Background:Providing oncological care to children is demanding and ethical issues concerning what is best for the child can contribute to moral distress.Objectives:To explore healthcare professionals’ experiences of situations that generate moral distress in Swedish paediatric oncology.Research design:In this national study, data collection was conducted using the Swedish Moral Distress Scale-Revised. The data analysis included descriptive statistics and non-parametric analysis of differences between groups.Participants and research context:Healthcare professionals at all paediatric oncology centres in Sweden were invited to participate. A total of (...) 278 healthcare professionals participated. The response rate was 89%.Ethical considerations:In its advisory statement, the Regional Ethical Review Board decided that the study was of such a nature that the legislation concerning ethical reviews was not applicable. All participants received written information about the aim of the study and confidentiality. Participants demonstrated their consent by returning the survey.Findings:The two situations with the highest moral distress scores concerned lack of competence and continuity of personnel. All professional groups reported high levels of disturbance. Nurses rated significantly higher frequencies and higher total Moral Distress Scale scores compared to medical doctors and nursing assistants.Discussion:Lack of competence and continuity, as the two most morally distressing situations, confirms the findings of studies from other countries, where inadequate staffing was reported as being among the top five morally distressing situations. The levels of total Moral Distress Scale scores were more similar to those reported in intensive care units than in other paediatric care settings.Conclusion:The two most morally distressing situations, lack of competence and continuity, are both organisational in nature. Thus, clinical ethics support services need to be combined with organisational improvements in order to reduce moral distress, thereby maintaining job satisfaction, preventing a high turnover of staff and ensuring the quality of care. (shrink)

Immanuel Kant’s moral philosophy, political philosophy, and philosophy of judgement have been and continue to be widely discussed among many scholars. The impact of his thinking is beyond doubt and his ideas continue to inspire and encourage an on-going dialogue among many people in our world today. Given the historical and philosophical significance of Kant’s moral, political, and aesthetic theory, and the connection he draws between these theories and the appropriate function and methodology of education, it is surprising that relatively (...) little has been written on Kant’s contribution to education theory. Recently, however, internationally recognized Kant scholars such as Paul Guyer, Manfred Kuehn, Richard Velkley, Robert Louden, Susan Shell, and others have begun to turn their attention to Kant’s writings on education and the role of education in cultivating moral character. _Kant and Education: Interpretations and Commentary_ has gathered these scholars together with the aim of filling this perceived void in Kant scholarship. All of the essays contained within this volume will examine either Kant’s ideas on education through an historical analysis of his texts; or the importance and relevance of his moral philosophy, political philosophy, and/or aesthetics in contemporary education theory. (shrink)

This is an attempt to reflect on Islam as it appears in the context of Fethullah Gulen's teachings, an influential Turkish-Muslim scholar who inspired a movement of education and interfaith dialogue. Grinell's extensive study of Islam and of Gulen allows him to pinpoint a unique expression of values and beliefs that could alter the typical understanding of Islam and Muslims in the West. He draws upon his previous studies of the Gulen Movement and comparatively places Gulen in a wider context (...) of faith and society. What is the concept of knowledge in Islam as understood by Gulen? How is faith and service to people connected? Is Gulen after building a sultanate? Does the Gulen movement have a (hidden) political agenda? How traditional or modern is Gulen? These are some of the questions Grinell attempts to answer from his perspective. As a humanistic researcher on Islam, Grinell believes we definitely have something to learn from Islam.". (shrink)

Lessons of history are often referred to in public discourse, but seldom in scholarly discussions. This book wants to change this by introducing an innovative scholarly, analytical model of historical lessons, starting from the basic three-fold perspective that you simultaneously are history, share history, and make history. Not any history is useful for extracting or using lessons. Here, what are denoted as borderline historical events, demonstrating both time-specific and time-transcending qualities, are suggested as useful materials. Scholarly works on the Holocaust (...) and Soviet terror, from Raul Hilberg's and Robert Conquest's classical works of the 1960s to more recent books by Jan Gross and Timothy Snyder, are analyzed to identify lessons of history, and their change during a full half-century. (shrink)

The major transcript variants of human protein‐coding genes are annotated to a certain degree of accuracy combining manual curation, transcript data, and proteomics evidence. However, there is considerable disagreement on the annotation of about 2000 genes—they can be protein‐coding, noncoding, or pseudogenes—and on the annotation of most of the predicted alternative transcripts. Pure transcriptome mapping approaches seem to be limited in discriminating functional expression from noise. These limitations have partially been overcome by dedicated algorithms to detect alternative spliced micro‐exons and (...) wobble splice variants. Recently, knowledge about splice mechanism and protein structure are incorporated into an algorithm to predict neighboring homologous exons, often spliced in a mutually exclusive manner. Predicted exons are evaluated by transcript data, structural compatibility, and evolutionary conservation, revealing hundreds of novel coding exons and splice mechanism re‐assignments. The emerging human pan‐genome is necessitating distinctive annotations incorporating differences between individuals and between populations. (shrink)

Frustration in traffic is one of the causes of aggressive driving. Knowledge whether a driver is frustrated may be utilized by future advanced driver assistance systems to counteract this source of crashes. One possibility to achieve this is to automatically recognize facial expressions of drivers. However, only little is known about the facial expressions of frustrated drivers. Here, we report the results of a driving simulator study investigating the facial muscle activity that comes along with frustration. Twenty-eight participants were video-taped (...) during frustrated and non-frustrated driving situations. Their facial muscle activity was manually coded according to the Facial Action Coding System. Participants showed significantly more facial muscle activity in the mouth region. Thus, recording facial muscle behavior potentially provides traffic researchers and assistance system developers with the possibility to recognize frustration while driving. (shrink)

Human beings as imperfect rational beings face continuous challenges, one of them has to do with the lack of recognizing and respecting our inner dignity in present times. In this collective paper, we address the overall theme—Philosophy of Education in a New Key from various perspectives related to dignity. We address in particular some of the constraints and possibilities with regard to this issue in various settings such as education and society at large. Klas Roth discusses, for example, that (...) it is not uncommon that the value of human beings has to do with their price in, inter alia, their social, cultural, political and economic settings throughout the world. He argues that such a focus does not necessarily draw attention to the inner dignity of human beings, but that human beings ought to do so in education and society at large. Lia Mollvik discusses views of inner and outer dignity, and argues that there needs to be a balance in between them, and that the balance ought to be acknowledged in education. Rama Alshoufani discusses the classification of human beings in terms of various diagnoses related to the asserted dysfunction of the brain, and she argues that such classification does paradoxically not necessarily respect people with such diagnoses as ends in themselves. On the contrary, she argues that their inner dignity is not respected, but that it should be. Other such failures are due to the lack of inner dignity when it comes to Children’s rights as discussed by Rebecca Adami, and to the lack of recognition of human beings’ vulnerability as discussed by Katy Dineen. Fariba Majlesi criticizes a too strong emphasis on substantive notions of humanist education, which seem to hinder new ways of thinking; she argues that it is necessary to acknowledge the latter in and through education in order to preserve the dignity of human beings. Dignity, it is argued throughout the paper, has an inner moral worth, and is beyond price. (shrink)

The title of the article was inspired by the novel by John Steinbeck “Of Mice and Men” (1937) and the poem by Robet Burns about the deception of human plans. Even the best of them often lead astray, or their far-reaching negative effects are revealed. As it seems, nowadays nature (“mice”) and men (people) are in a breakthrough period – in the geological sense between the old and the new era, the Holocene and the Anthropocene, in the cultural sense – (...) between the analogue and digital era that can be – and it should actually be called a digit. Levi-Strauss in his essay “Raw and cooked” points to the groundbreaking for the emergence of human culture the use of fire in the preparation of food, and therefore the transition from nature to culture, and its foundation – the kitchen [12]. At present, this new phase of transition can be seen in the digitization of interpersonal communication and its current correlation – cross-linking. It was announced by the famous Turing machine (1936), a computer design and layout, which was realized in the 1940s and 1950s, and enter in mass production at its end, networked on a global scale in the 1990s and make mobile in the second decade of the 21st century in the form of a smartphone. (shrink)

Kant begins his Lectures on Pedagogy by stating, “[t]he human being is the only creature that must be educated” (Kant, 2007, 9:441), and he argues that it is through education that we can transform our initial “animal nature into human nature” (ibid. 2007, 9:441). Kant understands education as involving an ordered process of care, discipline, instruction and formation through enculturating, civilizing and moralizing (Formosa 2011). Further, Kant envisages that we should pursue as a species the “moral perfection” that is the (...) “final destiny of the human race” through education (Collins, 1997, 27:470; see Dean, 2014). However, to engage in this pursuit Kant believes that, through education and social change, we have to regulate our “animal nature” and counter the moral corruption of our species, which he calls the “radical innate evil in human nature (not any the less brought upon us by ourselves)” (Kant, 1998, 6:32). If humanity is to pursue its final destiny of moral perfection, then education will need to respond responsibly to the propensity to evil that is deeply rooted in us as finite and imperfect rational beings living in imperfect and at times even in morally corrupted social conditions. This paper outlines some of the relevant issues. (shrink)

Drug repurposing is a strategy of identifying new potential uses for already existing drugs. Many researchers adopted this method to identify treatment or prevention during the COVID-19 pandemic. However, despite the considerable number of repurposed drugs that were evaluated, only some of them were labeled for new indications. In this article, we present the case of amantadine, a drug commonly used in neurology that attracted new attention during the COVID-19 outbreak. This example illustrates some of the ethical challenges associated with (...) the launch of clinical trials to evaluate already approved drugs. In our discussion, we follow the ethics framework for prioritization of COVID-19 clinical trials proposed by Michelle N Meyer and colleagues (2021). We focus on four criteria: social value, scientific validity, feasibility, and consolidation/collaboration. We claim that launching amantadine trials was ethically justified. Although the scientific value was anticipated to be low, unusually, the social value was expected to be high. This was because of significant social interest in the drug. In our view, this strongly supports the need for evidence to justify why the drug should not be prescribed or privately accessed by interested parties. Otherwise, a lack of evidence-based argument could enhance its uncontrolled use. With this paper, we join the discussion on the lessons learned from the pandemic. Our findings will help to improve future efforts to decide on the launch of clinical trials on approved drugs when dealing with the widespread off-label use of the drug. (shrink)

How can we understand human agency, and what does it mean to educate character? In this essay Klas Roth develops a Kantian notion, one that suggests we render ourselves efficacious and autonomous in education and elsewhere. This requires, among other things, that we are successful in bringing about the intended result through our actions and the means used, and that we act in accordance with and are motivated by the Categorical Imperative. It also requires that we are or strive (...) to become virtuous and that we engage in moral reflection, and, furthermore, that actions are done for the sake of duty, that is, out of respect for the moral law. We accomplish such aims by developing our predispositions, namely the technical, the pragmatic, and the moral predisposition in a society. The extent to which we achieve this, Roth contends, demonstrates what we are prepared to make of ourselves. (shrink)

In the context of more and more project-based research funding, commercialization and economic growth have increasingly become rationalized concepts that are used to demonstrate the centrality of science for societal development and prosperity. Following the world society tradition of organizational institutionalism, this paper probes the potential limits of the spread of such rationalized concepts among different types of research funders. Our comparative approach is particularly designed to study the role and position of nonprofit research funders, a comparison that is relevant (...) as NPF could potentially be shielded from such rationalized pressures given their lack of profit gaining motives. By making a qualitative interview-based investigation we are able to describe how research funders rationalize their contributions to society at large, as well as their obligations to the researchers they fund. Four types of research funders are compared—independently wealthy philanthropists, fundraising dependent nonprofits, public agencies, and industry. We find that NPF, and especially philanthropists, are the least commercially geared type of funder, but that philanthropists also express least obligations to researchers funded. This is in sharp contrast to public research funders who, even more than industry, employ commercially geared rationalizations. We also find that both public and corporate funders express obligations to the researchers they fund. Our results indicate that there are limits to the spread of commercially tinted rationalizations among NPF, but that this does not necessarily mean an increased sense of obligations to the researchers funded, and by extension to the integrity of scientific pursuit. (shrink)

Why should we deliberate? I discuss a Kantian response to this query and argue that we cannot as rational beings avoid deliberation in principle; and that we have good reasons to consider the value and strength of Kant's philosophical investigations concerning fundamental moral issues and their relevance for the question of why we ought to deliberate. I also argue that deliberation is a wide duty. This means that it has to be set as an end, that it is meritorious, and (...) that we cannot specify exactly what acts can be identified with it or are required for its realization. I begin by discussing why we cannot avoid deliberation in principle, that deliberation is a wide duty and why we ought to set it as an end. In the second part I argue how deliberation can be acknowledged in cosmopolitan education, and how we can inquire into the quality of communication in terms of deliberation in such an education or elsewhere. (shrink)

Do we need principles of the unification of our agency, our mode of acting? Immanuel Kant and Christine Korsgaard argue that the reflective structure of our mind forces us to have some conception of ourselves, others and the world—including our agency—and that it is through will and reason, and in particular principles of our agency, that we take upon ourselves to unify and test the way(s) in which we make our lives consistent. I argue that the principles suggested—the hypothetical imperative (...) and the categorical imperative—function to unify our understanding of ourselves and others as agents as efficacious and autonomous and that the extent to which those concerned render themselves efficacious and autonomous in cosmopolitan education or elsewhere is due to the extent to which they act in accordance with and are motivated by the suggested principles and in particular the categorical one. I first discuss how the principles function to unify our agency and how the categorical imperative functions as a test of maxims for our actions, how the will is the source of our morality, and how we are forced to have practical identities. I end with some remarks on what it means to acknowledge the mentioned principles in cosmopolitan education. (shrink)

Present arrangements for the control and administration of schools in Sweden foster freedom of choice and the interests of different value communities more than ideals such as democratic deliberation. I argue that children and young people should be given the opportunity to deliberate in ‘discourse ethics’ terms during their compulsory schooling, and I suggest that their right to engage in such deliberation is contained in the national curriculum. A discourse ethics approach to democratic deliberation pays attention to whether, and to (...) what extent, individuals are free and able to participate in joint democratic deliberation. (shrink)

Paul Guyer’s reading of the work by Stanley Cavell and Immanuel Kant on moral perfectionism is, I think, insightful, valuable and sympathetic, and his critique of Stanley Cavell is nuanced and considerate. He argues in “Examples of Perfectionism,” the previous article in this journal, that “Kant offers a fuller example of what Stanley Cavell calls Emersonian perfectionism, … than Cavell himself has recognized even in his most sympathetic account of Kant” (5). Guyer argues, moreover, “that there is a deep affinity (...) between the views of moral education with which Kant and Cavell accompany their examples of moral perfectionism, in that each thinks that examples of the possibility of actually living a moral life in the.. (shrink)

Immanuel Kant’s conception of ethics and aesthetics, including his philosophy of judgment and practical knowledge, are widely discussed today among scholars in various fields: philosophy, political science, aesthetics, educational science, and others. His ideas continue to inspire and encourage an ongoing interdisciplinary dialogue, leading to an increasing awareness of the interdependence between societies and people and a clearer sense of the challenges we face in cultivating ourselves as moral beings.Early on in his career, Cavell began to recognize the strong connection (...) between Kant’s aesthetics (as it finds its expression in the Critique of the Power of Judgment) and the claims of ordinary language.. (shrink)

Robin Barrow claims in his ?Moral education's modest agenda? that ?the task of moral education is to develop understanding, at the lowest level, of the expectations of society and, at the highest level, of the nature of morality???[that is, that moral education] should go on to develop understanding, not of a particular social code, but of the nature of morality ? of the principles that provide the framework within which practical decisions have to be made? [Barrow, R. 2006. Moral education's (...) modest agenda. Ethics and Education 1, no. 1: 3?13.]. Barrow's words are noteworthy not only because he sets out to define the ?modest? agenda of moral education in terms of principles, but also because he asserts that education is important for teaching students to understand morality in such terms. However, even though he is arguing that understanding morality is important in terms of principles, he says little about their function or status, or how we cultivate ourselves so that we act in agreement with and are motivated by the principles of practical reason. In this article I therefore discuss two distinctive features of human beings and offer a Kantian notion of morality as a response to Barrow's development of an understanding of morality in terms of principles. I argue that the principles Kant suggests are constitutive of action, and that we both develop our understanding and also value our humanity when we act in agreement with and are motivated by the suggested principles, and cultivate our predispositions (technical, pragmatic and moral). Moreover, I argue that we reach the goal of ?a progressive organization of citizens of the earth into and toward the species as a system that is cosmopolitically united? [Kant, I. 2006b. Anthropology from a pragmatic point of view. Trans. Robert B. Louden. Cambridge: Cambridge University Press.] when we, inter alia, value our humanity and comply with the principles of practical reason, in practice. (shrink)

Kant argues that we have a duty to perfect ourselves morally and promote the happiness of others. He also argues that we have an innate propensity to evil. Our duty to perfect ourselves sug...

The notion of `truth' is one of the most important concepts within critical thinking and critical pedagogy as well as in other traditions or theories, and truth is seen by many as the outcome of inquiry. In this article I will argue for an alternative notion of truth to those that will be discussed in it and that such a view has to be included in a new critical language in education. I discuss a realist notion, a postmodernist social constructivist (...) notion, a relativist notion, a deflationist and a cautionary discursive conception of truth put forward by Habermas, and contend that they are problematic in the light of my interpretation of Donald Davidson's philosophy of language. I also argue that truth cannot be a goal of inquiry, but that understanding and justification are legitimate goals. Finally, I contend that it is reasonable to include notions such as understanding, justification and deliberation in Davidson's terminology in a new critical language of education. (shrink)

Institutions worldwide respond to the need to recognise the value of educating children and young people to handle or solve conflicts in communication. But how do they or we know that an event is correctly interpreted as a conflict? How can people analyse the quality of deliberation when handling or solving conflicts in communication in education? I discuss these questions and argue that the notion of conflict cannot be defined only in terms of incompatibility, clash, opposition and/or disagreement; it also (...) has to encompass negativity in the approach to the other. I also argue that the quality of deliberation can be analysed through a deliberative pedagogical approach, which takes into account structural features of deliberation and required dispositions of the participants, and that our knowledge of conflicts emerges holistically and is interpersonal and objective. I begin by giving an account of some institutional responses to conflicts. Then I discuss the notion of conflict and define it, inter alia, in terms of incompatibility, disagreement and negativity. Finally, I discuss ideas for analysing the quality of deliberation in communication when handling or solving conflicts in education. (shrink)

I Möten med historiens mångfald ger nästa generation av svenska historiker läsaren en inblick i sina pågående eller nyss avslutade forskningsarbeten.

Kant argues that we have a duty to perfect ourselves morally and promote the happiness of others. He also argues that we have an innate propensity to evil. Our duty to perfect ourselves suggests that we struggle with our innate propensity to wilfully deviate from doing our duty. And we do this when we struggle against the depravation of our heart, namely our propensity to reverse ‘the ethical order as regards the incentives of a free power of choice’, namely, our (...) propensity to wilfully comply with the principle of self-love and override the moral law. It seems, however, that education does not enable those concerned to fulfil their duties. It seems, instead, that education basically makes them efficacious with regard to desired ends and with the devised means. It seems, too, that education does not necessarily make it possible for those concerned with duty to perfect themselves morally and help others to do the same, which in turn suggests that those concerned are not being enabled to make themselves ‘as conscientious as possible in [their] moral self-examination’. I argue that education ought to enable those concerned to cultivate their moral strength to do so and enable others to do the same. (shrink)

Facial expressions are one of the commonly used implicit measurements for the in-vehicle affective computing. However, the time courses and the underlying mechanism of facial expressions so far have been barely focused on. According to the Component Process Model of emotions, facial expressions are the result of an individual's appraisals, which are supposed to happen in sequence. Therefore, a multidimensional and dynamic analysis of drivers' fear by using facial expression data could profit from a consideration of these appraisals. A driving (...) simulator experiment with 37 participants was conducted, in which fear and relaxation were induced. It was found that the facial expression indicators of high novelty and low power appraisals were significantly activated after a fear event. Furthermore, after the fear event, the activation of high novelty occurred earlier than low power. These results suggest that multidimensional analysis of facial expression is suitable as an approach for the in-vehicle measurement of the drivers' emotions. Furthermore, a dynamic analysis of drivers' facial expressions considering of effects of appraisal components can add valuable information for the in-vehicle assessment of emotions. (shrink)

Günümüzde hızla yayılan, insanların hayat kalitesini ve mutluluğunu olumsuz olarak etkileyen yalnızlık, özellikle Amerika ve Avrupa’da en önemli toplumsal sorunlardan birine dönüşmüştür. İngiltere’de yalnızlıktan sorumlu bakanlık kurulmasına kadar varan bu olgunun, Türkiye’de özellikle genç nesli temsil eden üniversite öğrencilerinde ne düzeyde olduğu, bu araştırmanın temel araştırma konularından birini oluşturmaktadır. Bu araştırma, Ordu üniversitesinin değişik fakültelerinde öğrenim gören 416 öğrenci örneklemi üzerinde yürütülmüştür. Anket formunda; UCLA yalnızlık ölçeği, dini başa çıkma ve hayat memnuniyeti ölçekleri kullanılmıştır. Ayrıca katılımcıların bireysel dindarlık algıları ve (...) sosyal medya kullanım düzeylerini belirlemeye yönelik sorular oluşturulmuştur. SPSS istatistik programıyla yapılan analizler sonucunda; dindarlık algısı ile yalnızlık, olumsuz dini başa çıkma, sosyal medyada görünürlük düzeyi ve kullanılan sosyal medya sayısı arasında negatif yönde; dindarlıkla olumlu dini başa çıkma arasında ise pozitif yönde bir ilişki tespit edilmiştir. Ayrıca öznel dindarlık algısı cinsiyet üzerinde farklılığa açmazken, hayat memnuniyeti üzerinde farklılığa yol açtığı anlaşılmıştır. Yalnızlık ile olumlu dini başa çıkma, hayat memnuniyeti ve mesajlaşma arasında negatif yönde ilişki ve etkileşim tespit edilirken, hayat memnuniyeti ile olumlu dini başa çıkma arasında pozitif, olumsuz dini başa çıkma arasında negatif yönde ilişki ve etkileşimin varlığı bulgulanmıştır. Bu çalışma birçok değişkenin birbiri ile ilişki ve etkileşimini ele alması bakımından önemlidir. (shrink)

Nästan alla bekänner sig till idealet om oberoende forskning. Men i praktiken är den vetenskapliga friheten begränsad av både politiken och marknaden. Vilken är egentligen vetenskapens roll i det öppna samhället?

This dissertation explores learned conceptions of uncertainty and risk during the period stretching approximately between 1560 and 1720. Previous historical overviews of the ideas about risk hold that pre-industrial societies viewed all worldly happenings as emanations of God's will or other forces lying beyond human control. This viewpoint is scrutinized and called into question in the dissertation through an examination of early modern Swedish sources. In order to show how earthly uncertainty was conceptualized documents dealing with actual calamities are analyzed. (...) Particular attention is paid to documents that portray man as being subjected to forces beyond his control. In early modern Sweden the questions of causality and responsibility were continuously debated according to the interests and perspectives of differing actors. The same type of occurrence could be given very different - even contradictory - interpretations. E.g. shipwrecks could be viewed as divine punishments, warnings, trials, miraculous deliverances, divine secrets, omens of coming events, or quite simply human errors. The concrete rhetorical situation determined which of them was put to use. In practical planning explanations based on God's intentions played no direct role. In a worldly perspective, fortuna was seen as a challenge that individuals were compelled to overcome by means of knowledge and virtue. Taken together, the texts serve to paint a portrait of a moral universe in which worldly events reflect the will of God, yet without relieving man of responsibility for his actions. (shrink)