The Moroccan philosopher Taha Abderrahmane is one of the leading surviving philosophers of the Arab-Islamic world. His fields of study are issues such as logic, philosophy of language, moral philosophy and political theology. He built a holistic and versatile Islamic methodology in his works and formed a world of thought on the axis of trusteeship (divine contract and trust paradigm) and circulation tedavuliyya (pragmatic-word-action theory). Taha Abderrahmane has analyzed, criticized and constructed the Islamic thought tradition, which he handled with a (...) holistic view, with a versatile reference network. In addition, one of his most important contributions is that he put forward a moral philosophy in the Qurʾānic and prophetic axis. Taha Abderrahmane proved to be a prolific thinker with his thirty-five work consisting of ten thousand pages. He proposes a deliberative model of political communication in harmony with his theo-political writings and physical and metaphysical integrity. While this article aim to provide information on the main components of Abderrahmane’s paradigm of divine contract and trusteeship (i’timaniyya), essentially a theory of morality, such as political theology, linguistics, and negotiation ethics, it also tries to identify the Western references of these elements. In this context how the theory of speech acts that seems quite important in the field of modern social sciences and created by theorists such as John Searl and Austin was transformed by Taha Abderrahmane into an Islamic theory of speech is also subject to a comparative assessment. In addition, the possibility of the issue of negotiation ethics, which gained more importance with new communication theories in the West, in the axis of Islamic thought was questioned in the article. The article reviews how views on negotiation ethics are positioned by Taha Abderrahmane within the Islamic paradigm. Therefore, the article is limited in scope to Taha Abderrahmane’s references about the theories in the West. Taha Abderrahmane attempts to construct an Islamic Pragmatic or Islamic Theory of Verbal Action, with reference to Pragmatics or Theory of Speech Acts, which is a sub-branch of linguistics, but in line with principles specific to the Islamic paradigm. Taha Abderrahmane combined the Islamic concept of pragmatic with the concept of negotiation. The terms “praxis” and “praxeology [fiqh al falsafa]”, which define the framework of the Trust Paradigm and the Islamic Pragmatic Model proposed by Taha Abderrahmane, emphasize “deed” or, in other words, “action” and he is linguistically referencing the founding masters of the pragmatics field such as J. L. Austin and J. R. Searle. However, there are two other fields that constitute the main reference to his concept of praxis (action) and praxeology (action science). These are economics and philosophy. Praxeology is a scientific field that deserves to be mentioned especially with the economist Ludwig von Mises (1881-1973). According to Mises, the laws of the field about which physics, biology, and praxeology [mainly economics] provide information, are independent of human will. These are primary ontological facts that strictly limit the human power to act (Mises, 1998, 67). Taha Abderrahmane references western thinkers such as Ludwig von Mises, Jürgen Habermas, Chantal Mouffe and Hannah Arendt, as well as Islamic sources. However, the way he makes use of them takes place within the framework of criticism and analysis. He also refers to other personalities such as Jonas, Freud, Ellul, Putnam, Ricoeur and Rawls. While Taha Abderrahmane explains the process of turning words into action, he also draws on the Action Theory of Hannah Arendt (1906-1975), who was one of the children of Heidegger, such as Karl Löwith, Hans Jonas and Herbert Marcuse, and who was accepted as a real philosopher even though he rejected the title of philosopher during his lifetime. On the other hand, Taha Abderrahmane makes strong references to the basic dimension of Islam, such as “O believers! If you avoid opposing Allah; It gives you an understanding to distinguish good from bad (Al-Anfal, 8/29)” verse. He makes strong references to the supposed dimension of Islam, and in this context, he tries to create a praxis based on nature, especially based on the hadith known as nawāfil hadith. (shrink)

The review of literature on stakeholders reveals that there is need to understand more about firm-stakeholder relationships especially from stakeholders’ point of view. Market integration in the European Union (EU) provides an excellent context for increasing such understanding since it is creating opportunities and threats for firms and their stakeholders. This research aims to make a contribution in this direction by analyzing strategic responses of primary stakeholders to selected threat events in the history of Volkswagen (VW) since 1960.

The problem of the origin of religious sciences has been discussed by both Islamic scholars and orientalists from sectarian, cultural, social and many different aspects. Sufism is one of the main sciences that are the subject of these discussions in terms of its source. Some Western researchers; they regarded the religion of Islam as inadequate in the face of the complexity of sufism. They claimed that the science of sufism was inspired by different religions and traditions such as Christianity Gnosticism, (...) Buddhism, Persian and Indian. Another discussion on the origin problem of sufism is that it is of Shia origin. Some early sufis have been scrutinized on the aforementioned issues due to their social environment and teachings. The scope of the study will be created specifically for Ma‘rūf al-Karkhī. The relevant issue will be evaluated from this aspect. Because Ma'rûf attracts attention as an extremely important sufi because he is at the center of the science of sufism. As a matter of fact, Sarī al-Saqaṭī, who is the first person to mention states and authorities in the records, states that he acquired all his knowledge through Ma'rûf. Sarī, on the other hand, influenced Junayd because he was the uncle and teacher of Junayd, known as "seyyidü't-taife". Therefore, the life and teachings of Ma'rûf have spread to the foundation of sufism. Besides, it has made him a shareholder in the formation of the theoretical background of sufism. Ma'rûf's reconciliation of Sufism with truths can be considered as an example. The subject of the article is the sufi life of Ma‘rūf al-Karkhī, who is at the center of these discussions, and his role in the origin of sufism because his family is a member of the Sâbiî or Christianity religion and he is a Muslim at the hands of Imam Alī al-Riḍā. Ma'rûf is in contact with other religions because of his family. In addition, he is in close contact with Alī al-Riḍā in the chain of isnad, which includes seven imams, whom Shiite circles call "golden circle". Therefore, the fact that he is one of the leading figures in the history of sufism increases the importance of the subject in his eyes. Therefore, while the life of Ma'rûf will be examined through the history of sufism, the history of sufism will be mentioned from the specificity of Ma'rûf. Because, in contrast to the normative sciences, the sufi field is dominated by the experiences and teachings of the sufis. (shrink)

The problem of the origin of religious sciences has been discussed by both Islamic scholars and orientalists from sectarian, cultural, social and many different aspects. Sufism is one of the main sciences that are the subject of these discussions in terms of its source. Some Western researchers; they regarded the religion of Islam as inadequate in the face of the complexity of sufism. They claimed that the science of sufism was inspired by different religions and traditions such as Christianity Gnosticism, (...) Buddhism, Persian and Indian. Another discussion on the origin problem of sufism is that it is of Shia origin. Some early sufis have been scrutinized on the aforementioned issues due to their social environment and teachings. The scope of the study will be created specifically for Ma‘rūf al-Karkhī (d. 200/815). The relevant issue will be evaluated from this aspect. Because Ma'rûf attracts attention as an extremely important sufi because he is at the center of the science of sufism. As a matter of fact, Sarī al-Saqaṭī, who is the first person to mention states and authorities in the records, states that he acquired all his knowledge through Ma'rûf. Sarī, on the other hand, influenced Junayd because he was the uncle and teacher of Junayd, known as "seyyidü't-taife". Therefore, the life and teachings of Ma'rûf have spread to the foundation of sufism. Besides, it has made him a shareholder in the formation of the theoretical background of sufism. Ma'rûf's reconciliation of Sufism with truths can be considered as an example. The subject of the article is the sufi life of Ma‘rūf al-Karkhī, who is at the center of these discussions, and his role in the origin of sufism because his family is a member of the Sâbiî or Christianity religion and he is a Muslim at the hands of Imam Alī al-Riḍā (d. 203/819). Ma'rûf is in contact with other religions because of his family. In addition, he is in close contact with Alī al-Riḍā in the chain of isnad, which includes seven imams, whom Shiite circles call "golden circle". Therefore, the fact that he is one of the leading figures in the history of sufism increases the importance of the subject in his eyes. Therefore, while the life of Ma'rûf will be examined through the history of sufism, the history of sufism will be mentioned from the specificity of Ma'rûf. Because, in contrast to the normative sciences, the sufi field is dominated by the experiences and teachings of the sufis. (shrink)

Bu çalışma, David Hume’un beğeninin bir standardı olduğu iddiasına yönelik incelememin ikinci aşamasıdır. Böyle bir incelemeye başlamamın nedeni, çalışmanın birinci aşamasının başından da söylediğim gibi, açık bir şekilde görülen beğeni farklılıklarına rağmen, tümevarımsal akıl yürütmeyi eleştiren deneyci bir filozof olan David Hume’un beğeninin bir standardı olduğunu iddia etmesidir. Deneyci bir filozof olduğu için, Hume’un bu standardı a priori ya da doğuştan idelere dayandırma olanağı yoktur. Diğer taraftan, Hume, tümevarımsal akıl yürütmeyi eleştirerek, deneyimden tüm insanlar için bir ölçüt olabilecek kesinlikte bir (...) bilgi ya da standart üretmenin olanağını neredeyse tamamen ortadan kaldırmıştır. İncelemenin birinci aşaması olan “David Hume’un Beğeni Standardı I: Farklılıklar ve Standart” başlıklı makalede, Hume’un beğeni farklılıklarına rağmen nasıl olup da bir beğeni standardı olduğunu iddia ettiğini ele almıştım. İncelememin ikinci aşaması olan bu çalışmada ise, Hume’un beğeni standardının sanat eserlerinin bazı nitelikleriyle insan zihninin doğal yapısı arasındaki bir uyuşmadan kaynaklandığı iddiasını ve bu standardı belirli niteliklere sahip ideal eleştirmenler üzerinden nasıl açıkladığını ele alıp, Hume’un beğeni standardı tartışmasının genel bir değerlendirmesini yapacağım. (shrink)

Bu makalede Søren Kierkegaard felsefesinin temel kavramlarından birisi olan ve yine bu felsefeye varoluşçu karakterini kazandıran tekil birey kavramını ele alıyorum. Kierkegaard, ilk bakışta epistemolojik bir ayrımmış gibi görünen, bu kavramı öznel ile nesnel hakikat arasında yaptığı ayrım üzerine temellendirir. Kierkegaard tekil bireye giden yolun nesnel hakikatten değil, öznel hakikatten geçtiğini ileri sürer. Tekil birey, Kierkegaard’ya göre, kendi yaşamının sorumluluğunu alabilen, kendi yaşamını şekillendiren değerleri seçebilen ve bu değerlerle nasıl ilişki kuracağını belirleyebilen bir bireydir. Ne var ki, Kierkegaard’ya göre, tekil (...) birey olmak o kadar da kolay bir iş değildir. Tekil birey olabilmek için insanın nesnel hakikatin güvenilir alanını terk edip, varoluşunu öznel hakikatin belirsizliğine teslim etmesi gerekir. Bu belirsizliği göze almadığında, insanın kendine ait bir yaşam sürmesi ve kendisi olarak varolmasının olanağı yoktur. (shrink)

The purpose of this study was to determine the professional and personal values among midwifery students in Turkey and to identify whether the years of study affected these values. A total of 192 participants were asked to prioritize 16 professional and 36 personal values. The relationship between the year of study and value ranking was analyzed by Kruskal–Wallis test. The first three of the professional values were justice, equality, and human dignity. Equality ranked sixth among the personal terminal values, and (...) it increased with the years of study. Of personal instrumental values, responsibility and cleanliness ranked second and fifth, which are of central importance for the profession of midwifery. However, the other two important values, privacy and preventing unnecessary suffering, ranked lower when the years of study increased, in other words when the students confront clinics. Since these values are important for midwifery, ethics courses should be given throughout the midwifery education to prepare students for the challenges they face in the clinical environment. (shrink)

The aim of this study was to assess the opinions and role of intensive care unit (ICU) nurses regarding the distribution of ICU beds. We conducted this research among 30% of the attendees at two ICU congresses in Turkey. A self-administered questionnaire was used, which included 13 cases and allocation criteria. Of the total (136 nurses), 53.7% participated in admission/discharge decisions. The most important criterion was quality of life as viewed by the physician; the least important was the patient’s social (...) status. According to the findings, the nurses thought that medical benefit and avoiding discrimination were important. On the other hand their ignorance of patients’ autonomous preferences arouses suspicions about these nurses’ role in advocating for patients’ rights. For this reason, nurses’ role in allocation decisions should be clearly described and should also be the basis on which intensive care nurses’ duties in allocation decisions should be determined. (shrink)

-/- Nietzsche’nin doğruluk ve bilgi hakkındaki görüşleri onun felsefesinin en fazla karanlıkta kalmış bölümüdür. Bunun bir nedeni, onun bu görüşlerinin yayımlanmış eserleri ve yayımlanmamış notlarında dağınık bir şekilde bulunmasıdır. Aynı zamanda, Nietzsche’ye göre doğruluk ve bilginin ne anlama geldiğini anlamak için onun güç istenci ve perspektivizm teorilerine de nüfûz etmek gerekir. -/- Birbirine çok sıkı bir şekilde bağlı olan bu kavram ve teorilerden oluşan yapı anlaşıldığında Nietzsche felsefesinin bütününe ilişkin pek çok yanlış anlaşılma ve çarpıtma daha açık bir şekilde gün (...) yüzüne çıkar. Bu nedenle, bu kitap yalnızca felsefeciler için değil, Nietzsche’yi anlamak isteyen tüm okurlar için yararlı bir inceleme niteliğini taşımaktadır. (shrink)

Background Several ethical issues are associated with providing living organ transplantation services, and there is limited information on these issues faced by the teams providing service to refugees or asylum seekers. Aim To determine the challenges healthcare professionals face in organ transplant centers providing services to Syrians under temporary protection status and discern whether these difficulties align with ethical issues in living organ transplantation. Research design This study employed a qualitative design and conducted individual semi-structured, in-depth interviews with 18 transplant (...) team members in Istanbul between September and November 2022. Data analysis was based on Braun and Clarke’s thematic analysis. Participants and research context The participants comprised 18 healthcare professionals, including 6 physicians and 12 nurses working in organ transplant teams in Istanbul. Ethical considerations The University’s Ethics Committee provided approval. Participants were informed regarding confidentiality and signed an informed consent form. Results Three themes emerged from the data on ethical issues faced by organ transplantation services to Syrians: (a) beneficence or double equipoise, (b) autonomy, and (c) justice. Transplant teams experience problems related to preserving double equipoise in the provision of living donor organ transplantation because of language barriers, poor socioeconomic conditions, and cultural factors, which increases transplant teams’ individual and indirect social burden. Although problems arise from the language barrier when obtaining informed consent in the autonomy theme, institutional and national policies in preventing donor abuse have a comforting effect. Health workers had the least problems with the justice theme, wherein national health policies are determined. Conclusion Fewer issues related to autonomy and justice were reported in providing organ transplantation services to Syrians, with the most intense reported issues being maintaining double equipoise. The results revealed the need to develop institutional, national, and international policies with individual solutions to prevent difficulties healthcare professionals face in this process. (shrink)

Karl Marx’ın 1844 Ekonomik ve Felsefi Elyazmaları onun yabancılaşma kavrayışını anlamak açışından oldukça önemli bir metindir. Bu metinde dört farklı yabancılaşma türünden söz edilir. Ancak, Marx’ın bu yabancılaşma biçimlerine ilişkin açıklamaları incelendiğinde, aslında bunlardan birinin, türsel yabancılaşmanın, daha temel olduğu ve diğerlerinin de bu yabancılaşma biçiminden kaynaklandığı ortaya çıkar. Türsel yabancılaşmanın temel yabancılaşma biçimi olduğu iddiası, hem Marx’ın emeğin yabancılaşmasının özel mülkiyetin nedeni olduğu iddiasını temellendirmeyi hem de yabancılaşmanın sadece kapitalist sisteme özgü bir olgu olmadığını göstermeyi olanaklı kılar.

Background Undergraduate medical education is beginning to concern itself with educating students about professional attributes as well as about clinical knowledge and skills. Defining these characteristics, and in particular seeking the help of the students themselves to define them, can be a useful starting point when considering how to incorporate aspects of professional behaviour into the medical curricula. Method This study explores the views of first-year medical students at Kocaeli University Faculty of Medicine in the 2007–8 academic year. The students (...) were asked the open-ended question: ‘What, in your opinion, are the attributes a good physician should have?’ Four topics were defined by researchers based on the undergraduate and graduate education projects. The attributes expressed by the students were evaluated by the researchers according to these topics and compared with the topics covered in the undergraduate and graduate education projects. Results A total of 127 students responded, and between them suggested 756 attributes. The majority of these attributes (54.6%) were concerned with interpersonal relations and communication, whereas the category representing the fewest attributes (12.3%) was that involving scientific knowledge and medical practice. In general, students' perception corresponded to the concept of the ‘competent physician’ as described in the professionalism projects, but attributes reflecting their world-view were also expressed. Conclusion Experience suggests that the active participation of students in determining which attributes are necessary for a good physician is a positive way of ensuring they embrace the importance of such qualities and attributes in themselves. (shrink)

When considering the principle of medical confidentiality, disclosure of genetic information constitutes a special case because of the impact that this information can have on the health and the lives of relatives. The aim of this study is to explore the attitudes of Turkish physicians and patients about sharing information obtained from genetic tests.

«Demokrasi, insani varoluşa içkin olanakları hem pozitif hem de negatif özgürlükler bağlamında hayata geçirme ve her tekil insanın kendisini ne ise o olarak algılama arzusuna eşlik edecek “ontolojik haysiyet eşitliği” talebinin sesidir. Dile getirdiğim eşitliğe dayalı demokrasi talebi, aynı zamanda, egemenlik ilişkilerinin hiyerarşik yapılanmasına karşı bir direnişi de temsil eder. Bu kitaptaki her bir bölüm bu direnişe açılan yeni bir pencere olarak okunursa kitap amacına ulaşmış olacaktır». (editör) Eray Yağanak -/- Ülkemizin çeşitli üniversitelerinden on bir yazarın kaleme aldığı bu kitapta, (...) çağdaş felsefenin Mill, Nietzsche, Popper, Rawls, Habermas, Dworkin, Laclau, Mouffe, Badiou, Rancière ve Pettit gibi önemli figürlerinin demokrasi anlayışları incelenmektedir. (shrink)

David Hume’un Doğal Din Üzerine Diyaloglar kitabı, başlığının da ima ettiği gibi, vahiy metinlerine başvurmadan Tanrı’nın varlığına ve niteliklerine ulaşılıp ulaşılamayacağını araştıran bir metindir. Metin boyunca, felsefe tarihinde de gördüğümüz, iki ana yaklaşımı temsil eden iki temel argüman sunulur. Bunlardan ilki, a priori yaklaşımı temsil eden kozmolojik argümandır. Diğeri ise, a posteriori yaklaşımı temsi eden zeki tasarım argümanıdır. Bu yazıda, Hume’un, diyalogdaki Philo karakteri üzerinden ortaya koyduğu, kozmolojik argümana yönelik eleştirileri ele alınıp, böyle bir argümanın neden Tanrı’nın varlığı ve nitelikleri (...) konusunda bizi bir sonuca ulaştırmayacağı ortaya konmuştur. (shrink)

Güç istenci öğretisi ve bu öğretinin temel kavramları olan yorum ve perspektivizm, Türkçe Nietzsche literatüründe ihmal edilen ya da yeterince ilgilenilmemiş konulardır. Ancak, bana göre, güç istenci öğretisi ve söz konusu kavramlar olmadan, Nietzsche’nin felsefesinin anlaşılma olanağı yoktur. Güç istenci öğretisi ve bu öğretinin ortaya koyduğu güç mücadelesi, karşımıza kaotik, sürekli değişimin yaşandığı bir evren çıkarmaktadır. Bu değişimin temel dinamiği güç mücadelesidir. Bu güç mücadelesi ise, güç odaklarının bu evrene ilişkin kendi perspektiflerinden oluşturdukları yorum üzerinden gerçekleşmektedir.

Çağımızın seçkin kültür ve düşünce tarihçilerinden Frank Turner’ın Yale Üniversite’sinde verdiği derslerden oluşan Rousseau’dan Nietzsche’ye Avrupa Düşünce Tarihi, Aydınlanma döneminden yirminci yüzyılın başına dek Avrupa’da yaşanan radikal değişimi fikir akımları ve öncü figürler üzerinden anlatıyor. Oxford Today’in editörü Richard Lofthouse tarafından derlenen bu dersler, farklı disiplinleri ustaca bir araya getirerek döneme dair kapsamlı bir bakış açısı sunuyor. Yale’in en sevilen hocalarından Turner’ın açık, akıcı ve öğretici üslubu sayesinde düşünce tarihinin zorlu dönemeçlerinde kolaylıkla yol alacak, dersler bittikten sonra kitabın sonundaki okuma (...) listesini takip ederek daha fazlasını öğrenmek isteyeceksiniz. (shrink)

Bu çalışmada David Hume’un, insanların beğenileri arasında var olduğu açık bir şekilde görülen farklılıklara rağmen, beğeninin bir standardının bulunduğuna yönelik iddiası incelenecektir. Hume beğeni standardını, ilk kez, 1757 tarihinde yayımlanan Of the Standart of Taste başlıklı makalesinde ele alır. Hume’un söylediklerini tartışmalı hale getiren iki unsur vardır: Birincisi Hume gibi, deneyimden bilgi edinmenin en önemli olanaklarından biri olan tümevarımsal akıl yürütmenin temellerini sarsan bir eleştiri ortaya koyan deneyci bir filozofun, bir beğeni standardının var olduğunu iddia etmesidir, ikincisiyse, onun bu iddiasını (...) ortaya koyarken başvurduğu yolların tümevarımsal bir akıl yürütme içeriyor gibi görünmesidir. Bu nedenlerle, Hume’un beğeni standardıyla ilgili argümanlarını detaylı bir şekilde incelenmesi amaçlanmıştır. Ancak böylesi bir inceleme kapsamlı bir çalışmayı gerektirdiği için, bu inceleme iki aşama üzerinden gerçekleştirilmiştir. İncelemenin birinci aşaması, şu an karşınızda bulunan bu makale olup, burada Hume’un insanlar arasında beğeni farklılıkları olduğunu açıkça görmesine rağmen, nasıl olup da bir beğeni standardı olduğunu iddia ettiğini ele alınıyor. Hume’un bu beğeni standardının kaynağını nerede gördüğü; beğeni farklılıklarıyla bu standardı nasıl bağdaştırdığı; Hume’un beğeni standardının ortaya çıkmasını sağlayacaklarını iddia ettiği ideal eleştirmenlerin taşıması gerektiğini söylediği niteliklerin neler olduğu ve bunların Hume’un genel felsefi eğilimleriyle ilişkilerinin neler olduğu gibi konular bu makalede ele alınmamış olup, ayrı bir makale olarak sunulacaktır. (shrink)

The aim of this study is to examine the relation between Nietzsche’s perspectivism and his doctrine of the will to power and to show that perspectivism is almost a direct and natural consequence of the doctrine of the will to power. Without exploring the doctrine, it is not possible to understand what Nietzsche’s perspectivism is and what he trying to do by proposing it as an alternative to traditional epistemology. To this aim, firstly, Nietzsche’s doctrine of the will to power (...) is explained in detail. Next, in order to provide a deeper understanding of the doctrine, its relation with Darwinism and the claims which say that it is a metaphysical principle are analyzed. Afterwards, Nietzsche’s construction of the world as becoming out of will to power is investigated. Nietzsche’s conception of interpretation as power struggle and its role in perspectivism explained. Then, how Nietzsche’s construction of the world as becoming and his concept of interpretation as power struggle emerge as perspectivism is explained. After that, in order to present the differences between Nietzsche’s perspectivism and traditional understanding of epistemology, Nietzsche’s critiques of some of the fundamental assumptions of traditional epistemology, i.e., causality, logic, and subject-object and apparent-real world distinctions, are investigated. Finally, Nietzsche’s understanding of truth based on his perspectivism is inquired. Its relation with correspondence, pragmatic and coherence theories of truth is explored to show that Nietzsche’s understanding of truth could not be comprehended through these theories. Consequently, it isclaimed that the tendency to attribute a truth theory to Nietzsche’s perspectivism, which is prevalent in the current Nietzsche studies, stems from commentator’s, consciously or unconsciously, ignoring of the relation between his perspectivism and his doctrine of the will to power. (shrink)

Cambridge’deki büyük akademik cemaatin sakinleri olan bizler bir araya geldik ve hoşgörü ve onun egemen politik iklim içerisindeki yeri hakkında dostça ama ateşli bir tartışma yürüttük. Okuyucu, bizim nerelerde aynı düşüncede olmadığımızı bulmakta hiçbir zorluk çekmeyecektir. Diğer taraftan, farklı başlangıç noktalarından ve farklı yollardan hareketle yaklaşık olarak aynı yere ulaştık. Her birimiz için, egemen hoşgörü kuramı ve pratiğinin, incelendiği takdirde, korkunç politik gerçekleri gizlemeye yarayan bir maske olduğu ortaya çıktı. Kızgınlığın tonu makaleden makaleye keskin bir şekilde artmakta; belki de boş (...) yere, okuyucuların bu noktaya getiren akıl yürütmeyi takip edeceklerini umuyoruz. Nihayetinde bu kızgınlık hem kafa hem de kalpte ikamet etmektedir…. (shrink)

Frankfurt Okulu'nun kurucu üyelerinden ve 20. yüzyıl eleştirel düşünce dünyasının köşe taşlarından biri olan Herbert Marcuse'nin 1969 yılında, bütün dünyanın halk ayaklanmalarıyla ve toplumsal hareketlerle çalkalandığı sıcak günlerde yayımlanan kitabı Özgürlük Üzerine Bir Deneme ele aldığı konuları ve tespitleriyle günümüzde de önemini koruyor. Bu kısa ama çarpıcı makale, Sol'un teorik ve pratik yeniden inşası ve eleştirel düşüncenin doğru mecralarda ilerleyişinin sağlanması açısından mutlaka okunması ve derinlemesine irdelenip tartışılması gereken eserlerin başında gelir. İleri endüstri toplumuyla rekabete giren sosyalist blok, bu rekabetin (...) bir sonucu olarak, kendi hedeflerinden saparak rekabet ettiği sistemin değerlerinin egemen olduğu bir sisteme kaymıştır. Bu kayma, Marcuse'ye göre, geleneksel özgürlük anlayışını geçersiz kılmıştır. Artık, insanların gereksinimleri özgürce kendileri tarafından geliştirilmediği için, “herkesten yeteneğine göre, herkese gereksinimine göre” ilkesinin işe yaramayacağı bir aşamadayız. Öyle ki, kendilerinin özgürce geliştirdikleri gereksinimlere sahip olmadıkları sürece, üretim araçlarının işçiler tarafından sahiplenildiği durumda bile, toplum baskıcı bir toplum olabilir. Dolayısıyla, özgürlüğünün olanakları başka yerlerde aramak gerekir. Marcuse de, Özgürlük Üzerine Bir Deneme kitabında, bu yeni durum içerisinde özgürlüğün yeni olanaklarını aramaktadır. (shrink)

Climate change has substantial impacts on public health and safety, disease risks and the provision of health care, with the poor being particularly disadvantaged. Management of the associated health risks and changing health service requirements requires adequate responses at local levels. Health-care providers are central to these responses. While climate change raises ethical questions about its causes, impacts and social justice, medicine and bioethics typically focus on individual patients and research participants rather than these broader issues. We broaden this focus (...) by examining awareness among health-care providers in the Caribbean region, where geographic and socioeconomic features pose particular vulnerabilities to climate change. In focus groups, Caribbean providers described rises in mosquito-borne, flood-related, heat-related, respiratory and mental illnesses, and attributed these to local impacts of climate change. Their discussions showed that the significance of these impacts differs in different Caribbean nations, raising policy and social justice questions. Bioethics and public health ethics are situated to frame, inform and initiate public and policy dialog about values and scientific evidence associated with climate change. We urge readers to initiate such dialog within their own institutions about the context-dependent nature of the burdens of climate change, and values and policies that permit it to worsen. (shrink)

The aim of this study was to assess attitudes of intensive care nurses to selected ethical issues related to end-of-life decisions in paediatric intensive care units. A self-administered questionnaire was distributed in 2005 to intensive care nurses at two different scientific occasions in Turkey. Of the 155 intensive care nurse participants, 98% were women. Fifty-three percent of these had intensive care experience of more than four years. Most of the nurses failed to agree about withholding (65%) or withdrawing (60%) futile (...) treatment. In addition, 68% agreed that intravenous nutrition must continue at all costs. In futile treatment cases, the nurses tended to leave the decision to parents or act maternalistically. The results showed that intensive care nurses could ignore essential ethical duties in end-of-life care. We suggest that it is necessary to educate Turkish intensive care nurses about ethical issues at the end of life. (shrink)