciation entre parlers arabes nomades et sédentaires, ces derniers étant caractérisés par une perte partielle de la flexion désinentielle (’i‘rāb). Dans la mesure où Ibn Ǧinnī se réfère sur ce point à une source antérieure de près de deux siècles d’une part, indique qu’il n’y a presque plus, à son époque, de bédouin au parler « châtié » (faṣīḥ, c’est-à-dire fléchi mu‘rab) d’autre part, on peut voir dans ses (...) remarques une reconnaissance implicite d’une situation de diglossie, les parlers nomades étant à l’origine de la variété haute (al-luġa al-‘arabiyya al-faṣīḥa). Cette situation est d’ailleurs révélée par une anecdote, où l’on voit un même usager, d’origine bédouine, alterner ce qu’Ibn Ǧinnī appelle « les deux manières de parler » (ǧihatā al-kalām), avec et sans flexion désinentielle. Malgré les apparences, il ne s’agit pas de sociolinguistique et d’histoire de la langue. Il s’agit de théorie du langage, avec l’hypothèse d’un phénomène d’entropie, liée à l’utilisation de la langue, l’utilisateur se passant, par d’autres moyens, de la flexion désinentielle, source de difficulté et d’erreurs. Il s’agit aussi et surtout d’un discours épilinguistique, conforme à l’idéologie linguistique (thèse de la faṣāḥa bédouine) et à la théologie (thèse de la « langue du Ḥiǧāz » comme al-luġa alfuṣḥā), deux thèses difficilement conciliables. (shrink)

This work offers an analysis of all the legal and moral issues surrounding humanitarian intervention: the deaths of innocent persons and the Doctrine of Double Effect Governmental legitimacy - The Doctrine of Effective Political Control; UN Charter and evaluation of the Nicaragua ruling; The Morality of not intervening; US-led invasion of Iraq; Humanitarian intervention authorised by the UN Security Council - Iraq, Somalia, Haiti, Rwanda, and Bosnia among others highlight NATO's intervention in Kosovo; The Nicaragua Decision; and The precedents of (...) Panama, Liberia and Sierra Leone. The book's features include: a new framework based on the doctrine of double effect; basic principles of international ethics; outline of the moral argument for humanitarian intervention; explores the morality and legality of military action to end tyranny or anarchy; arguments in a much more detailed and complete fashion than in previous editions; in-depth examination of philosophy of international law; the relationship between custom and moral theory; new discussion of the question of right authority; and a full analysis of recent interventions in Kosovo and Iraq. book addresses a broad interdisciplinary audience of international lawyers, philosophers, and political scientists. In this new edition, the author responds to critics while updating the discussion in the light of the momentous events that took place at the beginning of the new millennium. (shrink)

Why should sovereign states obey international law? What compels them to owe allegiance to a higher set of rules when each country is its own law of the land? What is the basis of their obligations to each other? Conventional wisdom suggests that countries are too different from one another culturally to follow laws out of mere loyalty to each other or a set of shared moral values. Surely, the prevailing view holds, countries act simply out of self-interest, and they (...) eventually consent to norms of international law to regulate matters of common interest.In this groundbreaking book, Fernando Tesón goes against this prevailing thought by arguing, in the Kantian tradition, that a shared respect for individual human rights underpins not just the obligation countries feel to follow international law but also international laws themselves and even the very legitimacy of nations in the eyes of the international community. Tesón, both a lawyer and a philosopher, proposes that an overlapping respect for human rights has created a moral common ground among the countries of the world; and moreover, that such an outlook is the only one that is rationally defensible. It is this common set of values rather than self-interest that ultimately provides legitimacy to international law. Using the tools of moral philosophy, Tesón analyzes the concepts of sovereignty, intervention, and national interest; the contributions of social contact theory, game theory, and feminist theory; and the puzzles of self-determination and group rights.More than simply outlining his theory, Tesón goes on to give detailed examples of international laws, international institutions, and their human rights foundations, putting his ideas to work and addressing legal reforms called for by the theory. He suggests that treaties, for example, should be considered binding if, and only if, the consent to the treaty was given by a genuinely representative government, one that acts out of interest for the human rights of its citizens. Although the theoretical achievement of this book is to challenge received wisdom on the foundation of international law, the practical ambition is a call to reform the international legal system for the post–Cold War era, to substitute for the old order one that gives primacy to human dignity and freedom over state power. (shrink)

A balance needs to be struck between facilitating compassionate access to innovative treatments for those in desperate need, and the duty to protect such vulnerable individuals from the harms of untested/unlicensed treatments. We introduced a principle-based framework to evaluate such requests and describe its application in the context of recently evolved UK, US and European regulatory processes. 24 referrals were received by our quaternary children's hospital Clinical Ethics Committee over the 5-year period. The CEC-rapid response group evaluated individual cases within (...) 48-hours; the main referrers being haematology/oncology, immunology or transplant services. Most requests were for drug/vaccine/pre-trial access or biological/cellular therapies. The majority of individual requests were approved ; neutral or negative opinions were given in 5, including 3 group requests. Recently evolved regulatory processes share common criteria and conditions to our framework including: demonstration of clinical need; sound scientific basis with lack of viable alternative; risks-benefit/best interests evaluation; arrangements for fully informed consent; no compromise of arrangements to test treatment for licensing purposes; consideration of resource implications. There are differences between individual processes and with our framework, with respect to procedures, scope, application format, costs and obligation to make available all outcome data. Our experience has emphasized the need for an independent, principled, consistent, fair and transparent response to the increasing demand for innovative treatment on a compassionate basis. We believe that there is a need for harmonization of the recent proliferation of regulation and legislation in this area. (shrink)

Im Anhang zum zweiten Teil der Kritik der Urteilskraft, der Kritik der teleologischen Urteilskraft, setzt sich Kant mit der Frage nach dem Zweck der Schöpfung auseinander. Seine These ist hier eindeutig: „wir [erkennen] nun den Menschen […] als moralisches Wesen für den Zweck der Schöpfung [an…]“. Warum ist jedoch der Mensch als moralisches Wesen für den Zweck der Schöpfung zu halten? Diese Frage ist keineswegs unumstritten und soll in diesem Aufsatz erörtert werden. Um sie zu beantworten, werde ich den Zusammenhang (...) von drei bestehenden Elementen der kantischen Auffassung des Menschen als Zweck der Schöpfung erläutern: Die vernünftige Natur des Menschen, die Freiheit seines Willens, und das Sittengesetz. (shrink)

A obra cultural, política e social de Leonardo Coimbra é a temática principal deste livro. De permeio é dada nota dos grandes traços e momentos da história da Primeira República Portuguesa, isso na justa dimensão em que tal ajuda à contextualização e melhor compreensão do objecto principal. O estudo desta extraordinária e multifacetada personalidade – filósofo, homem de ciência, escritor, orador exímio, pedagogo, político – e a análise da sua relação crítica com os poderes instituídos durante o período histórico em (...) apreço, dá-nos conta da enorme distância entre os projectos e intenções do movimento republicano e a obra social efectivamente conseguida pelo regime, ao mesmo tempo que se retratam as vicissitudes e os condicionamentos que a um tal resultado conduziram. Republicano de todas as horas, Leonardo nunca deixou de verberar no republicanismo aquilo que considerava serem erros de essência e de forma, desde os postulados positivistas até às lutas fratricidas em que, insensatamente, se empenharam os filhos da República. Mas também a sua palavra, celebrando momentos de heroicidade, de união, de glória, sobretudo um tributo ao povo republicano, ao povo humilde das grandes cidades, que tão abnegadamente amou a República e por ela se bateu. Uma chamada de atenção para um trajecto espiritual percorrido por esta figura de livre-pensador que, pouco a pouco, se foi aproximando de um cristianismo católico, acabando por se converter oficialmente a esta fé, uma semana antes da sua trágica morte. Fica-nos, por fim, o conhecimento da obra cultural de Leonardo e a perpetuação da mesma, primeiramente através de uma geração de discípulos que, de perto, privou com o Mestre e depois os discípulos dos discípulos, ou seja, uma segunda geração de seguidores, todos unidos pela figura e pelo legado cultural de Leonardo Coimbra, a quem alguém chamou, com felicidade, “Mestre dos Mestres”. (shrink)

The geographical Utopias that present a New World, from classical Antiquity and the Middle Ages to the exploration and conquest of American territories by Spain, give a two-fold vision of the myth of gold. On the one hand, the legendary lands in which were found the wealth and power generated by the coveted metal—El Dorado, El Paititi, the City of the Caesars—establish the direction of a venture toward the unknown, and a geography of the imaginary marked the ubiquitous sign of (...) the mythical gold. But at the same time, America permitted the felicitous re-encounter in its territory of the Golden Age that had been lost in the Old World. The first steps of Western man toward the American adventure wavered contradictorily between these extremes, in that gold was at the same time “booty and marvel.”. (shrink)

The study aimed to comprehensively overview the experiences encountered by public school employees during the recruitment, selection, and placement (RSP) process within the DepEd Bohol Division. Employing a qualitative-descriptive research design, the researchers utilized a phenomenological approach to delve deeply into these experiences, shedding light on the nuances and intricacies of the division's RSP process. As Lambert et al. (2013) described, qualitative- descriptive studies aim to provide a comprehensive and detailed summary of specific events experienced by individuals or groups in (...) everyday terms. To achieve this, Colaizzi's (1978) data analysis method was applied, meticulously gathering, transcribing, and analyzing recorded participant responses. The rigorous analysis revealed that an overwhelming 81% of the participants recognized significant challenges within the current RSP system of the division, underscoring the pressing need for a renewed approach to address these identified challenges. This highlighted the necessity for an RSP policy that is responsive and innovative, tailored to meet the evolving needs and expectations of applicants, schools, and the division. By implementing improvements to the RSP process, a more efficient and timely filling of vacated and newly available positions is anticipated, contributing to the seamless functioning of the educational system and ultimately enhancing the prospects of success. (shrink)

The paucity of research data to guide current paediatric practice has led to children being termed therapeutic orphans. This difficulty is especially pertinent to research in emergency situations, such as acute resuscitation or critical care, where accepted ethical standards for overall research, have historically created practical difficulties for researchers. The welcome establishment of organisations to support UK paediatric research is helping to ensure safer and more effective medications for children, however as the balance between protection and access at the heart (...) of the paediatric research ethical debate shifts to ever increasing access for researchers to children, it remains crucial to ensure the protection for these vulnerable participants. The fundamental protection for research subjects, namely their full informed consent before any recruitment, is not tenable in true emergency situations and so other approaches are warranted if standards are to be improved by human subjects research in such areas. Proxy, deferred and retrospective consent have all been advocated as solutions to this difficulty and this paper explores the ethical justification for these approaches and their utility in safeguarding children and families in emergency situations when traditional informed consent, as currently defined, cannot be obtained in the necessary time frame to enable research. (shrink)

“The ships that invented regions were directed toward the West”, announced Juan de Castellanos in 1587 in his Elegías dedicated to Christopher Columbus, and at the beginning of the 16th century Hernán Pérez de Oliva wrote a Historia de la invención de las Indias. The use of the word invention when speaking of the discovery of America may seem to be a semantic confusion or poetic license, viewed from the contemporary perspective of a discipline with well-defined limits, such as geography, (...) since we usually understand invention as the transformation of things by man's intervention, while discovery is finding something that already existed so as to make it known to others. (shrink)

Contributors use a variety of theoretical frameworks to analyze distinct areas of Craven’s work, including ecology, auteurism, philosophy, queer studies, and trauma. Scholars of cinema studies, horror, and ecology will find this book of particular interest.

«En estos tiempos en que todo lo que somos lo medimos y lo vemos como capital, disputar el concepto de conocimiento es disputar la vida misma.» Las formas más invisibles de injusticia tienen que ver con lo intangible, con el dominio sobre la información y el conocimiento. Modos de opresión y de exclusión que la política no suele considerar porque se ha construido sobre la mentira de que la verdad no cuenta, solo cuenta lo que se cree que es verdad: (...) solo la manipulación de las opiniones. Se oculta cuidadosamente que tener el poder sobre aquello que se sabe, y sobre aquello que se ignora, es también una forma lacerante de desigualdad. El neoliberalismo es también una forma estratégica de ignorancia, de injusticia y de silenciamiento. Contra la ceguera, este libro afirma lo contrario: toda política es política epistemológica y toda epistemología es epistemología política. La democracia es, también, un proyecto de libertad, igualdad y fraternidad epistémicas. (shrink)

À la posture de l’écrivain engagé dont la littérature viserait l’éveil national de son peuple, l’écrivain martiniquais Patrick Chamoiseau préfère l’art de mettre les histoires au service d’une mutation des imaginaires,..

L’esclavage colonial occupe une place récente dans les médias français. Soumis aux récupérations et manipulations médiatiques des uns ou des autres, souvent non spécialistes, il fait généralement l’objet sur les plateaux de télévision, dans la presse, de simplifications maladroites, d’amalgames fâcheux, traduisant finalement l’ampleur de l’ignorance et de l’indifférence incrustées au fil des années dans la société civile sur une période de l’histoire de la France de plus de trois siècles, et pourtant fondatrice de l’Empire colonial français.

In the UK an increasing number of Clinical Ethics Committees (CECs) have been developed mainly in response to local need and interest. Their functions include education of health professionals, of policy and guideline development, and case review (both retrospective analysis of topics and advice on acute cases). The UK Clinical Ethics Network, a charitable foundation provides CEC s with help, support and advice and enables them to share their experience The legal status of UK CECs is unclear but some legal (...) commentators have suggested that CECs lack competencies and procedural rules necessary for acute case review. The UKCEN has proposed core competencies for CECs that lists the ethical, operational and procedural skills, knowledge and personal attributes required and how they may be acquired, assessed and maintained. Their implementation might lead to the development of ethical and legal governance which should benefit to future patient care. (shrink)

[Given, If, Then] attempts to conceive a possibility of reading, through a set of readings: reading being understood as the relation to an Other that occurs prior to any semantic or formal identification, and, therefore, prior to any attempt at assimilating, or appropriating, what is being read to the one who reads. As such, it is an encounter with an indeterminable Other, an Other who is other than other -- an unconditional relation, and thus a relation to no fixed object (...) of relation. The first reading by Jeremy Fernando, "Blind Reading," unfolds through an attempt to speak of reading as an event. Untheorisable in itself, it is a positing of reading as reading, through reading, where texts are read as a test site for reading itself. As such, it is a meditation on the finitude and exteriority in literature, philosophy, and knowledge; where blindness is both the condition and limit of reading itself. Folded into, or in between, this (re)reading are a selection of photographs from Jennifer Hope Davy's image archive. They are on the one hand simply a selection of 'impartial pictures' taken, and on the other hand that which allow for something singular and, therefore, always other to dis/appear -- crossing that borderless realm between 'some' and 'some-thing.' Eventually, there is a writing on images on writings by Julia Hölzl. A responding to the impossible response, a re-iteration, a re-reading of what could not have been written, a re-writing of what could not have been read; these poems, if one were to name them such, name them as such, answer (to) the impossibility of answering: answer to no call. (shrink)

The article deals with the chances of illustration of Mohammed: is it forbidden to depict Mohammed in the Islam? What the history or the religion say about it? The following sentences try to get a brief but deep approaching to that issue, underlying the importance that just a few time ago when several problems related to misunderstanding and hatred set the Muslim world in front of the Western people as violent in a behavior that no one could share. Through the (...) article we will see the lack of respect there was in some images that were published provoking all kind of reactions in the world. (shrink)