The doctor-patient relationship has evolved to respect “the autonomy and patients’ rights”. One of the cornerstones in such autonomy is the opportunity for patients to draw living wills, also known as advance directives. However, information about AD available to patients remains scarce largely due to the lack of involvement of General practitioners for several reasons. The aim of our study was to evaluate current general practitioner residents’ behavior concerning their role in informing their patients about AD. We built a French (...) nationwide survey from GPR class of 2012 to 2014. Two thousand three hundred ten residents completed our survey. 89.8% declared their willingness to offer patients the opportunity of writing AD. When asked about the usefulness of AD, 73.6% of residents responded that these are a suitable help for patients, but 19.7% considered that AD are essentially geared towards frail patients. Among residents who want to inform patients about AD, 14.7% wanted to involve all patients. Only 20.5% thought that elderly people should be systematically informed about AD. When the question involves other frail people in various disease areas, information seems relevant for 60.1% of GPR considering patient with cancer or malignant hematologic disease and for 56.2% about patients affected by neurodegenerative disease. When considering the routine use of AD, 20.5% of GPR would take them into account only if they are in agreement with the patient’s decision. The results of the survey indicate that GPR would rather choose to decide who should be informed about AD, and when to take AD into account for ethical concerns. (shrink)

Contemporary Native American theater consists of a long list of plays which normally include indigenous and mixed-blood characters who often find themselves living between two worlds, that is, Native culture and white American society. Therefore, it is common to find a significant confrontation and conflict between the two cultures, which is usually solved at the end of the plays with the characters’ reconcilement or synthesis between their Native heritage and the white domineering society. In this way, Native Americans can ensure (...) their Native cultural existence and survival whilst simultaneously adapting to the changes and customs required by white American society. (shrink)

The Sanctuary of Kafizin : New Perspectives The Nymphaeum of Kafizin, a sanctuary located on the summit of a hill of central Cyprus, produced remarkable inscriptions first gathered and published by T. B. Mitford. A close study of the texts shows that several conclusions firmly settled by Mitford, the dating in particular, must be reconsidered. This paper offers the opportunity to bring to light the historical significance of the numerous offerings dedicated to the local Nymph.

Les Cahiers noirs de Heidegger permettent d’éclairer l’importance chez les épigones de Heidegger des malentendus concernant le langage ainsi que le statut et les objectifs de la philosophie du Maître. Les Cahiers apportent une confirmation de l’utilisation systématique par leur auteur d’une stratégie d’égarement, celle-ci comportant deux aspects majeurs. D’une part, le message heideggérien s’adresse à un « petit nombre » de lecteurs ou auditeurs et non pas aux hommes en général. La pensée de l’Être est en effet conçue comme (...) combat contre la rationalité comme faculté et valeur universelle, la communication devant dès lors se faire intentionnellement ambiguë. D’autre part, suivre la voix de l’Être ne relève pas de l’émancipation humaine mais d’un processus d’« éveil » tribal. (shrink)

On the occasion of Koselleck’s hundredth birthday, this article examines the history of the reception and impact of the book that established the historian’s fame from 1973 onward. It argues that Koselleck pursues a new-right strategy of cultural hegemony in more than one respect, which has been largely overlooked so far.

In this paper we describe the approach to critical thinking pedagogy used in our new text, Reason in the Balance: An Inquiry Approach to Critical Thinking. In this text we concentrate on develop-ing students’ ability to analyze and assess competing arguments in a dialectical context. This approach shifts the emphasis from the more common and traditional approach of evaluating individual arguments and fallacy identification. Our focus is on teaching students to analyze and assess competing arguments sur-rounding an issue with the (...) goal of achieving a reasoned and justifiable judgment. (shrink)

Name der Zeitschrift: Frühmittelalterliche Studien Jahrgang: 46 Heft: 1 Seiten: 391-418.

This paper examines the argumentation strategy prolepsis: anticipating and subsequently responding to an argument before it has been made. Although prolepsis is common to a variety of arguments, it seems insufficiently studied or understood—or, worse, misunderstood as simply a “feint.” Drawing on scholarship in rhetorical theory and cognitive and social psychology, I offer a new understanding of prolepsis, recognizing the technique’s potential in argumentative discourse—especially in the search for “common ground.”.

Emotional reactivity has been implicated in the development and maintenance of anxiety. The metacognitive model suggests that maladaptive metacognitive beliefs may inc...

BackgroundThe ageing of the population and the increased number of chronic diseases are associated with an increased frequency of end of life care in hospital settings. Residents rotating in hospital wards play a major part in their care, regardless of their specialty. General practitioner (GP) residents are confronted to such activities in hospital settings during their training. Our aim was to know how they feel about taking care of dying patients, as end-of-life care are very different from the clinical activity (...) they are trained to.MethodsWe surveyed all GP trainees of “Ile de France”. The survey was made of 41 questions regarding advanced directives divided in 7 sections about patients’ care, communication, mentoring and repercussion on personal life. The survey was done one time, during two pre-specified days.Results525 residents (53.8%) accepted to fulfill the survey. 74.1% of the residents thought that palliative care could have been better. Possible ways of improvements were: a reduction of unreasonable obstinacy (or therapeutic overkill, two terms defined in French law as curative treatment without reasonable hope of efficiency) (59.6%), patient’s (210 answers, 40%) and relative’s communication (information of patients and relatives about the severity of the disease and risk of death) (199 answers 37.9%). Residents also reported a lack of knowledge regarding end-of-life care specific treatments (411 answers, 79.3%) and 298 (47.2%) wished for better mentoring. Those difficulties were associated with repercussion on their private life (353 answers, 67.2%), particularly with their close relatives (55.4%). Finally, 56.2% of trainees thought that a systematic psychologic follow up should be instituted for those working in “at risk” hospital settings.ConclusionSelf-perception management of dying patients by GP resident emphasize their lack of training and supervision. The feeling of suboptimal care is associated with consequences on personal life. (shrink)

17 essays discussing the role of language in the history of western thought. Since Adam before the Fall named the animals by true insight into their essences, language has never ceased to be the pivot of efforts to understand human nature and our capacity to feel at home in the twin worlds of nature and society. This volume brings together seventeen essays that have appeared in the Journal of the History of Ideasover the last thirty years. Their common theme is (...) the role of language in aspects of the history of western thought from the Renaissance to the nineteenth century. The essays cover questions in epistemology, religion, anthropology, lexicography, evolution, the theory of signs, and the origin of language. Contributors: FRANK L. BORCHARDT, MARGRETA DE GRAZIA, SIDONIE CLAUSS, JAN MIEL, THOMAS C.SINGER, VICTOR ANTHONY RUDOWSKI, JULES PAUL SEIGEL, JAMES McLAVERTY, J.R. KNOWLSON, STEPHEN K. LAND, LIA FORMIGARI, H.J. JACKSON, W. JAY REEDY, V.P. BYNACK, CYMBRE QUINCYRAUB, MICHAEL SPRINKER, S. MORRIS ENGEL. (shrink)