Moral case deliberation as a form of clinical ethics support is usually implemented in health care institutions and educational programs. While there is no previous research on the use of clinical ethics...

BackgroundMoral case deliberation as a form of clinical ethics support is usually implemented in health care institutions and educational programs. While there is no previous research on the use of clinical ethics support on the level of health care regulation, employees of regulatory bodies are regularly confronted with moral challenges. This pilot study describes and evaluates the use of MCD at the Dutch Health Care Inspectorate.The objective of this pilot study is to investigate: 1) the current way of dealing with (...) moral issues at the IGZ; 2) experience with and evaluation of MCD as clinical ethics support, and 3) future preferences and needs regarding clinical ethics support for dealing with moral questions at the IGZ.MethodsWe performed an explorative pilot study. The research questions were assessed by means of: 1) interviews with MCD participants during four focus groups; and 2) interviews with six key stakeholders at the IGZ. De qualitative data is illustrated by data from questionnaires on MCD outcomes, perspective taking and MCD evaluation.ResultsProfessionals do not always recognize moral issues. Employees report a need for regular and structured moral support in health care regulation. The MCD meetings are evaluated positively. The most important outcomes of MCD are feeling secure and learning from others. Additional support is needed to successfully implement MCD at the Inspectorate.ConclusionWe conclude that the respondents perceive moral case deliberation as a useful form of clinical ethics support for dealing with moral questions and issues in health care regulation. (shrink)

There is an increasing body of research on what kind of ethical challenges health care professionals experience regarding the quality of care. In the Netherlands the Dutch Health Care Inspectorate is responsible for monitoring and regulating the quality of health care. No research exists on what kind of ethical challenges inspectors experience during the regulation process itself. In a pilot study we used moral case deliberation as method in order to reflect upon inspectors’ ethical challenges. The objective of this paper (...) is to give an overview of the ethical challenges which health care inspectors encounter in their daily work. A thematic qualitative analysis was performed on cases that were collected from health care inspectors in a moral case deliberation pilot study. Eight themes were identified in health care regulation. These can be divided in two categories: work content and internal collaboration. The work of the health care inspectorate is morally loaded and our recommendation is that some form of ethics support is provided for health care inspectors. (shrink)

This monograph, the first of its kind in English, offers a detailed study of the Wenzi, a controversial Chinese philosophical text. The book also sheds light on text production and reception in Chinese history, with its changing views on authorship, originality, authenticity, and forgery.

This book is relevant for anyone involved in the practice of psychology and the social sciences more broadly: researchers, teachers, students, and practitioners. It challenges the status quo with regards to the way that psychology is done, and it offers a unified solution that encompasses both theory and methodology.

In the history of Jewish, Christian and Muslim culture, religious identity was not only formed by historical claims, but also by the usage of certain images: “images of God”, “images of the others”, “images of the self.”This book includes a discussion of the role of these images in society and politics, in theology and liturgy, yesterday and today.

As the title implies, this article asks what an adequate practical ethic is and what a hermeneutic of moral experience can mean for practical ethics. We will use some elements from Ricoeur’s work to examine our view critically and develop it further. We will ask how experience can be an object of hermeneutical study and how we can tie narrativity and normativity together.

Worldwide there are substantial differences within and between countries in aggression and violence. Although there are various exceptions, a general rule is that aggression and violence increase as one moves closer to the equator, which suggests the important role of climate differences. While this pattern is robust, theoretical explanations for these large differences in aggression and violence within countries and around the world are lacking. Most extant explanations focus on the influence of average temperature as a factor that triggers aggression, (...) or the notion that warm temperature allows for more social interaction situations in which aggression is likely to unfold. We propose a new model, CLimate, Aggression, and Self-control in Humans, that helps us to understand differences within and between countries in aggression and violence in terms of differences in climate. Lower temperatures, and especially larger degrees of seasonal variation in climate, call for individuals and groups to adopt a slower life history strategy, a greater focus on the future, and a stronger focus on self-control. The CLASH model further outlines that slow life strategy, future orientation, and strong self-control are important determinants of inhibiting aggression and violence. We also discuss how CLASH differs from other recently developed models that emphasize climate differences for understanding conflict. We conclude by discussing the theoretical and societal importance of climate in shaping individual and societal differences in aggression and violence. (shrink)

Name der Zeitschrift: Nietzsche-Studien Jahrgang: 45 Heft: 1 Seiten: 143-157.

This commentary focuses on the parts of psychological game theory dealing with preference, as illustrated by team reasoning, and supports the conclusion that these theoretical notions do not contribute above and beyond existing theory in understanding social interaction. In particular, psychology and games are already bridged by a comprehensive, formal, and inherently psychological theory, interdependence theory (Kelley & Thibaut 1978; Kelley et al. 2003), which has been demonstrated to account for a wide variety of social interaction phenomena.

The paper offers a counter- reading to Derrida's “utopian” reading of Nietzsche, focussing instead on Nietzsche's cynical view of friendship, based on the impossibility of being a friend to oneself. Unlike Aristotle, who sees the basis of human political nature in their shared rationality and mutual friendship, Nietzsche sees not only politics, but human beings themselves as being constituted by a violent act of submission, and characterised by an ongoing struggle for power. The paper further examines two intellectual traditions about (...) friendship and politics, one according to which the two are positively related and no real tension could exist between them. Another tradition holds friendship to be irreconcilable with politics. Elements of both traditions can be recognised in Nietzsche who, finding the radical deceptive nature of friendship unacceptable, moves to a solitude which is equally unbearable. For it is precisely the hermit that knows that his solitude makes him into an other to himself, which turns out to be a motive for real friendship, the third element which prevents the lonely hermit from sinking into the depth of self- interrogation. The paper concludes with the recognition that friendship, for Nietzsche, can only have an intermediary function on the way to full realisation of friendship, which will be a friendship of an inner difference or plurality, i.e. on our way to what is ultimately beyond the human condition, to the “over man”. (shrink)

O presente artigo examina o conceito, o diagnóstico e o prognóstico feito por Nietzsche a respeito do niilismo europeu e sua história, e o analisa como uma das mais importantes de suas contribuições para a filosofia e a cultura de nosso tempo.

Huang-Lao is now generally regarded as a set of ideas that gained currency from the final stages of the Warring States period to well into the Han dynasty. "Huang" stands for Huangdi, the Yellow Emperor; "Lao" refers to Laozi, the "Old Master," who is traditionally regarded as the founder of Daoism. Huang-Lao is thus a combination of ideas attributed to the mythical figures of the Yellow Emperor and Laozi. What those ideas are and how they have manifested themselves in Chinese (...) history remains the subject of heated debate. (shrink)

Amsterdam University Press is a leading publisher of academic books, journals and textbooks in the Humanities and Social Sciences. Our aim is to make current research available to scholars, students, innovators, and the general public. AUP stands for scholarly excellence, global presence, and engagement with the international academic community.

Insofar as the notion of forgiveness stems from the Jewish and Christian traditions, it seems to point at something very extraordinary. Although Christianity recommends or even commissions forgiveness to everybody, it nevertheless seems to consist of something which is not humanly possible: how could one remember the evil committed , and at the same time not blame the one who committed it? By ultimately reserving the entitlement and ability to forgive to God, by describing human forgiveness as a theological virtue, (...) and by emphasizing the gratuitous or gracious character of forgiveness, this tradition seems most of all to show that forgiveness is generally speaking impossible. In this paper, this conception of forgiveness is presented with the help of Jacques Derrida. The question how this apparently impossibility nevertheless sometimes happens is first answered with the help of Thomas Aquinas. Against this background, the paper claims that a ‘secular’ interpretation of forgiveness is also possible, which does justice to its being humanly impossible. Such interpretation describes forgiveness as an intersubjective act. (shrink)

Cramer et al.'s article is an example of the fruitful application of complex dynamic systems theory. We extend their approach with examples from our own work on development and developmental psychopathology and address three issues: (1) the level of aggregation of the network, (2) the required research methodology, and (3) the clinical and educational application of dynamic network thinking.

This chapter contains sections titled: Introduction Nietzsche's Critique of Morality and Ethics The Morality of the Critique.

In this article I examine the question whether classical virtue ethics, specifically the virtue of moderation, can still be of any significance for one of the major problems of our times: the environment. Can the virtue of moderation make a meaningful contribution to environmental ethics?

Today the problem of responsible parenthood is frequently reduced to the question of whether or not a couple actually desires to have a child. In medical circles the same question is reduced even further to a choice between the various forms of medical assistance available to a couple who might desire to have a child, but who have been unsuccessful in their own efforts. As a counterbalance to this narrowing process, it would seem appropriate to ask a number of questions (...) which in fact ought to precede it: Why do we want children in the first place? What are we really looking for in our desire to have children? What does it actually mean to have children?In attempting to answer these questions, our course will be a philosophical one, focusing on the meaning of our actions and the reality which surrounds us. Philosophy is unlikely to uncover new facts in such an investigation; its task is simply to examine the presuppositions present prior to our interpretation of the data that emerge from this. Our answers to the questions surrounding our desire for children and the meaning of parenthood must come prior to the available facts on the matter for the simple reason that it will define the significance that these facts will have for us.The questions frequently raised in ethical, pedagogical and juridical literature concerning the rights of parents and children with respect to one another must also precede our examination of the facts. Rights and obligations always pertain to a specific relationship. Knowledge of such relationships is presumed, therefore, when we go about discussing the rights and obligations of the parties involved. By exploring the presuppositions which make our questioning and understanding of the facts possible, philosophy endeavours to create a space wherein we can look at things differently, a space where new and different possibilities are opened up. While we admit that philosophy is not going to uncover new facts, it will, if it works, produce new possibilities for understanding the facts and give them meaning.In this paper, I would like to begin by offering a description of the love parents feel for their children. In the second section I will attempt to draw some conclusions from this description concerning our desire to have the children we do not yet have. In the final section I will endeavour to situate these conclusions in a somewhat broader context. (shrink)

Amsterdam University Press is a leading publisher of academic books, journals and textbooks in the Humanities and Social Sciences. Our aim is to make current research available to scholars, students, innovators, and the general public. AUP stands for scholarly excellence, global presence, and engagement with the international academic community.

Socialism, utilitarianism and democracy are, according to Nietzsche, secularised versions of Christianity. They have continued the monomaniac onesidedness of the Christian idea of what a human being is and should be, and they have even strengthened this monomania through its ‘immanentisation'. The article shows that this ‘immanentisation' is of crucial importance for Nietzsche's critique of democracy. This critique may suggest that Nietzsche's alternative for the disappeared Christian faith is not only a more radical rupture from the religious past, but also (...) a re-interpretation or recreation of the notion of transcendence implied in that faith.. South African Journal of Philosophy Vol. 26 (1) 2007: pp. 5-16. (shrink)

This paper aims to reconstruct the politico-philosophical content of the Ancient Wenzi, according to three interrelated questions: How does the text communicate its views to the reader? What are its main ideas? When and where were these ideas first put to writing? Accordingly, after a discussion of preliminaria in section 1, section 2 focuses on the rhetorical devices in the text, section 3 on its key terms, and section 4 on its possible historical context. The goal of this paper is (...) not only to describe the content of the Ancient Wenzi, but also to contextualize it. That is, to explore the debate to which the Ancient Wenzi may have responded. (shrink)

This paper presents the main aspects of the proto-Wenzi’s philosophy, with a focus on its intricate relationship with the Laozi. They show that the proto-Wenzi advocates a philosophy of quietude, not only in terms of its content, but also through the rhetoric it uses to create a harmonious synthesis of diverse, and at times even incompatible, ideas.