Background: Advocacy is an important role of psychiatric nurses because their patients are ethically, socially, and legally vulnerable. This study of Japanese expert psychiatric nurses’ judgments of interventions for patient advocacy will show effective strategies for ethical nursing practice and their relationship with Japanese culture. Objectives: This article explores Japanese psychiatric nurses’ decision to intervene as a patient advocate and examine their ethical, cultural, and social implications. Research design: Using semi-structured interviews verbatim, themes of the problems that required interventions were (...) inductively summarized by a qualitative analysis and their contexts and nursing judgments were examined. Participants and research context: The participants were 21 nurses with 5 or more years of experience in psychiatric nursing. Ethical considerations: The research was approved by Institutional Review Board of research site and study facilities. The participants gave written informed consent. Findings: Analysis of 45 cases showed that nurses decided to intervene when surrounding people’s opinions impeded patients’ safety, healthcare professionals’ policies impeded patients’ decision-making, own violent behaviors impeded treatment and welfare services for patients, own or families’ low acceptance of illness impeded patients’ self-actualization, inappropriate treatment or care impeded patients’ liberty, and their families abused patients’ property. Discussion: To solve conflicts between patients and their surrounding people, the nurses sought reconciliation between them, which is in accordance with Japanese cultural norms respecting harmony. When necessary, however, they protected patients’ rights against cultural norms. Therefore, their judgments cannot be explained by cultural norms alone. Conclusion: The findings indicate that the nurses’ judgments were based on respect for patients’ rights apart from cultural norms, and they first sought solutions fitting the cultural norms before other solutions. This seems to be an ethical, effective strategy if advocates know the culture in depth. (shrink)

This paper investigates the effects of group interaction in a storytelling situation for children using two robots: a reader robot and a listener robot as a side-participant. We developed a storytelling system that consists of a reader robot, a listener robot, a display, a gaze model, a depth sensor, and a human operator who responds and provides easily understandable answers to the children’s questions. We experimentally investigated the effects of using a listener robot and either one or two children during (...) a storytelling situation on the children’s preferences and their speech activities. Our experimental results showed that the children preferred storytelling with the listener robot. Although two children obviously produced more speech than one child, the listener robot discouraged the children’s speech regardless of whether one or two were listening. (shrink)

1. Ronri to gengo -- 2-3. Imi to yōsō -- 4. Shinri to imi.

Under certain conditions, the cell cycle can be arrested for a long period of time. Vertebrate oocytes are arrested at G2 phase, while somatic cells arrest at G0 phase. In both cells, nuclei have lost the ability to initiate DNA synthesis. In a pair of recently published papers,1,2 Méchali and colleagues and Coué and colleagues have clarified how frog oocytes prevent untimely DNA synthesis during the long G2 arrest. Intriguingly, they found only Cdc6 is responsible for the inability of immature (...) oocytes to replicate DNA. Cdc6 is a key component for replication licensing, and for G0 cells to re‐enter the proliferative stage. Strikingly similar strategies for preventing the untimely replication in both cells suggest that the suppression of replication licensing is a universal mechanism for securing the prolonged arrest of the cell cycle. BioEssays 25:313–316, 2003. © 2003 Wiley Periodicals, Inc. (shrink)

Det är stort, Europa, tycker urmakarn. Han har just inte tänkt på det förut. Tyskland, Frankrike, England, ett stycke Skandinavien, ett stycke Ryssland. Och gränserna förändras då och då; ljudlöst, nästan omärkligt på kartan, med buller och bråk där ute. Där ute—?... Långt uppe en liten prick, en liten stad. Hammar upptäcker att den verkligen hör till Europa, är en punkt i världen, ett litet centra, kring vilket en landsbygd sluter sig—en kärna.... Det är litet. Han måste erkänna, att det (...) är försvinnande. Stockholm är en helt annan sak, men detta är för litet.1[It is big, Europe, thinks the watchmaker. He hasn't happened to think about it before. Germany, France, England, a bit of Scandinavia, a bit of... (shrink)

Research has documented the influence of ALS patients families’ attitudes on patients’ decision to accept or reject TIV, a treatment that in many cases will allow them to live long enough to experience locked-in syndrome ; under Japanese law the use of a ventilator cannot be terminated once it is essential to a patient’s survival, so to choose TIV means to choose the possibility of entering a locked-in state. Previous studies have not, however, elucidated the changes in family members’ attitudes (...) that take place after they receive pertinent information about the social systems and services available to them. This study aims to fill this gap by collecting and analyzing patients’ and family members’ narratives. In Japan, about 30% of ALS patients utilize TIV. This rate is much higher than in most other developed countries. Patients’ narratives illuminate the psychological and especially the contextual factors of their decision-making. Many Japanese patients who currently use a ventilator say that their family members encouraged them to prolong their lives through ventilation. These family members have done so because patients are able to use long-term ventilation for only ¥1000 per month, and can also access the latest communication devices and round the clock caregiver services in their homes at very low cost. Japanese caregivers who are supported by social systems and services including communication assistance, empowering factors such as patients’ associations, care provided by people outside the patient’s family, and a public nursing care system are able to encourage patients to decide to use longterm ventilation. (shrink)

In Book One of the Treatise of Human Nature, Hume seems to acknowledge the existence of both internal and external worlds, in which perceptions, objects, and bodies, exist. In particular, Hume seems directly to affirm the existence of extra-mental bodies, when he says at the beginning of the section "Of scepticism with regard to the senses," "We may well ask, What causes induce us to believe in theexistence of body? but 'tis in vain to ask, whether there be body or (...) not? That is a point, which we must take for granted in all our reasonings" (T 1.4.2.1; SBN 187).1 Furthermore, he thinks that the existence of body must be taken for granted because it is "an affair of too great importance to be trusted to our .. (shrink)

William James criticizes Hume for failing to adhere to the strictly empiricist method when he postulates discrete constituents of experience—which Hume calls perceptions—thereby making our experience a train of disconnected pieces. James argues that the discontinuity of experience in Hume results in part from his failure to recognize the immediate presence of relations in experience.1 Emphasizing a continuity and unity of experience, James thus differentiates his empiricism from Hume's as being radical in the sense that it recognizes relations as 'real' (...) parts of experience just as are things that are experienced to be so related.2 This raises a question concerning the experiential status of relations in Hume: is .. (shrink)

In A Treatise of Human Nature, Hume seems to use the term "object" to refer to different things in different contexts, including impressions, ideas, perceptions, and bodies. Does he ever use the term "external bodies" to refer to things in the extra-mental world? I argue that what Hume means by external bodies when he affirms their existence is not externally existing, material objects that are somehow presented to the mind or presented in impressions. Rather, the bodies that Hume affirms are, (...) at bottom, no different from perceptions, but they can be distinguished from merely internal perceptions like pain or pleasure in terms of their "different relations, connexions, and durations" (T 1.2.6.9; SBN 68). I conclude that in order to be consistent, given the various statements he makes throughout Book One of the Treatise, Hume must reject the philosopher's doctrine of double existence of perceptions and objects and affirm only the existence of perceptions, sometimes conceived as internally existing and mind-dependent and sometimes conceived as existing outside and independent of the mind. (shrink)

William James criticizes Hume for failing to adhere to the strictly empiricist method when he postulates discrete constituents of experience — which Hume calls perceptions — thereby making our experience a train of disconnected pieces. James argues that the discontinuity of experience in Hume results in part from his failure to recognize the immediate presence of relations in experience. Emphasizing a continuity and unity of experience, James thus differentiates his empiricism from Hume's as being radical in the sense that it (...) recognizes relations as ‘real’ parts of experience just as are things that are experienced to be so related. This raises a question concerning the experiential status of relations in Hume: is James correct in accusing Hume of failing to notice the experiential reality of relations? Does Hume deny the experiential reality of relations entirely? Or does Hume downplay the experiential reality of relations and come to take them merely as products of the imagination, hence not ‘real,’ for certain theoretical reasons? (shrink)

(First paragraphs.) — The notion of “mental time” refers to the experience and awareness of time, including that of past, present, and future, and that of the passing of time. This experience and awareness of time raises a number of puzzling questions. How do we experience time? What exactly do we experience when we experience time? Do we actually experience time? Or do we infer time from something in, or some aspect of our experience? And so forth. These and many (...) related questions in the “philosophy of mental time”, the topic of this special issue of the Annals of the Japan Association for Philosophy of Science, are not purely philosophical questions. Or at least, they are not likely to be satisfactorily answered by philosophers alone. Rather, they also need the input of neuroscientists, psychologists, physicists, linguists, and others. And conversely, answers to these questions may have implications outside the scope of philosophy. The papers in this special issue illustrate this inherent multi- or interdisciplinarity of the philosophy and science of mental time. In this theme introduction, we want to give a few more examples to illustrate this interdisciplinarity, but also to point out that much of the field is still wide open—that is, these illustrations raise more questions than answers. (shrink)

In the Appendix to A Treatise of Human Nature, Hume famously retracts his account of personal identity by confessing that it involves a profound problem he cannot solve, which I have elsewhere identified and called the Bundling Problem. Neither of the two possible solutions that Hume himself considers in the Appendix is a viable option for him by his own lights, which might suggest that any successful account of a unified self must go beyond the empirical framework. In this paper, (...) I argue that we can find a strictly empiricist solution to Hume's problem in William James. I attempt to show that James's descriptions of our experience are phenomenologically more detailed and faithful to how experience is undergone from the first-person perspective, which allows him to explain our belief in an identical, unified self solely on empirical grounds. James finds unity and continuity right in the content of the stream of experience itself. A detailed investigation of James's accounts reveals that Hume's fundamental problem does not stem merely from his lack of empirical resources but, more importantly, from his tacit abandonment of the professed empiricist methodology. (shrink)

There are remarkable parallels between Hume and Nagarjuna in their denial of substantiality and independence in objects and their subsequent attitude toward our ordinary world. Acknowledging a deep-rooted human tendency to take objects as independent entities, they both argue that there is nothing intrinsic in those objects that make them unitary and independent, and that those characters are, strictly speaking, merely fictitious, mental constructs. They nonetheless affirm the existence of our ordinary world as real. Although their main purposes of the (...) philosophical inquiry are different (epistemological for Hume, and soteriological for Nagarjuna), their accounts of the nature of our world allow us to accept it in the way we ordinarily believe with the deeper understanding of it. It is only in this world where we think, act, and interact with others that an epistemology grounded in human sentiment and experience (for Hume) or humans liberation (for Nagarjuna) is possible. (shrink)

Dynastic politicians, defined as those whose family members have also served in the same position in the past, occupy a sizable portion of offices in many parts of the world. We develop a model of how dynastic politicians with inherited political advantages affect electoral outcomes and policy choices. Our model predicts that, as compared with non-dynastic legislators, dynastic legislators bring more distributions to the district, enjoy higher electoral success, and harm the economic performance of the districts, despite the larger amount (...) of distributive benefits they bring. We test the implications of the model using data from Japan between 1997 and 2007. (shrink)

In 1997, the Japanese Diet revised the Bank of Japan law thereby granting the central bank greater independence in monetary policy making. The revision was an attempt by Japan's political class to weaken the authority of the powerful Ministry of Finance over the central bank and augment its own influence. The Bank of Japan, however, gained more autonomy than politicians ever intended, leading to frequent confrontations between the government and the central bank over monetary policy. This paper explores the new (...) strategic relationship that emerged between the Bank of Japan and government and the nature of monetary policy implemented in the post-reform period. We demonstrate that several factors contributed to the Bank's unexpected ability to enhance its independence: the astute leadership of the first post-reform governor Hayami Masaru; the Bank's ability to turn politicization of monetary policy to its advantage; and its pursuit of a strategy achieved by augmenting its own research capacity. On a theoretical level, our findings show that the passage of a new legal framework only marks the completion of one stage of institutional change and the start of the next; post-enactment politics have as much importance as pre-enactment politics in shaping outcomes. In the post-enactment phase, various factors, including the state of the economy and informal institutions or processes, matter greatly and may shift the direction of institutional change away from the intended path. (shrink)

Although logical positivism had been known before World War II, it was introduced into academic philosophy in Japan only after it. In this process, the US philosophers who came to Japan in order to participate in American Studies Seminar played an important role. The first generation of Japanese analytic philosophers, who were born in the 1920s and 1930s, began to have some influence in the 1960s, and some of them published original works of high quality in the 1970s. The second (...) generation of analytic philosophers were born in the 1940s and 1950s. They began to teach in the 1970s and 1980s, and went on to publish papers and books in analytic philosophy. For many years, analytic philosophy had been known as kagaku tetsugaku, which may mean either philosophy of science or scientific philosophy. It had been frequently criticized as “non-philosophy.” Analytic philosophy, however, has changed the style of philosophical discussion and made it possible to form a language that is sufficient to express philosophical ideas and arguments in an intelligible way. (shrink)

Journal of Philosophy of Education, EarlyView.

This study aims to unveil the process of whistleblowing. Two nursing staff members who worked in a psychiatric hospital convicted of large-scale wrongdoing were interviewed. Data were analyzed using a modified grounded theory approach. Analysis of the interviews demonstrated that they did not decide to whistleblow when they were suspicious or had an awareness of wrongdoing. They continued to work, driven by appreciation, affection, and a sense of duty. Their decision to whistleblow was ultimately motivated by firm conviction. Shortly after (...) whistleblowing, wavering emotions were observed, consisting of a guilty conscience, fear of retribution, and pride, which subsequently transformed to stable emotions containing a sense of relief and regret for delayed action. It is necessary for nurses to recognize that their professional responsibility is primarily to patients, not to organizations. Nurses should also have professional judgment about appropriate allegiance and actions. (shrink)

Journal of Philosophy of Education, EarlyView.

La crise de la démocratie d’aujourd’hui a remis en cause la notion même de la solidarité. Le philosophe japonais, Hiroki Azuma, dans Volonté générale 2.0, présente un argument qui repense les conditions de participation et de présence de la politique. En prenant pour fil conducteur la notion rousseauiste de « volonté générale », il essaie de mettre à jour cette notion classique, en se référant au développement de la technologie informatique. Notre article vise à mesurer la portée politico-philosophique de la (...) « volonté générale 2.0 ». (shrink)

This study examined the effect of fake news on electoral outcome. Using post-election surveys, previous studies found associations between exposure to fake news and voting behavior, though these observational studies failed to show that these changes were actually caused by fake news. To examine whether fake news really affects voting behavior, we need to experimentally manipulate voters’ exposure to fake news in real elections and see if voters regret their vote choice knowing that the information was false. For this purpose, (...) our study focused on Mexico’s 2018 presidential election, which provided an ideal setting. During the campaign, false information about a scandal allegedly involving Ricardo Anaya, a candidate from the National Action Party, was widely disseminated. However, his innocence was officially acknowledged after the election. Using this correction of fake news as a treatment, we tested a sample of 1,561 individuals to assess whether the retraction of fake news caused post-election regret: would Mexican voters have voted differently if they had not been exposed to such false information. Our multivariate analyses found that the retraction of fake news did cause post-election regret among voters with lower internal political efficacy, but voters associated with higher political knowledge and internal political efficacy were not affected by the retraction and were less likely to experience regret. About 20% of the respondents experienced post-election regret, and of those, about 35% would have switched their vote to Anaya. The findings corroborate lasting effects of fake news, which may have non-negligible effects on electoral outcomes. (shrink)

The aims of this study were twofold, to: examine the behavior displayed by participants who expected to be nominated for donor roles in dictator games wherein initial endowments of players are determined by lottery and investigate the conduct of donors who were confident in their good fortune in relation to their power as they redistributed the rewards they had gained. Results from a dictator game in which a donor is accorded the absolute power to redistribute initial income and a random (...) dictator game in which both a donor and a recipient declare their redistributive preferences and one of them is selected randomly by a computer were compared. Confident donors made more self-serving redistribution decisions than did unconfident donors in both games, but the difference was clearer in the dictator game. In relation to their preferences exhibited before being informed of their roles, confident donors decreased their redistribution amounts after discovering their roles; the decrements in the dictator game were conspicuously larger than those in the random dictator game. In short, confident donors were greedier than unconfident donors; the difference became more pronounced when their redistributive power was unconditional even though their confidence had no rational basis. (shrink)

This article summarizes the findings of this special issue focusing on five questions: (1) who studies Japanese politics and international relations in China, Japan and the Republic of Korea?; (2) what is being studied in each of these countries?; 3) how are Japanese politics studied in each of these countries?; (3) what determines the nature of the study of Japanese politics and international relations?; and 4) what is the impact of the study of Japanese politics in each of these three (...) countries? The findings on the first questions are that most scholars in each of these countries are concentrated in their forties and fifties, but their educational backgrounds are considerably varied. On the second question, the topics of study are becoming more wide-ranging in recent years, although in China, government policy still puts a constraint on the range of topics studied. Regarding the third question, the approaches that are used are becoming more varied, especially in Japan and South Korea. Concerning the fourth question, domestic politics in each of these countries matter, and financial constraints are a problem in China. Finally, it seems that Korean scholars in this area may have greater impact on the government than in the other two countries. (shrink)