In August 2001, the Israeli Ministry of Health issued its Limitation of Smoking in Public Places Order, categorically forbidding smoking in hospitals. This forced the mental health system to cope with the issue of smoking inside psychiatric hospitals. The main problem was smoking by compulsorily hospitalized psychiatric patients in closed wards. An attempt by a psychiatric hospital to implement the tobacco smoking restraint instruction by banning the sale of cigarettes inside the hospital led to the development of a black market (...) and cases of patient exploitation in return for cigarettes. This article surveys the literature dealing with smoking among psychiatric patients, the role of smoking in patients and the moral dilemmas of taking steps to prevent smoking in psychiatric hospitals. It addresses the need for public discussion on professional caregivers’ dilemmas between their commitment to uphold the law and their duty to act as advocates for their patients’ rights and welfare. (shrink)

Cultural values influence how people understand illness and dying, and impact their responses to diagnosis and treatment, yet end-of-life care is rooted in white, middle class values. Faith, hope, and belief in God’s healing power are central to most African Americans, yet life-preserving care is considered “aggressive” by the healthcare system, and families are pressured to cease it.

This paper presents three basic ideas which are interrelated with one another: 1) The assertion that a single subject unites all the discussions in Sefer Yezirah, from beginning to end: namely, the nature of Wisdom, upon which the world stands (or is suspended); 2) A stylistic-linguistic analysis leading to the division of Sefer Yezirah into three “accounts,” around which are crystallized the style and contents of the book as a whole. The Account of the “Sealing of the Ends” is the (...) latest of these accounts, and was written by the editor of the book, who joined his account with the other two to form a single book; 3) The assertion that the worldview reflected in Sefer Yezirah acknowledges the existence of a secondary power alongside God, that assists Him in the Creation and ongoing existence of the universe (as against doctrines claiming the existence of an additional force in conflict with God). The term I use in this context is binitarianism. In the earliest of the three accounts, that of the Covenant, this power assumes the form of an angel, while in the other two it is more abstract. This paper lays the foundations for this claim but, due to the limitations of this paper, I do not enter into discussion of its far-reaching implications. I hope to continue this discussion elsewhere, on another occasion. (shrink)

Compassion is acknowledged as a key motivational source of prosocial opportunity recognition. This study examines the underlying processes of different types of compassion that lead to prosocial OR interventions designed to solve or ameliorate social problems. Self-compassion is associated with intimate personal experiences of suffering and encompasses a desire to alleviate the distress of others based on common humanity, mental distance and mindfulness. Other-regarding compassion is associated with value structures and social awareness and is based on a desire to help (...) the less fortunate. Using a life-story analyses of 27 Israeli social entrepreneurs, we identified two OR process mechanisms, reflexivity and imprinting. The relationship between these two types of compassion are equifinal, that is, both can lead to prosocial OR; however, the mechanisms differ. We contribute to the literature by showing that compassion serves as an internal enabler based on both cognitive and affective motivations for prosocial OR. We introduce a theoretical perspective that establishes a process model for further research on the role of compassion in identifying and leading prosocial action. (shrink)

Background Nurses have an essential role in caring for end-of-life patients. Nevertheless, the nurse’s involvement in the passive euthanasia decision-making process is insufficient and lower than expected. Objectives To explore factors associated with nurses’ intention to be involved in non-treatment decisions (NTD) regarding passive euthanasia decision-making versus their involvement in the palliative care of patients requesting euthanasia, using the Theory of Planned Behavior (TPB) framework. Design A cross-sectional study utilizing a random sample. Participants and research context The study was conducted (...) in one of the largest hospitals in Israel among 125 nurses employed in internal and surgical care wards. Data was collected through face-to-face interviews between March and April 2019. Method A closed structured questionnaire was developed according to TPB instructions. A paired sample t test and two multiple hierarchical regressions were conducted. Variance explained (R2) and the significance of F change were calculated for each regression. The study used the STROBE statement guideline. Ethical considerations The study was approved by the hospital’s Helsinki Committee (#20.11.2017). Findings A paired sample t test revealed that nurses’ involvement in the palliative care of patients requesting passive euthanasia was significantly higher than in NTD regarding euthanasia. Regression analyses revealed that nurses’ position and attitudes explain their intention to be involved in decision-making; attitudes and perceived behavioral control explain nurses’ intention to be involved in the care of patients requesting euthanasia. Conclusions According to the TPB, nurses’ attitudes explained their intention to participate in decision-making regarding passive euthanasia. It is recommended to enhance open discussion of this complex issue to encourage nurses’ willingness to participate in NTD decision-making regarding euthanasia. (shrink)

The success of popular women's fiction requires a mode of analysis that is able to reveal the patterns across this category in order to better understand the appeal of these books. Popular fiction, like chick-lit, can be contradictorily framed as simultaneously constituting one, as well as many genres, if a genre is the codification of discursive properties. It may consist of romances, thrillers, romantic suspense and so forth in terms of its discursive properties, but popular women's fiction will also have (...) a pattern of similarity that cuts across these forms – that similarity, I will suggest, lies in the idea of pleasure as a genre of affect that ties various popular fictions together, thereby acting as a type of imperial genre. Pleasure is so ubiquitous and so diverse across the multiple forms that constitute popular women's fiction that I argue it has become a genre in itself. This is, however, not a genre that limits itself to one particular stylistic form, but rather, as a dynamic social construct, it has become a genre of affect that invokes feelings of pleasure. Nthikeng Mohlele's most recent novel, Pleasure, exemplifies the applicability and plasticity of the concept of pleasure, allowing me to examine this work as a type of fictionalised theory which I then apply to South African chick-lit texts: the Trinity series by Fiona Snyckers and Happiness Is a Four-Letter Word by Cynthia Jele. Mohiele's expansive theorisation of pleasure is inherently local in that it is depicted at the level of experience and imagination; yet it is simultaneously macro and global in the connections made to deeply political circuits of identity-based oppressions and structural inequalities. Mohlele reveals the mobility of pleasure as a genre that offers an opportunity to think through the circuits that connect popular fiction through the lens of African literature. (shrink)

The Inner Kalacakratantra: A Buddhist Tantric View of the Individual. Vesna A. Wallace. Oxford University Press, Oxford 2001. x, 273 pp. £45.00. ISBN 0-19-512211-9.

Attaining and maintaining a substantial Jewish majority in Israel has been one of the basic goals of the State of Israel since its early years. A substantial Jewish majority within the borders of the state is thought to be necessary in order to preserve its Jewish nature. Many believe that the demographic consideration also stood behind the enactment of the Citizenship and Entry into Israel Law , 2003, which prohibits granting Israeli citizenship and residency to Palestinians from the West Bank (...) and the Gaza Strip, and prevents, inter alia, Israeli Arabs from living in Israel with their Palestinian spouses. I examine the legitimacy of the demographic consideration from the perspective of liberal political theory. I conclude that demography can, in principle, be a legitimate consideration in deciding immigration policy, and its justification can be derived from the liberal justification of the right to national self-determination. However, the demographic consideration must be assigned its proper role and weight relative to other important liberal values such as equality and other human rights. I suggest that the demographic consideration might be legitimate only to the extent that it is not used to justify immigration policies that violate constitutional rights. I then discuss the Supreme Court decision concerning the constitutionality of the Citizenship and Entry into Israel Law. I demonstrate that, contrary to statements by the judges themselves, the demographic consideration played a key role in the opinions of several judges. It was, however, a hidden consideration. It was not openly acknowledged and discussed. Consequently, a careful examination and balancing of the demographic consideration could not take place. The result was that the actual influence of the demographic consideration on the outcome of the case was much stronger than can be reasonably justified according to liberal principles of justice. (shrink)

Liberal political theory acknowledges the interdependence of the wellbeing of individuals and the flourishing of the cultural groups to which they belong. Consequently, many liberal political philosophers have proposed policies and laws aimed at multicultural accommodation. That is, policies and laws aimed at assisting communities to preserve their cultural values and practices, and at allowing them greater autonomy and self-government. However, certain religious and cultural groups hold beliefs, values, and practices that are oppressive and discriminatory against some of their own (...) members. Accommodating such groups may contribute to the discrimination and oppression. This question of “minorities within minorities” poses a real dilemma for liberal political philosophy. In this Paper I focus on certain cases that fall under the “minorities within minorities” framework that raise particularly complicated theoretical considerations. These are the cases where the demands for equal treatment are raised not by the state or by outsiders, but by disadvantaged individuals and groups within a community, who base their claim for greater equality not on the superiority of liberal values over the values of their culture but rather on an alternative, competing, interpretation of the values of their culture. I suggest that strong normative considerations support the view that the liberal state should assist challenges by marginalized individuals within communities to reinterpret cultural values and traditions in ways more favorable to them. (shrink)

There is common agreement that preschool-level science education affects children’s curiosity, their positive approach towards science, and their desire to engage with the subject. Children’s natural curiosity drives them to engage enthusiastically in all forms of exploration. Engaging in scientific exploration necessitates self-regulation capabilities and a wide repertoire of cognitive and metacognitive strategies. The purpose of this study was to examine to what extent preschoolers (aged 5‒6 years) implement nascent inquiry skills, metacognitive awareness, and self-regulation capabilities during play-based scientific exploration (...) tasks. An additional purpose was to investigate the relationships between these capabilities, a relationship not yet investigated in the context of play-based, scientific exploration among young children. The study consisted of 215 preschoolers, from 10 preschools. For this study, we developed two scientific exploration tasks—structured and open-ended. Our motivation was to examine whether preschoolers’ capabilities will differ in the context of structured task which is aligned with the view that young children need guidance and explicit instructions compared to the context of open-ended, play-based task–allowing the children to apply and test their intuitive theories and skills. During performance participants were videotaped. Their verbal and non-verbal responses were analyzed by means of a scoring scheme. The results of a micro-analysis of about 100 hours of video showed that given the opportunity, even without setting explicit goals and instructions, children exhibit inquiry capabilities: they ask questions, plan, hypothesize, use tools, draw conclusions. Asking questions and planning were better manifested during the structured task. Children also manifested higher levels of attention, persistence, and autonomy during the structured task. However, significant higher scores of self-regulation indications were revealed in the context of the open-ended, play-based, exploration task. Moreover, results indicate significant correlations between the five measures of preschoolers’ inquiry capabilities and measures of metacognitive strategic awareness and self-regulation. The results of the present study suggest the importance of combining various learning environments and experiences in early science education that encourage children to engage in structured exploration alongside play-based, open-ended, exploration. (shrink)

Western liberal thought, which is rooted in the social contract tradition, views the relationship between rational contractors as fundamental to the authority of law, politics, and morality. Within this liberal discourse, dominant strands of modern moral philosophy claim that morality too is best understood in contractual terms. Accordingly, others are perceived first and foremost as autonomous, free, and equal parties to a reciprocal cooperative scheme, designed for mutual advantage.This Article aims to challenge the contractual model as an appropriate framework for (...) morality. My claim is that the constituting concepts of contractualist thought, especially the idea of reciprocity, while perhaps fitting to law, are misplaced in morality. I argue that importing the concept of reciprocity and its conceptual habitat from law to morality yields ethical contractualism an unconvincing moral theory. (shrink)

The current study deals with the responsum of R. Shimon ben Zemah Duran, a Jewish halakhic adjudicator, on the trade in monkeys practiced by Algerian Jews in the middle ages. The basis of the discussion concerning the monkey trade is an ancient prohibition of the Mishna's sages against trading in non-kosher animals. The current study clarifies the halakhic, historical and zoological circumstances underlying the missive sent to Rashbatz. In fact, R. Shimon ben Zemah Duran permitted trading in monkeys. He bases (...) his ruling on ancient sources in rabbinical literature and states that this is not a new issue in the economic life of Algerian Jews and that his family also dealt in the monkey trade. (shrink)

The biblical text accords a great deal of attention to King Solomon’s personal abilities and governmental power. Solomon was described as a judge, poet, constructor and the wisest of all people in the Ancient Near East and Egypt. The current study discusses the interpretation of the midrashim that show how Solomon’s wisdom was manifested in his considerable knowledge of ornithomancy, that is, divination using birds, a practice that was considered as an important wisdom in the ancient world because of its (...) practical applications, particularly in the military sphere. It seems that Solomon’s portrayal as a magician is intended and aimed at emphasising his abilities and his impressive character. Moreover, it may have had the purpose of disproving the conception of Solomon as inferior to his surroundings in this respect and the idea that he or his kingdom could be controlled by nations that command this type of wisdom. (shrink)

The ancient Jewish law took a strict approach to medical relationships between Jews and non-Jews. The current study deals with the attitude of Amatus Lusitanus (1511–1568), a notable Portuguese Jewish physician towards treating gentiles. The Physician’s Oath of Lusitanus emphasises that as a doctor he treated people from varied faiths and socio-economic status. Lusitanus treated many non-Jews. For instance, he received an invitation from the municipality of Ragusa to serve as the town physician and he accepted this mission. In Anconare, (...) he was called upon to treat Jacoba del Monte, sister of Pope Julius III, and he also prescribed for Julius himself. Amatus Lusitanus was forced to leave his country because of the Portuguese inquisition and wandered in many countries. Despite the hostile religious attitude of his close surroundings, he did not retaliate against his patients and provided medical treatment indiscriminately. (shrink)

This article examines the nutritional and cultural meaning underlying the list of foods mentioned in the claims of the Israelites in Numbers 11:4–6. The foods eaten by the Israelites in Egypt express stability and a familiar routine, whilst the foods of Eretz Israel, although depicted as choicer, express uncertainty. The list of foods has a literary role on several spheres: (1) The foods are elements distinguishing the agricultural practices in Eretz Israel and Egypt. (2) Fish and vegetables are an indicator (...) of the low class of the Israelites – eating fish reflects the practice of obtaining protein from small animals available to the poor. In Egypt, vegetables were more readily available and were a more prominent ingredient in the diet of the poor and slaves. (3) The food is an indicator of the Egyptian cultural identity of the Israelites – the Bible identifies the longing for the fish and vegetables characteristic of their Egyptian diet as a sign of the Israelites’ cultural and mental affiliation with Egypt. Although they left Egypt physically, they remained affiliated with Egyptian culture and identity. Contribution: This article contributes to the understanding of the biblical story of the ‘desirers’ (Nm 11:4–6) from a multidisplinary perspective. It combines the fields of ancient Egyptian agriculture, nutrition, culture and research on features of immigrants’ foods. (shrink)

Comparing people to trees is a customary and common practice in Jewish tradition. The current article examines the roots and the development of the image of people as trees in Jewish sources, from biblical times to recent generations, as related to the prohibition against destroying fruit trees. The similarity between humans and trees in the Jewish religion and culture was firstly suggested in biblical literature as a conceptual-symbolic element. However, since the Amoraic period, this similarity was transformed to a resemblance (...) bearing mystical and Halakhic implications. Various sources in rabbinical literature describe trees as humans that may be spoken to or yelled at to produce fruit. Cutting down a tree was perceived by the rabbis of the Talmud not only as an unethical act or vandalism, but also as a hazard: the death of the tree corresponds to the death of the person who resembles it. All societies, cultures and religions have a system of values and practices that are aimed at shaping people, society and the environment according to a certain worldview.Contribution: The discussion in this article on the relationship between religion-culture and nature indicates how the Jewish religion shaped believers’ attitude to the world of flora over the generations by transforming the man-tree comparison into one with binding and even threatening practical religious meaning. (shrink)

The biblical story on the miracle of the manna in the Sinai Desert aroused many discussions and interpretations over the generations. The current study focuses on Ibn Ezra’s controversy with Hiwi al-Balkhi on the question of whether the manna was a natural or miraculous phenomenon. The article explores the claims of the two sides in light of the historical evidence and the literature describing the phenomenon of ‘falling manna’ in various areas of the Sinai Desert and Eastern countries. According to (...) Hiwi, the manna that rained down on the Israelites is taranjebin, a semi-liquid resinous sweet secretion of insects (honeydew) that exudes onto plants. Ibn Ezra deals with Hiwi’s claims through a series of refutations and arguments. He argues that the characteristics of the taranjebin do not fit the description of the biblical manna. For example, it does not come down in the Sinai Desert, it appears during a limited season, does not melt in the sun and does not rot during the night, and serves as a medicine rather than as food. Contribution: This article contributes to the understanding of Hiwi al-Balkhi’s identification of the biblical manna as honeydew and Ibn Ezra’s claims against his thesis. It expounds the commentators’ interpretations from a multidisciplinary perspective, such as the reality of harvesting the taranjebin in Iran and North Africa and its uses as food and medicine in the medieval culture. (shrink)

The Midrashic literature and biblical translations focus majorly on the verses that describe the gathering in Haman’s house and the preparing of the gallows for Mordechai the Jew (Es 5:14). The goal of this study is to discuss the narrative shaped by the Targum and Midrashic sources and to examine both the realistic domain concerning methods of punishment that were suggested and the theological–educational meaning of the punishment and the type of tree chosen. Targum Rishon develops the contents of the (...) conversation in Haman’s house as to how Mordechai should be executed. While according to the text, the suggestion to hang Mordechai appears to have been the only method agreed upon by all those present at the meeting, Targum Rishon includes several forms of killing and torture that were proposed and considered. While Targum Rishon presents the theological meaning of the choice to kill Mordechai specifically by hanging him from a gallows, a Midrash aggadah attempts to clarify the species of the tree used to prepare Mordechai’s gallows and comes to the surprising conclusion that it was a type of thorn tree. Regarding Haman’s search for a suitable beam on which to hang Mordechai, Midrash Abba Gorion relates that the beam was found in the king’s palace or, according to another opinion, the sawed beam found originated from Noah’s ark.Contribution: The Midrashic sources portray an entire scene that includes discourse, deliberations and choice in Haman’s house and in heaven. It seems that the authors of the Midrash and the Targum not only clarify the text and complement the story by adding missing realistic details, they also enrich the text with new meanings that serve their theological concepts. (shrink)

The book Shaarei Yerushalayim, written by R. Moshe Reicher, contains contemporary information on 19th-century Eretz Israel. Reicher perceived his compilation as a religious cultural moderator between the Holy Land and the Jews in the Diaspora, in which he reported to the Jews of Galicia on various aspects related to the land. This article discusses his descriptions of local food crops and the messages he attempted to convey to his readers through botanical means. Reicher describes some 70 species of fruits and (...) vegetables that were available in Jerusalem's markets. The occupation with local fruits is part of a 'covert campaign' for Eretz Israel and Jerusalem. Reicher tells his listeners about the good cheap local fruits; he stresses their uniqueness and describes their qualities and the dishes prepared from them, and also compares them with the crops in Galicia. (shrink)

Ancient Jewish law took a strict approach to medical relationships between Jews and non-Jews. Sages forbade Jews to provide non-Jews with medical services: to treat them, circumcise them, or deliver their babies, in order to refrain from helping pagan-idolatrous society. Such law created particularly severe social conflicts in cases of mixed societies based on joint systems. The current paper focuses on the attitude of Moses ben Maimon, a medieval Sephardic Jewish Rabbi towards providing medical service to gentiles. Following the classical (...) rabbis R. Moshe ben Maimon in his halakhic tome Mishne Torah, objected to treating non-Jews. His rigid attitude found expression in several aspects of helping and giving medical treatment to non-Jews. Despite the classical rabbinical restrictions on medical relationships between Jews and non-Jews, and his own rigid halakhic verdicts, Maimonides treated gentiles. According to one understanding, Maimonides cured Muslims for a wage, which is permitted. However, it seems that the main factor that may have facilitated Maimonides halakhic position is the identification of Islam as a non-idolatrous faith. Interestingly not only on medical issues did the Maimonides act differently than his halakhic rulings in Mishne Torah, rather in other areas as well. (shrink)

We examine how opinion on a controversial real-world issue shifts as a function of reading relevant arguments and engaging in a specific mental simulation about a future, fictional state of affairs involving the target issue. Individuals thought either counterfactually about a future event (“if only X had not happened …”) or semifactually about it (“even if X had not happened …”). In Experiment 1, as expected, individuals became more in favour of a course of action (the electronic tagging of children) (...) after reading relevant supporting arguments. They also became more in favour after they thought counterfactually how a negative future event could have been avoided if only electronic tagging had not been banned some years earlier. The effects of argument relevance and type of mental simulation were additive. Using a similar procedure but a different target issue (whether the UK should join the Economic Monetary Union), Experiment 2 confirmed that the type of mental simulation exerts a substantial effect on the impact of relevant arguments. Much weaker effects arose when the mental simulation was not relevant to the target issue. We set and discuss our results in terms of dual-processing theory. (shrink)

Providing effective feedback to patients in a rehabilitation training program is essential. As technologies are being developed to support patient training, they need to be able to provide the users with feedback on their performance. As there are various aspects on which feedback can be given, it is important to ensure that users are not overwhelmed by too much information given too frequently by the assistive technology. We created a rule-based set of guidelines for the desired hierarchy, timing, and content (...) of feedback to be used when stroke patients train with an upper-limb exercise platform which we developed. The feedback applies to both success on task completion and to the execution of compensatory movements, and is based on input collected from clinicians in a previous study. We recruited 11 stroke patients 1–72 months from injury onset. Ten participants completed the training; each trained with the rehabilitation platform in two configurations: with motor feedback and with no motor feedback. The two conditions were identical, except for the feedback content provided: in both conditions they received feedback on task success; in the MF condition they also received feedback on making undesired compensatory movements during the task. Participants preferred the configuration that provided feedback on both task success and quality of movement. This pilot experiment demonstrates the feasibility of a system providing both task-success and movement-quality feedback to patients based on a decision tree which we developed. (shrink)

This article discusses the Tibetan notion of rlung, usually translated as: ‘wind’, but perhaps better understood as a close equivalent of pneuma in the Greek tradition, or qi in the Chinese tradition. The article focuses on the way rlung provides a useful prism through which concepts of health, illness and disease may be observed in a cross-cultural perspective. An analysis of syndromes linked with rlung in a Tibetan cultural context illuminates some of the ways in which culture determines particular syndromes. (...) The article raises a number of questions which are relevant for a more general multicultural approach to concepts of health, illness and disease.The article argues that notions of rlung/pneuma/wind/ qi constitute a particularly interesting area for an exploration of culture-bound syndromes, as they reside in the meeting point between material and non-material, physical and mental, as well as the psychological, spiritual and religious. They are hence fundamental for a more cross-cultural approach to the mind-body problem.The article also deals with the significance of history of medicine, particularly histories of medicine, which attempt to widen the scope of the traditional Eurocentric narrative of the history of medicine, in dealing with questions such as concepts of health and illness. Allowing alternative narratives—whether narratives of patients, other cultures or historical ones—can enhance our understanding of what health, illness and disease are. Discussing perceptions of the body as culturally defined is not only important from a philosophical or historical point of view, but also has important practical ramifications, which are particularly crucial in our global age. (shrink)

Buddhism and Medicine: An Anthology of Premodern Sources, edited by C. Pierce Salguero. Columbia University Press, 2017. 728 pp.; Hb $150. ISBN-13: 9780231179942.

The posthumous retrieval and use of gametes is socially, ethically, and legally controversial. In the countries that do not prohibit the practice, posthumous assisted reproduction is usually permitted only at the request of the surviving spouse and only when the deceased left written consent. This paper presents the recommendations of an ethics committee established by the Israeli Fertility Association. In its discussions, the committee addressed the ethical considerations of posthumous use of sperm—even in the absence of written consent from the (...) deceased—at the request of either the spouse or the deceased’s parents who wish to become the offspring’s parents or grandparents. It is concluded that under certain conditions, a request by the deceased’s parents to posthumously use the deceased’s sperm is justified and should be granted. (shrink)

Musk, which is produced from the glands of several species of deer, was a well-known perfume throughout the Mediterranean Basin in the Middle Ages. The current article examines the meaning of the gathering operation of myrrh mentioned in Song of Songs 5:1, according to R. Joseph Ibn Aknin and Naḥmanides. The two commentators argue that the phrase ariiti mori can be interpreted as the unique manner of gathering the perfume of the musk deer in its lands of origin in the (...) Far East. They contend that harvesting the perfume refers to gathering the perfume that the deer spreads on the rocks naturally, which is a higher quality product. The two medieval rabbis were exposed to contemporary scholars or oral traditions on the way of gathering the musk. Ibn Aknin took the information from Arabic writings, such as of al-Sirāfī and al-Masʿūdī and Ibn JulJuly With regard to Naḥmanides, his source of information on gathering musk is not clear. Contribution: This article contributes to the understanding of the issue of the sources of knowledge of scholars in medieval times and how the achieved information influenced their commentaries on the Biblical Text. The current study expounds the commentators’ interpretations from a multidisplinary perspective, such as the medieval zoology and perfume industry. (shrink)