The Dutch law states that a physician may perform euthanasia according to a written advance euthanasia directive when a patient is incompetent as long as all legal criteria of due care are met. This may also hold for patients with advanced dementia. We investigated the differing opinions of physicians and members of the general public on the acceptability of euthanasia in patients with advanced dementia.

Inspired by the work of Richard Abel, the authors conduct a N=1 study into the career path and disciplinary records of a Dutch immigration advocate. Their aim is to offer explanations as to why some lawyers seem so impervious to discipline. The authors analyse the case from three different angles: (1) characteristics of the disciplinary system (2) the social network of the advocate in question, including his professional network, and (3) the advocate?s personality. According to the authors, the key to (...) explaining non-compliance with ethical rules lies in the interaction between these three perspectives. In the case of the immigration lawyer a lack of professional socialization and the fact that he operated on his own, without substantial feedback or criticism from his social network were important explanatory factors. The article also offers a detailed insight into the effects of an accelerated disciplinary proceeding in which a local bar president ex officio assumes a new role. (shrink)

BackgroundGene drive technologies promote the rapid spread of a particular genetic element within a population of non-human organisms. Potential applications of GDTs include the control of insect vectors, invasive species and agricultural pests. Whether, and if so, under what conditions, GDTs should be deployed is hotly debated. Although broad stances in this debate have been described, the convictions that inform the moral views of the experts shaping these technologies and related policies have not been examined in depth in the academic (...) literature.MethodsIn this qualitative study, we interviewed GDT experts from different disciplines to identify and better understand their moral views regarding these technologies. The pseudonymized transcripts were analyzed thematically.ResultsThe respondents’ moral views were principally influenced by their attitudes towards the uncertainty related to GDTs; the alternatives to which they should be compared; and the role humans should have in nature. Respondents agreed there is epistemic uncertainty related to GDTs, identified similar knowledge gaps, and stressed the importance of realistic expectations in discussions on GDTs. They disagreed about whether uncertainty provides a rationale to refrain from field trials or to proceed with phased testing to obtain more knowledge given the harms of the status quo. With regards to alternatives to tackle vector-borne diseases, invasive species and agricultural pests, respondents disagreed about which alternatives should be considered feasible and sufficiently explored: conventional strategies or systematic changes to health care, political and agricultural systems. Finally, respondents held different views on nature and whether the use of GDTs is compatible with humans’ role in nature or not.ConclusionsThis interview study helps to disentangle the debate on GDTs by providing a better understanding of the moral views of GDT experts. The obtained insights provide valuable stepping-stones for a constructive debate about underlying value conflicts and call attention to topics that deserve further reflection. Further evaluation of these issues can facilitate the debate on and responsible development of GDTs. (shrink)

BackgroundThe current study set out to improve our understanding of the characteristics of individuals who are motivated to restrict their food intake yet who nevertheless fail to do so. We examined whether punishment sensitivity was related to restrained eating, and reward sensitivity to perceived dieting success. Additionally, it was examined whether executive control moderates the association between RS and perceived dieting success.MethodsFemale student participants completed questionnaires on restrained eating, perceived dieting success, RS and PS, and carried out a behavioral task (...) to index EC.ResultsPS was indeed positively related to restrained eating. RS was positively related to perceived dieting success, yet, EC did not moderate this association.ConclusionThe current study adds to the evidence that PS is related to individuals’ motivation to restrict their food intake. Furthermore, it shows support for the suggestion that RS may facilitate food restriction. (shrink)

Attentional bias has been suggested to contribute to the persistence of substance use behavior. However, the empirical evidence for its proposed role in addiction is inconsistent. This might be due to the inability of commonly used measures to differentiate between attentional engagement and attentional disengagement. Attesting to the importance of differentiating between both components of AB, a recent study using the odd-one-out task showed that substance use was differentially related to engagement and disengagement bias. However, the AB measures derived from (...) the OOOT showed insufficient reliability to be used as a solid measure of individual differences. Therefore, the current study aimed to improve the reliability of the AB measures derived from the OOOT by using more distinct contrast stimuli, adding practice trials, increasing the number of trials, and by having participants perform the task in an alcohol-relevant context. We contrasted the original OOOT with the adapted OOOT and assessed AB in low- and high-drinking individuals. Participants were 245 undergraduate students who typically tend to drink either low or high amounts of alcohol. In one condition, AB was measured with the original OOOT in a typical laboratory context, whereas in the other condition, AB was measured with the OOOT-adapt in a bar context. The OOOT-adapt showed superior internal consistency, especially for the high-drinking group. Further, specifically the OOOT-adapt differentiated between low- and high-drinking participants showing that high drinkers engaged faster with alcohol cues than did low drinkers. Thus, the OOOT-adapt was found to be a promising candidate to reliably index AB in the context of alcohol use. The OOOT-adapt further showed superior criterion validity as it could differentiate between low- and high-drinking individuals, thereby adding to the evidence that AB might be involved in substance use behavior. (shrink)

Clinician-scientists are vital in connecting the worlds of research and practice. Yet, there is little empirical insight into how CSs perceive and act upon their in-and-between position between these socio-culturally distinct worlds. To better understand and support CSs’ training and career development, this study aims to gain insight into CSs’ social identity and brokerage. The authors conducted semi-structured, in-depth interviews with 17, purposively sampled, CSs to elicit information on their social identity and brokerage. The CSs differ in how they perceive (...) their social identity. Some CSs described their social identity strongly as either a research or clinical identity. Other CSs described combined research and clinical identities, which might sometimes be compartmentalised, intersected or merged. In the types of brokerage that they employ, all CSs act as representatives. CSs with a non-dominant identity mostly act as liaison and show considerable variability in their repertoire, including representative and gatekeeper. CSs with a dominant identity have less diversity in their brokerage types. Those with a dominant research identity typically act as a gatekeeper. Combining lenses of social identity theory and brokerage types helps understand CSs who have a dual position in-and-between the worlds of clinical practice and research. Professional development programs should explicitly address CSs’ professional identities and subsequent desired brokerage. Research and policy should aim to clarify and leverage the position of CSs in-and-between research and practice. (shrink)

Name der Zeitschrift: Paragrana Jahrgang: 23 Heft: 2 Seiten: 216-228.

Systems change requires complex interventions. Cross-sector partnerships face the daunting task of addressing complex societal problems by aligning different backgrounds, values, ideas and resources. A major challenge for CSPs is how to link the type of partnership to the intervention needed to drive change. Intervention strategies are thereby increasingly based on Theories of Change. Applying ToCs is often a donor requirement, but it also reflects the ambition of a partnership to enhance its transformative potential. The current use of ToCs in (...) partnering efforts varies greatly. There is a tendency for a linear and relatively simple use of ToCs that does limited justice to the complexity of the problems partnerships aim to address. Since partnership dynamics are already complex and challenging themselves, confusion and disagreement over the appropriate application of ToCs is likely to hamper rather than enhance the transformative potential of partnerships. We develop a complexity alignment framework and a diagnostic tool that enables partnerships to better appreciate the complexity of the context in which they operate, allowing them to adjust their learning strategy. This paper applies recent insights into how to deal with complexity from both the evaluation and theory of change fields to studies investigating the transformative capacity of partnerships. This can serve as a check to define the challenges of partnering projects and can help delineate the societal sources and layers of complexity that cross-sector partnerships deal with such as failure, insufficient responsibility taking and collective action problems at four phases of partnering. (shrink)

Systems change requires complex interventions. Cross-sector partnerships face the daunting task of addressing complex societal problems by aligning different backgrounds, values, ideas and resources. A major challenge for CSPs is how to link the type of partnership to the intervention needed to drive change. Intervention strategies are thereby increasingly based on Theories of Change. Applying ToCs is often a donor requirement, but it also reflects the ambition of a partnership to enhance its transformative potential. The current use of ToCs in (...) partnering efforts varies greatly. There is a tendency for a linear and relatively simple use of ToCs that does limited justice to the complexity of the problems partnerships aim to address. Since partnership dynamics are already complex and challenging themselves, confusion and disagreement over the appropriate application of ToCs is likely to hamper rather than enhance the transformative potential of partnerships. We develop a complexity alignment framework and a diagnostic tool that enables partnerships to better appreciate the complexity of the context in which they operate, allowing them to adjust their learning strategy. This paper applies recent insights into how to deal with complexity from both the evaluation and theory of change fields to studies investigating the transformative capacity of partnerships. This can serve as a check to define the challenges of partnering projects and can help delineate the societal sources and layers of complexity that cross-sector partnerships deal with such as failure, insufficient responsibility taking and collective action problems at four phases of partnering. (shrink)

This collection of images and essays originated at the acclaimed Gerrit Rietveld Academy in Amsterdam. Cities and Eyes Sourcebook presents the diverse work of the Academy’s artists, philosophers, scholars, architects, and photographers as they explore the world’s cities, including Amsterdam, London, New York, Paris, and São Paulo. Presented in both English and Dutch, and accompanied by an index that includes suggestions for further reading, Cities and Eyes Sourcebook will illuminate the world’s greatest cities for a new audience of art lovers (...) and urbanites alike. (shrink)

IntroductionBrain tumours frequently cause language impairments and are also likely to co-occur with localised abnormal slow-wave brain activity. However, it is unclear whether this applies specifically to low-grade brain tumours. We investigate slow-wave activity in resting-state electroencephalography in low-grade glioma and meningioma patients, and its relation to pre- and postoperative language functioning.MethodPatients with a glioma infiltrating the language-dominant hemisphere and patients with a meningioma with mass effect on this hemisphere underwent extensive language testing before and 1 year after surgery. EEG (...) was registered preoperatively, postoperatively, and once in healthy individuals. Slow-wave activity in delta- and theta- frequency bands was evaluated visually and quantitatively by spectral power at three levels over the scalp: the whole brain, the affected hemisphere, and the affected region.ResultsGlioma patients had increased delta activity and increased theta activity before and after surgery. In these patients, increased preoperative theta activity was related to the presence of language impairment, especially to poor word retrieval and grammatical performance. Preoperative slow-wave activity was also related to postoperative language outcomes. Meningioma patients showed no significant increase in EEG slow-wave activity compared to healthy individuals, but they presented with word retrieval, grammatical, and writing problems preoperatively, as well as with writing impairments postoperatively.DiscussionAlthough the brain-tumour pathology in low-grade gliomas and meningiomas has a different effect on resting-state brain activity, patients with low-grade gliomas and meningiomas both suffer from language impairments. Increased theta activity in glioma patients can be considered as a language-impairment marker, with prognostic value for language outcome after surgery. (shrink)

Les ravages de la pauvreté et de la violence dans le monde actuel sont les effets patents d'une crise éthique et culturelle profonde affectant tout spécialement les jeunes générations. Séparer l'éthique de la culture donne les résultats accablants du siècle dernier, Auschwitz en tête. Il y a en réalité une crise, à laquelle seule peut remédier l'éducation. " Éducation est un mot récent, autrefois on disait nourriture ". C'est en effet l'éducation qui donne à vivre une vie proprement humaine. Ce (...) qui doit être mis au centre des sociétés, c'est le sens de l'humain et de la dignité humaine. C'est faire violence à la réalité de l'homme que de la réduire à quelques dimensions abstraites se prêtant à des recettes magiques, comme dans ces prétendues réformes de l'éducation qui vont se succédant rapidement, avec un égal insuccès, dans nos sociétés. Car l'on a chaque fois affaire à des totalités vivantes complexes, en perpétuel devenir, chez qui tout est intimement lié et interdépendant. La tâche est immense, redoutable, et les éléments de réflexion offerts dans ce livre paraîtront bien modestes en regard. Mais nul ne saurait s'y dérober, tant elle est vitale. (shrink)

La postérité, on le sait, ne fait pas toujours dans le détail. Elle distribue les bons et les mauvais points suivant une logique qui apparaît parfois très arbitraire. Jules de Gaultier, philosophe original, lecteur attentif de Schopenhauer et de Nietzsche, surtout connu pour avoir donné ses lettres de noblesse à la notion de Bovarysme, en sait quelque chose. Ayant joui d'une certaine reconnaissance en son temps il est tombé, depuis de longues décennies dans un oubli quasi-total. L'essentiel de la philosophie (...) de Jules de Gaultier réside dans la certitude que " toute réalité qui se connaît elle-même se connaît autre qu'elle n'est. " Tous les élans vers le réel sont vains : l'homme ne peut avoir qu'une vision faussée du monde. Toutes les reconstructions de la réalité phénoménale, même les plus prétendument scientifiques, ne sont que des reconstitutions illusoires et mensongères de ce qui est réellement. Dans ce contexte, l'homme n'a que deux alternatives " croire " ou " contempler " ; soit il se noie dans le réel sans se poser de questions, à la manière du croyant accroché à sa foi, soit il adopte, vis-à-vis du monde qui l'entoure une attitude spectaculaire qui, si elle ne lui permet pas d'en saisir les mécanismes profonds, l'empêche d'être dupe de ses illusions. La pensée sans concessions de Jules de Gaultier nous entraîne, certes, dans les dédales d'un monde inquiétant, tragique même, sans consistance réelle, sans but ; mais elle rend également à l'homme toute sa dignité et lui redonne les rênes de son destin : le réel n'est rien d'autre que ce que je veux qu'il soit, nous dit Jules de Gaultier... Conclusion effrayante pour beaucoup ; ultime consolation pour les plus sages. (shrink)

While researchers are currently studying various forms of social network interaction among teachers for their impact on educational policy implementation and practice, knowledge on how various types of networks are interrelated is limited. The goal of this study is to understand the dimensionality that may underlie various types of social networks in schools. We assessed seven types of social interaction using social network data of 775 educators from 53 Dutch elementary schools. The quadratic assignment procedure, multidimensional scaling and network visualisations (...) were used to discern underlying dimensions that may explain the interrelatedness of these seven types of social networks. Findings suggest small to moderate similarity between the seven forms of social interaction. Results support a distinction between instrumental and expressive networks and suggest a second dimension of mutual in(ter)dependence to explain differences in social interaction among teachers. Implications for practice and research on teacher collaboration are discussed. (shrink)

A elegia amorosa romana segue uma convenção de temas existências em torno do amor, cada autor, seja Tibulo, Proércio ou Ovídio, desenvolvem temas e jogos discursivos para expressar os dramas afetivos tentando se superar a originalidade expressiva dentro das convenções do gênero. A elegia de Tibulo, 1, 19 desenvolve o discurso sobre o amor eterno que suplanta o tempo da existência dos entes queridos, o poeta e a sua amada Cíntia. A partir deste motivo poético o poeta desenvolve um jogo (...) discursivo que é trabalhado para que seja compreendido pelo leitor contemporâneo um tipo de amor que transcende a existência. (shrink)

Présente le parcours philosophique de Merleau-Ponty tant dans sa formation que dans ses objectifs. Ses références : Descartes, Leibniz, Gabriel Marcel. Ses concepts opératoires : le concret, l'incarnation, l'intentionnalité, les chiasmes.

En 1968 Raquel Carson comenzaba una revolución en el pensamiento, quizá una de las de mayor peso en la actualidad. En su libro "La primavera silenciosa" acusaba del deterioro ambiental al poder ilimitado del ser humano. La creencia surgida en la modernidad de que todo lo que el hombre decidía era en sí mismo lo mejor por haber sido fruto de una voluntad libérrima, daba primacía y legitimidad absoluta a su acción sobre la naturaleza. Surgieron con gran fuerza numerosos grupos (...) ecologistas que adoptaron un pensamiento que responde al nombre de "ecología profunda" o "Deep Ecology" descrito por primera vez por Arme Naess en un artículo publicado por la revista Inquiry y titulado "The Shallow and the Deep, Long Range Ecology Movement". Los principios que proponía este movimiento (Naess 1984) pueden ser resumidos en ocho grandes puntos: 1) la vida de los seres no humanos es un valor en sí: 2) la riqueza y la diversidad de estas formas de vida son también valores en sí; 3) los seres humanos no pueden intervenir de manera destructiva en la vida; 4) a este respecto, la intervención humana actual es eminentemente excesiva; 5) por consiguiente, las reglas de juego deben ser radicalmente modificadas; 6) esta modificación radical debe hacerse tanto a nivel de las estructuras económicas como de las estructuras ideológicas y culturales; 7) a nivel ideológico, el cambio principal consiste en apreciar más la calidad de la vida que el goce de los bienes materiales; 8) las personas que acepten estos principios tienen la obligación de contribuir, directa o indirectamente a la realización de los cambios fundamentales que aquellos implican. (shrink)

O artigo analisa a política de financiamento e expansão de Instituições de Ensino Superior Brasileiras, de 2001 a 2016, e os extensos benefícios gerados a seu setor privado-mercantil, por programas estatais concessores de financiamento direto e indireto. Metodologicamente optou-se pela pesquisa quanti-qualitativa documental, analisando centralmente dados da Receita Federal do Brasil, e do Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira, ligados aos Censos da Educação Superior; ao Exame Nacional de Desempenho de Estudantes, e ao Índice Geral de Cursos, (...) para extrair informações: orçamentárias e financeiras da União; de expansão de IES e matrículas; e de qualidade do ensino e dos cursos de IES público-privadas. Considera-se que a política nacional gerou maior auxílio às IES privado-mercantis do que às IES públicas, gerando assim um ensino superior mercadejado, e dissociado de pesquisa e extensão. (shrink)

Les textes de la troisième "Critique" d'Emmanuel Kant révèlent le paradoxe de sa philosophie du droit illustré par la contrainte du droit et l'enthousiasme pour la Révolution de 1789. Pour le philosophe, ce signe d'histoire annonce la question d'un progrès irréversible pour l'humanité.

La passion de l'unité : tel semble avoir été l'un des principaux moteurs de l'activité diplomatique et intellectuelle du cardinal Nicolas de Cues (1401-1464).

L'auteur confronte les doctrines de différents philosophes et en particulier E. Lévinas et P. Teilhard de Chardin sur le concept d'altérité. Il montre que leurs deux conceptions loin d'être en opposion, offrent des raisons de s'unir.