The importance of patient involvement is increasing in healthcare, and initiatives are constantly implemented to reach the ideal of involved and educated patients. This secondary analysis was initially embedded in a randomized controlled study where the aim was to gain insight into perceptions and experiences within a group of women undergoing fertility treatment through two focus group interviews. In this secondary analysis, we investigated how patient involvement was strived for in both clinical practice and research. During the analysis, it became (...) apparent that the women exercised and maintained a clear perspective on their hope for a child, Project Child, while the interviewer pursued a treatment perspective, Project Treatment. Despite different perspectives, the conversation during the interviews seemed effortless, and it became apparent how the interviewer and the participants were actually focusing partly on the same, but primarily on different issues but without addressing or acknowledging this. Knowledge and awareness of the difference in perspectives is important when healthcare professionals seek to involve patients both in clinical practice and in research. Patient involvement in both research and clinical practice has shown to be a challenge and entails that pathways are organized and decisions shared by healthcare professionals. (shrink)

ArgumentThe recent development of molecular genetics has created concern that society may experience a new eugenics. Notions about eugenics and what took place in the 1930s and 1940s are actively shaping questions about which uses of the new genetics should be considered illegitimate. Drawing upon a body of historiographical literature on Scandinavian eugenics, this paper argues that the dominant view of eugenics as morally and scientifically illegitimate is not tenable when it comes to the uses of compulsion, political motivation, and (...) scientific acceptability. In spite of a general condemnation of eugenics, health authorities today are trying to prevent individuals with deviant behavior from reproducing or at least from rearing children. This may not be argued with reference to the risk of transmitting defective genes, but rather the risk of producing undesirable social problems. Drawing on a Foucauldian approach, the paper concludes that eugenics and new genetics should be seen as two historically specific forms of biopower. (shrink)

Abstract. In this essay, I describe my Cultural-Developmental Template Approach to moral psychology. This theory draws on my research with the Three Ethics of Autonomy, Community, and Divinity, and the work of many other scholars. The cultural-developmental synthesis suggests that the Ethic of Autonomy emerges early in people's psychological lives, and continues to hold some importance across the lifespan. But Autonomy is not alone. The Ethic of Community too emerges early and appears to increase in importance across the life course. (...) Then, it also seems that in most places and at most times, the Ethic of Divinity has found a voice—and in some traditions this ethic may become audible in adolescence. Ethics of Autonomy, Community, and Divinity, then, may have universal roots in the human condition. However, they are also clearly culturally and historically situated. Cultural communities—whether defined by religious, national, or other boundaries—vary in how they prioritize the three ethics and the extent to which they reinforce their development. (shrink)

This binary also speaks more generally to how we tend to conceive of the relation between place and space: As many scholars have pointed out, place often comes valued as "the sphere of the everyday, or real and valued practices," or "a locus of denial" trailing ideas of the "closed, coherent, integrated as authentic, as 'home', a secure retreat" (Massey 2005, 5-6). Doreen Massey's descriptions speak to our perceptions of a center, of a core toward which energy flows, and in (...) so doing marking, in Michel de Certeau's words, "an instantaneous configuration of positions. (shrink)

The fourth-century B.C. was a period during which a large number of Greek cities were affected by civil wars, military conquests, and destruction, with the displacement of large numbers of men, women and children as a result. This has implications for the modern debate on Athenian attitudes to immigration, which normally focuses on just two groups of free non-citizens: adult, able-bodied men who moved to Athens voluntarily to take advantage of the city’s economic opportunities and on the free non-citizen population (...) who had come to Athens as slaves and who stayed on after their manumission. This article argues that refugees were likely to have constituted a considerable component of the migration to Athens during certain troubled periods in the course of the fourth century. This means that the size of Athens’s immigrant population was likely to have fluctuated considerably, that many of the refugees would have been destitute, that women and children may have made up an even greater proportion of the non-citizen population than normally assumed, and, thus, that a considerable number of these immigrants would not have been able to contribute substantially to Athens’s grain trade or military. The implications of this for our assessment of the Athenian motives for admitting groups of refugees are discussed, and it is argued that the requirement that all male and all unaccompanied female immigrants had to find an Athenian sponsor and pay a special metic tax may have constituted a certain level of control over immigrant numbers. (shrink)

Managing aggression in mental health hospitals is an important and challenging task for clinical nursing staff. A majority of studies focus on the perspective of clinicians, and research mainly depicts aggression by referring to patient-related factors. This qualitative study investigates how aggression is communicated in forensic mental health nursing records. The aim of the study was to gain insight into the discursive practices used by forensic mental health nursing staff when they record observed aggressive incidents. Textual accounts were extracted from (...) the Staff Observation Aggression Scale-Revised (SOAS-R), and Fairclough’s Critical Discourse Analysis was used to identify short narrative entries depicting patients and staffs in typical ways. The narratives contained descriptions of complex interactions between patient and staff that were linked to specific circumstances surrounding the patient. These antecedents, combined with the aggression incident itself, created stereotyping representations of forensic psychiatric patients as deviant, unpredictable and dangerous. Patient and staff identities were continually (re)produced by an automatic response from the staff that was solely focused on the patient’s behavior. Such response might impede implementation of new strategies for managing aggression. (shrink)

This book explores a selection of trans-contextual case studies within religious diversity scholarship to develop a series of theoretical and methodological considerations for scholars to utilize when they conduct their own studies of religious diversity.

The view that eugenics was based on unscientific views has been put forward by a number of historians. It has been claimed that the early phase of eugenics, so-called mainline eugenics, was unscientific, biased against the lower classes, and racist. An ensuing reform eugenic phase, however, has been considered scientifically sound and politically progressive. This paper, based on recent studies of eugenic sterilisation in Scandinavia, challenges this view. The political and scientific arguments in favour of eugenic sterilisation laws in Scandinavia (...) were complex and ambiguous, and it is empirically impossible to identify a problematic mainline eugenic phase and separate it from a more acceptable reform phase. Social and scientific arguments for sterilisation appeared side by side. To improve the gene pool was only one of a host of aims of eugenics, which “was” not a fixed, well-defined ontological entity with one definite purpose, but a concept with multiple meanings. (shrink)

Volume 18, Issue 4, August 2019, Page 347-351.

Thinking psychoanalytically about the nature of social exclusion involves a self-questioning on the part of the interpreter. While we may all have some experiences of having been subject to stereotyping, silencing, discrimination and exclusion, it is also the case that, as social beings, we all, to some extent, participate in upholding these practices, often unconsciously. The book poses the question of how psychoanalysis can be used to think about the invisible and subtle processes of power over symbolic representation, in the (...) context of stereotyping and dehumanization: What forces govern the state of affairs that determine who is an 'I' and who is an 'it' in the public sphere? Thinking in terms of 'containment', a communication which is denied a social space for expression can be said to be actively stripped of meaning. Through its original contribution of attending to, and interpreting material that so far had seemed meaningless, psychoanalysis demonstrates a capacity to reinstall meaning where none was before - but how are such acts performed on a social level? (shrink)

The relationship between agriculture and nature is a central issue in the current agricultural debate. Organic Farming has ambitions and a special potential in relation to nature. Consideration for nature is part of the guiding principals of organic farming and many organic farmers are committed to protecting natural qualities. However, the issue of nature, landscape, and land use is not straightforward. Nature is an ambiguous concept that involves multiple interests and actors reaching far beyond farmers. The Danish research project Nature (...) Quality in Organic Farming has investigated the relationship between nature and organic farming. This article will focus on an expert workshop held in connection with the project that investigates the way different actors conceptualize nature. Farmers, scientists, and non-governmental organizations came together to discuss their experiences of nature and expectations of organic agriculture. From this interaction, it was clear that nature is a contested notion. Different understandings of nature exist within the three groups and there is disagreement as to whether emphasis should be given to biological qualities, production values, or experiential and aesthetic perspectives. This complexity provides a challenge to organic farming as well as to the implementation of nature considerations in general. It illustrates an underlying battle for the right to define nature and nature quality and essentially decide what organic farmers should work towards. We argue that successful implementation requires organic farmers to carefully consider what expectations they wish to meet. Optimally it is dependent on a dialog between stakeholder interest groups that allows for multivocality and pluralism. (shrink)

Western philosophy has been greatly influenced by visual metaphors. Knowing something has commonly, yet implicitly, been conceptualized as seeing something clearly, learning has been framed as being visually exposed to something, and the mind has been understood as a ‘mirror of nature’. A whole ‘epistemology of the eye’ has been at work, which has had significant practical implications, not least in educational contexts. One way to characterize John Dewey’s pragmatism is to see it as an attempt to replace the epistemology (...) of the eye with an epistemology of the hand. This article develops the epistemology of the hand on three levels: A level of embodiment and metaphors, of craftsmanship and social practices, and of schooling and education. (shrink)

Empathy plays a central role in the history and contemporary study of ethics, interpersonal understanding, and the emotions, yet until now has been relatively underexplored. _The Routledge Handbook of Philosophy of Empathy_ is an outstanding reference source to the key topics, problems and debates in this exciting field and is the first collection of its kind. Comprising over thirty chapters by a team of international contributors, the _Handbook_ is divided into six parts: Core issues History of empathy Empathy and understanding (...) Empathy and morals Empathy in art and aesthetics Empathy and individual differences. Within these sections central topics and problems are examined, including: empathy and imagination; neuroscience; David Hume and Adam Smith; understanding; evolution; altruism; moral responsibility; art, aesthetics, and literature; gender; empathy and related disciplines such as anthropology. Essential reading for students and researchers in philosophy, particularly ethics and philosophy of mind and psychology, the _Handbook_ will also be of interest to those in related fields, such as anthropology and social psychology. (shrink)

In thirteen essays from different aesthetic traditions, Aesthetic Apprehensions: Silences and Absences in False Familiarities problematizes our habituated customs of seeing and reading the familiar to focus on that which cannot easily be comprehended but may be sensed through encounters with the ruptures and gaps that quietly beckon our attention.

This book is about the ways we make sense of the constant changes and interchanges of webs of meaning and being to which we are all connected. Working from textual, visual, historical, and contemporary fieldworks, each chapter presents a unique exercise on challenges of thinking through the figurations of imaginaries into their aesthetic forms.

Criminal offenders may be offered to participate in voluntary rehabilitation programs aiming at correcting undesirable behaviour, as a condition of early release. Behavioural treatment may include direct intervention into the central nervous system (CNS). This article discusses under which circumstances voluntary rehabilitation by CNS intervention is justified. It is argued that although the context of voluntary rehabilitation is a coercive circumstance, consent may still be effective, in the sense that it can meet formal criteria for informed consent. Further, for a (...) consent to be normatively valid (“take the wronging out of the act”) under a coercive circumstance, the subject to be treated must (1) have the sovereign authority to consent, and (2) the offer-giver must be in the right normative position to make the offer. While I argue that subjects do have the sovereign authority to consent to treatment, I also argue that inappropriate offers yield invalid consents. Considerations on inappropriate offers should therefore inform which kinds of CNS intervention-based rehabilitation schemes the state may propose as part of the criminal justice system. Yet as I conclude in this paper, while there are some intrinsic constraints on voluntary rehabilitation programs, the main constraints on voluntary rehabilitation are likely to be contingent overriders. However, CNS intervention is not ruled out as such in the context of voluntary rehabilitation. (shrink)

In 2004, twelve capuchin monkeys were moved from the labs of the Danish psychiatric hospital of Sankt Hans to a small private-owned zoo in another part of Denmark in order to be rehabilitated. These monkeys were the last nonhuman primates to be used as research animals in Danish biomedical laboratories. The normal procedure would be to kill research animals after the termination of an experiment; in this case, however, a decision was reached to close down the lab. The moral landscape (...) had changed, and it was no longer considered acceptable to use nonhuman primates in Danish biomedicine. From being considered a biological resource serving as a model of man, the monkeys had become moral subjects with a claim to a life suiting their natural needs. Simultaneously, the monkeys became instrumental in creating moral legitimacy for the actors involved in their rescue. What we see is an instance of pathfinding in a changing moral landscape where actors negotiate nonhuman primate nature as they create new moral positions for themselves. (shrink)

This volume contains twelve original papers about the importance of empathy and sympathy to morality, with perspectives from philosophy, psychology, psychiatry, anthropology, and neuroscience.

Psychopaths are renowned for their immoral behavior. They are ideal candidates for testing the empirical plausibility of moral theories. Many think the source of their immorality is their emotional deficits. Psychopaths experience no guilt or remorse, feel no empathy, and appear to be perfectly rational. If this is true, sentimentalism is supported over rationalism. Here, I examine the nature of psychopathic practical reason and argue that it is impaired. The relevance to morality is discussed. I conclude that rationalists can explain (...) the moral deficits of psychopaths as well as sentimentalists. In the process, I identify psychological structures that underpin practical rationality. (shrink)

Hybrid accounts of folk psychology maintain that we sometimes theorize and sometimes simulate in order to understand others. An important question is why this is the case. In this paper, I present a view according to which simulation, but not theory, plays a central role in empathy. In contrast to others taking a similar approach to simulation, I do not focus on empathy’s cognitive aspect, but stress its affective-motivational one. Simulating others’ emotions usually engages our motivations altruistically. By vicariously feeling (...) what others are feeling, we directly come to be motivated by their projects and concerns. Simulation contrasts with more theoretical approaches to psychological attribution that help us understand and explan others, but that do not move us altruistically. This helps us see why we would posit two different folk psychological approaches instead of merely one. (shrink)

This paper questions the moral foundations of the equal war-right to kill in international law. Although there seems to be a moral difference between fighting a just and unjust war, this need not reflect on our moral assessment of soldiers, since unjust combatants can be non-culpable by virtue of excuse. Under the aspect of immunity from blame, an equal war-right to kill is upheld, and belligerent equality restored among innocents. It must therefore be proven that innocent threats can be justifiably (...) killed. If this fails, there is nothing about the people who kill and are killed in war that justifies their killing. This leads to a strong presumption against war and to question the notion of just war. Further, there should be an incentive to increase protection of combatants in war. (shrink)

This cutting-edge book brings together eminent experts who propose ways to bridge cultural and developmental approaches to human psychology. The experts heed the call of cultural psychology to study different peoples around the world and to recognize that culture profoundly impacts how we think, feel, and act. At the same time, they also take seriously the developmental science perspective that humans everywhere share common life stage tasks and ways of learning. Doing what has not previously been done, the experts integrate (...) key insights and findings from cultural and developmental research. The result is a book brimming with new and creative syntheses for theory, research, and policy. This book is in step with a world where culturally diverse peoples interact with one another more than ever due to migration, worldwide media, and international trade and travel. With these interactions come changes to cultures and the psychological development of their members, and the implications for scholarship and policy are thoughtfully examined here. The book covers a wide range of related topics. It addresses the intersection of development and culture for psychological processes such as learning and memory, for key contexts of development such as family and civil society, for conceptions of self and identity, and for how the life course is partitioned including a focus on childhood and emerging adulthood.With its inclusion of diverse life phases, diverse topics, and experts from diverse disciplines and cultures, this volume speaks to a broad range of developmental and cultural issues. The synthesis of cultural and developmental approaches should be exciting and eye-opening to anyone with an interest in human psychology in today's global world. (shrink)

Recently, the world experienced dramatic changes due to the onset of the COVID-19 pandemic. Working remotely led to employees feeling isolated and experiencing fatigue and depression. The responsibility of addressing the psychological wellbeing of employees lies with industrial psychology practitioners. They support line management by counseling employees experiencing social and psychological problems. The objective of the present study was to explore the role of the industrial psychology practitioner in managing the psychological impact of COVID-19 on employees. Using a homogeneous sampling (...) technique, a qualitative research design was employed based on social constructivism. Semi-structured interviews and a qualitative survey were utilized to gather the data from industrial psychology practitioners registered as psychologists and interns. Thematic analysis was employed to analyze the data. Most participants believed that the onset of COVID-19 led to accelerated change in the workplace. The findings suggest that an industrial psychology practitioner’s role in the changing world of work enables organizations to be prepared for the changes by providing multi-level interventions. Recommendations are made to organizations to implement interventions to facilitate support for employees in their attempt to deal with the psychological impact of COVID-19 on employees. (shrink)

A growing body of evidence suggests that the informed consent process, in which patients are warned about potential side effects of a treatment, can trigger a nocebo effect where expectations about side effects increase side effect occurrence. This has sparked an ethical debate about how much information patients ought to receive before a treatment while trying to balance the moral principles of patient autonomy and nonmaleficence. In keeping with the principle of patient autonomy, the opinion of patients themselves in relation (...) to how much information they want about side effects is of utmost relevance in this debate. The literature was searched to identify surveys assessing patient attitudes towards side effect information. Across a broad variety of patient populations, treatment types, and countries, the majority of patients wished to be fully informed of potential side effects, particularly in relation to frequent and severe side effects, while only a small minority wanted minimal or no information at all. Results from this review suggest that nocebo research should focus on methods of avoiding nocebo effects of informed consent while ensuring that patients are well-informed about potential side effects. (shrink)

Revisionists claim that the retributive intuitions informing our responsibility-attributing practices are unwarranted under determinism, not only because they are false, but because if we are all victims of causal luck, it is unfair to treat one another as if we are deserving of moral and legal sanctions. One revisionist strategy recommends a deflationary concept of moral responsibility, and that we justify punishment in consequentialist rather than retributive terms. Another revisionist strategy recommends that we eliminate all concepts of guilt, blame and (...) punishment, and treat dangerous criminals as we treat people with contagious diseases. I argue against both strong and moderate revisionism that it is not unfair to hold persons desert -entailingly responsible insofar as they take an interest in being treated as appraisable, and that it is unfair to persons not to treat them as desert -entailingly responsible contrary to their interests in being treated as such. The interest-based argument, I conclude, give us a justification for communicating retributive attitudes, but may still require a weak revision of our retributive practices, in the direction of a communicative theory of punishment. (shrink)

Recent years have seen an explosion of interest in the benefits of anxiety. Among these is the proposal that anxiety is a moral emotion. If it is, we ought to cultivate it. But people who are anxious are also less happy. So it seems that asking people to be morally better persons involves asking them to be less happy than they might otherwise be. In this paper, I consider ways to avoid this consequence, all of which rely on emotion regulation. (...) Emotion regulation is supposed to balance one’s anxiety sufficiently so as to have relatively little impact on one’s happiness. As it turns out, emotion regulation is not as simple a solution as one might think. People who are very good at regulating their moral emotions do so at a cost: they assist others in need less and think of other people in demeaning or dehumanizing ways. This shows that using emotion regulation to maximize aspects of happiness—particularly happy feelings—reduces, rather than enhances, one’s moral goodness. One might therefore think that aiming towards equanimity instead promises a better solution since we avoid the over-exertion of emotion regulation and its consequent negative effects. Although that is true, we are still stuck with the problem that the ways people typically reduce their negative reactions to others that suffer—which I show is a form of moral emotions—are highly morally problematic. If we are to hope to solve the apparent conflict between cultivating anxiety and being happy, I argue, we need to take a different approach. Instead of proceeding by thinking about emotions in an almost atomistic way, according to which we experience only one definable type at a time, which can be understood statically, we must think of emotion more holistically. That is, we should consider more carefully the context in which an emotion occurs, how it unfolds over time, what other emotions arise alongside it or are otherwise connected to it, and the significance to the person of the experience as a whole. Such a richer picture of person’s affective experience in morally relevant situations shows how emotion regulation can be deployed without leading to the morally problematic thoughts and actions described earlier. I use empathic distress as an example of moral emotions to exemplify why such an approach does more justice to the phenomena, in addition to being friendlier to anxiety-positive views. (shrink)