This short article represents the first attempt to define a new core cultural value that will enable engaging the business sector in humankind’s mission to heal nature. First, I start with defining the problem of the current business culture and the extant thinking on how to solve environmental problems, which I called “the eco-deficit culture.” Then, I present a solution to this problem by formulating the “semiconducting principle” of monetary and environmental values exchange, which I believe can generate “an eco-surplus (...) business culture.” This work adds one new element, the eleventh cultural value, to the ten core values of progressive cultures postulated by Harrison (2000). (shrink)

Ancient medical and healing systems are currently attracting considerable interest. This issue includes interdisciplinary studies which focus on new perceptions of some ancient and medieval medical systems, exploring how they related to each other, and assessing their contribution to modern society. It is shown that pre-Greek medicine included some rational elements, and that Egyptian and Babylonian medical systems contributed to a tradition which led from classical antiquity through the Middle Ages and beyond. The reliability of sources of evidence is (...) considered, as well as the legacy of the ancient healing environments and disease treatments. Finally, where documentation survives, the legacy of social attitudes to health and disease is considered. Overarching principles directed policies of social medicine and healthcare in antiquity and the Middle Ages: for example, the causes and transmission routes of infectious diseases, as well as the basic principles of sterilization, were unknown, but nevertheless attempts were made to improve sanitation, provide clean water, and ensure access to trained physicians. In some cases, the need to limit the size of the population prompted the use of contraceptive measures, and surviving information also illuminates attitudes to deformity, disability and the treatment of the terminally ill. (shrink)

We are social primates, for whom language-mediated co-operative thinking (‘co-cognition’) is a central element of our shared life. Psychological concepts may be illuminated by appreciating their role in enriching and improving such co-cognition — a role which is importantly different from that of enabling detailed prediction and control of thoughts and behaviour. This account of the nature of psychological concepts (‘co-cognitivism’) has social anti-individualism about thought content as a natural corollary. The combination of co-cognitivism and anti-individualism further suggests that, (...) in addition to the familiar first person authority with which we ascribe thoughts to ourselves, there may also be something deserving the name ‘second person authority’. (shrink)

Wittgenstein does not talk much explicitly about reason as a general concept, but this paper aims to sketch some thoughts which might fit his later outlook and which are suggested by his approach to language. The need for some notions in the area of ‘reason’ and ‘rationality’ are rooted in our ability to engage in discursive and persuasive linguistic exchanges. But because such exchanges can (as Wittgenstein emphasises) be so various, we should expect the notions to come in many versions, (...) shaped by history and culture. Awareness of this variety, and of the distinctive elements of our own Western European history, may provide some defence against the temptation of conceptions, such as that of ‘perfect rationality’, which operate in unhelpfully simplified and idealised terms. (shrink)

Philosophy is an ambitious, speculative practice, aimed at finding out what wisdom is and how to attain it, in so far as that can be done by explicit discussion and argument. A likely pitfall of any such enterprise is that it loses touch with concerns in human life outside itself and becomes scholastic, in the pejorative sense. Academic institutions which encourage wide and outward-looking intellectual sympathies, and which do not reward narrow point-scoring specialism, are helpful in resisting the tendency to (...) scholasticism. The Moral Sciences Tripos at Cambridge might have provided some of the elements of such a setting, by framing an academic structure in which philosophy was studied in conjunction with other subjects in the humanities and social sciences. As things actually developed, that possibility was not realised. Nevertheless, philosophy at Cambridge maintained vigour and significance, through the intellectual freedom and encouragement it provided to some notable individual philosophers. (shrink)

Both Bakhtin and Vygotsky, as we have seen, responded directly or indirectly to the challenge of Freud. Both attempted to account for their data without resorting to postulating an unconscious in the Freudian sense. By way of contrast, it is instructive here to recall Jacques Lacan—who, among others, has been a beneficiary of Bakhtin’s “semiotic reinterpretation” of Freud.17 Lacan’s case is intriguing, for he retains the unconscious while at the same time submitting Freudian psychoanalysis to rigorous criticism along the lines (...) of Bakhtin. By focusing attention on the dialogic word, he encourages a rereading of Freud in which the social element is crucial. As Lacan opens his essay “The Empty Word and the Full Word”:Whether it sees itself as an instrument of healing, of formation, or of exploration in depth, psychoanalysis has only a single intermediary: the patient’s Word….And every word calls for a reply.I shall show that there is no word without a reply, even if it meets no more than silence, provided that it has an auditor: this is the heart of its function in psychoanalysis.18The word is conceived as a tool not only in the external world but also of an autonomous internal world as well. And what emerges, it would seem, is a reinterpretation of the role of dialogue in the painful maturational process of the child. For Vygotsky, the child’s realization of his separateness from society is not a crisis; after all, his environment provides both the form and the content of his personality. From the start, dialogue reinforces the child’s grasp on reality, as evidenced by the predominantly social and extraverted nature of his earliest egocentric speech. For Lacan, on the contrary, dialogue seems to function as the alienating experience, the stade du miroir phase of a child’s development. The unconscious becomes the seat of all those problems that Bakhtin had externalized: the origin of personality, the possibilities of self-expression. The je-moi opposition in the mirror gives rise to that permanent for “a locus where there is constituted the je which speaks as well as he who has it speak.”19 And consequently, the Word takes on an entirely different coloration: it is no longer merely an ideological sign but a potent tool for repressing knowledge of that gap, the face in the mirror, the Other. Lacan’s celebrated inversion of Saussure’s algorithm, with the line between signifier and signified representing repression, created a powerful but ominous new role for language. The child is released from his alienating image only through discovering himself as Subject, which occurs with language; but this language will inevitably come to him from the Other. Thus speech is based on the idea of lack, and dialogue, on the idea of difference. 17. See Ivanov, “The Significance of M. M. Bakhtin’s Ideas,” p. 314.18. Jacques Lacan, “The Empty Word and the Full Word,” in Speech and Language in Psychoanalysis, ed. and trans. Anthony Wilden , p. 9.19. Lacan, from “La Chose freudienne” , quoted in Wilden, “Lacan and the Discourse of the Other,” in Speech and Language in Psychoanalysis, p. 266. Caryl Emerson, assistant professor of Russian literature at Cornell University, has translated The Dialogic Imagination, Problems of Dostoevsky’s Poetics . She is currently at work, on a study of Boris Godunov in Russian cultural history. (shrink)

When nurses have active and untreated addictions, patient safety may be compromised and nurse-health endangered. Genuine responses are required to fulfil nurses' moral obligations to their patients as well as to their nurse-colleagues. Guided by core elements of relational ethics, the influences of nursing organizational responses along with the practice environment in shaping the situation are contemplated. This approach identifies the importance of consistency with nursing values, acknowledges nurses interdependence, and addresses the role of nursing organization as moral agent. (...) By examining the relational space, the tension between what appears to be opposing moral responsibilities may be healed. Ongoing discourse to identify authentic actions for the professional practice issue of nursing under the influence is called upon. (shrink)

When natural time sequences were replaced by clocks, time became a measurable commodity and the ‘speedy use of time’ a virtue. In medical practice shorter consultations allow more patients to be seen, whereas longer consultations result in a better understanding of the patient and her problems. Crossing the line of time-efficiency and time-effectiveness compromises the balance between short-term turnover and long-term outcomes. The consultation has all the hallmarks of a complex adaptive system whose characteristics are not determined by the characteristics (...) of the components, but by the patterns of interaction among the components. Systems are dynamic and change over time; the dynamic nature is not incidental, but necessary as complex systems operate at conditions far from equilibrium. The central notion when we talk of time and complexity is that of ‘memory’. Memory is carrying something from the past over into the future. Memory is filtered/interpreted, separating noise from information. Memory therefore is not an instantaneous thing, it takes time to develop; it is slow. The dynamics between the participating agents in the consultation will create shared memories that live on to shape future interactions. Shared memories are stronger and contain more relevant knowledge if they are based on frequent interactions and ongoing doctor–patient relationships, leading to a better understanding of the whole person – a process that takes time. Sufficient time, that is, ‘a certain slowness’, is an essential element of the healing relationship in the consultation. It creates a sufficiently stable, but adaptive, environment that can withstand changing demands. Hence a more complete understanding of the consultation and its time demands will not only lead to more effective treatment, it will also humanize a situation which has become to a large extent purely instrumental. This process of humanization is important not only for the patient, but also for the doctor. (shrink)

Building on Lonergan's notion of the scale of values , Robert Doran has provided a framework for a theology of history, consisting of three interlocking dialectics, personal, cultural and social, together with the creating and healing vectors operating in history. This present article considers the much discussed phenomenon of globalization, in light of Doran's theology of history. It analyses the vital, social, cultural, personal and religious issues raised by globalization. It argues that the driving force of globalization is the (...) creative drive of practical intelligence, particularly at the social, economic level. It considers emerging global cultural elements commensurate with this drive, and the reshaping of personal moral virtue needed in a global environment. It identifies the impact of globalization on religion, with particular reference to inter-religious dialogue, and asks how religion may contribute to the healing of the global issues of evil which confront us. (shrink)

Despite powerful strategic approaches in the health systems in many afTluent countries, the pandemic that has hit us has cascaded beyond the imagination of many civil societies around the world. There is a call for a higher understanding and practice as the contents in the social media reTlected an urgency to understand more on the healing effects of the body, mind and spirit. In fact, contents in social media highlighted many coping mechanisms which were related to religious, cultural and (...) spiritual values. The public expressed information that included remedies for the body, mind and the spiritual aspects of humanity and their interconnectedness with the environment. These narratives were equally as signiTicant as the logistic arrangements, professional and political decision making among the healthcare professions and members of other inter-related health networks. The results of the COVID-19 outbreak has crea ted a deeper unders tanding, o f a higher consciousness as populations around the world recognize that the world works as one large organism trying to balance the ethical and unethical practices rampant in our societies. This paper proposes the integration of “change theory” to explore the various existing elements in narratives of the public and research studies from healthcare practices. An exploratory analysis of contents in social media and the related literature in healthcare and nursing studies has revealed speciTic patterns which helped put the theory in perspective and to formulate a model for future understanding on what common universal values exist in the commonly existing patterns. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 20 (2000) 241-246 [Access article in PDF] News and Views The 1999 International Buddhist-Christian Theological Encounter Barbara BernsteinWilmette, IllinoisThe 1999 International Buddhist-Christian Theological Encounter (IBCTE), also known as the Abe-Cobb Group, met at the Westin Hotel in Indianapolis, Indiana from April 15 to April 18. There were four papers on the theme "Social Violence." This theme followed last year's, which was "Environmental Violence." Each paper was read (...) beforehand; and to guide the discussion, each session was begun by a respondent.It was reported at the first session that the 2000 IBCTE will take place August 3-6 at Tacoma, Washington just prior to the Society for Buddhist-Christian Studies International Conference on "Buddhism, Christianity, and Global Healing." The theme for next year's encounter will be "The Economic Factors in Social and Environmental Violence." This theme will build on the dialogue generated by the topics of the previous two years, namely, environmental and social violence. Papers will be prepared by Sulak Sivaraksa, John B. Cobb, Jr., Judith Simmer-Brown, and Carol Johnston. Responses will be made by Stephanie Kaza, David Chappell, Valerie Karras, and Terry Muck.It was also announced at that session that six of our membership will present a panel on the IBCTE at the Parliament of the World's Religions in Cape Town, South Africa in December 1999. That panel will share the fruits of the 15-year history of the IBCTE. Those who will attend this Parliament are: David Lochhead, David Chappell, Schubert Ogden, the Ven. Yifa, Judith Simmer-Brown, and Rosemary Ruether.The following is a summary of each of the eight dialogue sessions at the 1999 meeting: First Paper (April 16 Morning Session) Discussion began with Taitetsu Unno's response to David Lochhead's paper entitled, "Monotheistic Violence." Unno began by examining the relationship between deep personal faith (vertical) and the social/ethical elements of religion (horizontal). This led to further discussion on violence and the construction of "the other." Unno raised the questions: Who decides what constitutes the other? Further, who ultimately [End Page 241] decides if the other is or is not enemy/neighbor? Unno pointed out that, following Matthew 5, if God does not discriminate good from evil, then who can determine who is just and unjust? This comment pointed to the great problem for minorities in North American society.Unno also made some comments on Lochhead's use of liberation theology: If all economic systems are prone to misuse, then does a critique of capitalism do us much good?Lochhead's reply to Unno began with the issue of dualism and non-dualism. Here, Lochhead talked about a "soft" dualism, in that our world is constituted by relationships such that God and neighbor are the names that appear in this discourse. Like Martin Buber's path in I and Thou, dualistic construction comes out of relationships. Lochhead clarified that this dualism is not the same as a hard dualism, which is what Unno referred to as subject/object dualism. This led to the relevant question: What kind of violence is involved in the construction of the other? If God is a name for something beyond me, then how can the construction of the self in relationship to God be a form of violence? And would not this nonviolent, soft dualistic construction hold for any other person or living being? Lochhead then suggested that it is when relationships somehow degenerate into I-it, in Buber's terms, that the construction can become violent.Much rich insight was brought to light when the dialogue opened for general discussion. José Cabezón asked if violence demands the construction of the other? He pointed out that for the human realm differentiation is necessary for human life. Stephanie Kaza contributed to the discussion by suggesting that biological necessity is very hard for people to understand. There can be different bases of knowing, and religious knowing is from a privileged point of view for understanding our relationship with the natural environment. Larry Cunningham reminded us that relationships in Christianity are crucial because... (shrink)

Even as the conventional energy system is fundamentally challenged by the “energy-environment crisis,” its adherents have presented the prospect of “abundant” and purportedly “green” nuclear power as part of a strategy to address the crisis. Surveying the development of nuclear power in India, this article finds that it is predisposed to centralization and secrecy, that nuclear power as energy policy is based on a presumption that overabundance is imperative for viable forms of social and economic development; its institutionalization has (...) tended to reduce deliberations on energy policy and human well-being to narrowly technocratic terms. Given these proclivities, nuclear power, as evaluated in this article, is considered unlikely to facilitate a viable response to the energy-environment crisis. Alternatives are thus surveyed here to include the sustainable energy utility and the capability approach as well as synergies between them, to challenge the offer of nuclear power as a response to the energy-environment crisis. (shrink)

Although VL30 retrotransposable elements have been associated with certain cancers for nearly twenty years, because of their expression in rodent malignancies and recombination into murine sarcoma viruses, their causative role, if any, in cancer has been uncertain and enigmatic. Recent findings suggest loss of normal transcriptional control of specific VL30 element expression may make a critical contribution to tumor progression at a step associated with malignant conversion, by bringing into play a cellular program normally involved in wound healing. (...) This program, the fibroblast anoxic response system, includes an adaptation to glycolytic metabolism, secretion of metalloproteinases, and activation of an endonuclease. While appropriate for facilitating debris removal during wound healing, loss of control of this program in a cell which has already progressed to the benign neoplastic state has the potential to simultaneously produce the invasiveness and genomic instability charateristic of malignancy. Examination of tumors and tumor derived cell lines has confirmed that key aspects of this system are in fact activated in cancer. (shrink)

In this paper I briefly summarize Pellegrino’s phenomenological analysis of the ethics of the physician–patient relationship. In delineating the essential elements of the healing relationship, Pellegrino demonstrates the necessity for health care professionals to understand the patient’s lived experience of illness. In considering the phenomenon of illness, I identify certain essential characteristics of illness-as-lived that provide a basis for developing a rigorous understanding of the patient’s experience. I note recent developments in the systematic delivery of health care that make (...) it difficult for health care professionals to realize Pellegrino’s ethical model of the role of healer. Such developments limit both the physician’s freedom to act on behalf of the patient without the constraint of third parties and the physician’s freedom to act in light of his or her own ethical or religious convictions. Given these difficulties, I note MacIntyre’s call for the development of moral communities, as an alternative to the prevailing culture, and share a first-hand example illustrating how intentional Christian community provides an alternative nurturing context that permits the full development of the healing relationship. (shrink)

The lived body has structures of ability built up over time through habit. Serious illness, injury, and incapacity can disrupt these capacities, and thereby, one’s relationship to the body, and to time itself. This paper focuses attention on a series of healing strategies individuals then employ on the “chessboard” of possibilities intrinsic to lived embodiment. This can include restoring past abilities (pointing to the future to recreate the past); and/or transforming one’s bodily structure or use-patterns, or the external (...) class='Hi'>environment, to compensate. With many conditions, including progressive aging, no full rehabilitation is possible. Nevertheless, one can also seek consolation, richness, or hope by remembering the past; anticipating the future; or presencing, that is, living fully in the now. Insofar as past, present, and future are interwoven in one’s life experience, many also meet adversity by a life-story revision, constructing a new narrative to render events meaningful. Some also access a sense of transpersonal timelessness, whether through anticipation of an afterlife, or a sense of the eternal present. There is a literature on the adaptive coping mechanism used by the chronically ill, but with its diverse patient populations, methodologies, and categories, it has proved difficult to systematize. This article suggests that the structures of lived embodiment, as explored by phenomenology, provide a way to understand the modes of wholeness individuals access over time, and in relation to time—what is here termed chronic healing. (shrink)

ObjectiveOur research aim is to enrich the conceptualization of high conflict post-divorce co-parenting by understanding the dynamic process involved.BackgroundThe studied phenomena were explored by linking previous scientific knowledge to practice.MethodWe cross-referenced the previous study results with the experiences reported by eight professionals and tried to answer the following research question: how professionals’ experience and previous scientific knowledge contribute to a better understanding of HC post-divorce co-parenting? Individual face to face interviews were conducted and analyzed regarding the qualitative theoretical reasoning of (...) thematic analysis.ResultsAnalysis allowed us to highlight how four main axes are related to HC post-divorce co-parenting: Parents for life, Acting in the child’s best interests, Managing disagreements, and Healing the separation.ConclusionOur findings capture high conflict post-divorce co-parenting as a multidimensional dynamic process. As such, dealing with co-parenting disagreements must be understood as a moment in a process that is influenced by, and influences, other dimensions.ImplicationsInterventions must consider the four dimensions and their reciprocal interactions. The essential elements underlying parents’ difficulties may reside at a multiplicity of levels: inter-relational, contextual, and intrapsychic. Each level contains key potential factors in understanding these families, and in formulating intervention guidelines. (shrink)

Medical students’ concerns during clinical clerkships may not always be addressed with mentors who work under significant time constraints. This study examined 3rd year students’ survey responses regarding patient encounters to elucidate what may be hidden aspects of their learning environment. We analyzed results to an 18-item survey completed during a required ethics and professionalism course in third-year medicine clerkships over a period of 18 months. The survey covered types of concerns elicited by patient encounters, interactions with mentors about (...) concerns, perceptions of mentors, and level of moral distress. We also examined results of a 7-item evaluation of small group discussions during the study period. 1210 surveys and 195 evaluations constituted the study samples. Students’ concerns related primarily to ethics (36.4%, n = 441) and quality of care (34.5%, n = 418). Concerns had not been raised with a mentor in 535 (44.2%) instances. Students experienced moral distress in connection with 35.4% (n = 324) of cases; this was particularly common when a concern applied to a mentor. Higher levels of moral distress were associated with a lower likelihood of wishing to emulate the mentor (r = -0.27, p <.001). Two thirds of students, 66.9% (n = 107), stated that small group discussions where concerns were discussed lowered their stress levels. We suggest that clinical mentors be made aware of students’ learning needs and that structured discussions be available for students to articulate concerns with peers and facilitators in efforts to uncover elements of the hidden curriculum with the goal of optimizing students’ well-being, learning and professional development. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Global Healing and Reconciliation:The Gift and Task of Religion, a Buddhist-Christian PerspectivePeter C. Phan"No peace among nations without peace among the religions. No peace among the religions without dialogue between the religions. No dialogue between the religions without investigation of the foundation of the religions." Hans Küng's oft-quoted dictum proves even more apposite in the current international situation. Whether or not the September 11, 2001, tragedy and its (...) aftermath can be accounted for in religious terms, there has been a widespread perception that they were part of the conflict between Islam and the West and that this "clash of civilizations" has deep roots in different religious worldviews.Hindsight now shows us that "smart bombs" and armies do not and cannot resolve political problems in Afghanistan and Iraq or spread democracy in the world no matter how one judges the morality of these wars. The question then arises whether there are other ways and means to achieve world peace and reconciliation, to bring about healing among nations, and whether religions can be counted among these. More specifically, if religions can be harnessed to this task, which elements of the "foundation of the religions"—to use Hans Küng's words—need to be investigated in the dialogue among religions in order to bring about reconciliation among religions that in turns leads to reconciliation among nations?This essay explores how Buddhists and Christians can together serve the cause of peace and reconciliation among nations. I will first reflect on the nature, strategies, and spirituality of reconciliation. Next, I consider how the Buddha's and Jesus' teachings on justice, forgiveness, and reconciliation can contribute to global healing. To show the transformative power of these teachings, I conclude with some reflections on how the followers of the Buddha and Jesus can work together for world peace and global healing.Global Healing and Reconciliation: Strategies and SpiritualityAt first sight it seems preposterous and hypocritical to speak of global healing and reconciliation as the gift and task of religion. A brief glance at the history of global [End Page 89] warfare will persuade us of the sad fact that, in the words of Charles Kimball, "more wars have been waged, more people killed, and these days more evil perpetrated in the name of religion than by any other institutional force in human history."1 One is reminded of Jesus' injunction that we must first take the log out of our own eyes before attempting to take the speck out of our neighbor's (Matthew 7:5). Yet, religion is arguably the most powerful and effective institutional force for peace and reconciliation. To see how religion can bring this gift of peace to the world and achieve this task of global healing, a brief consideration of the nature and process of reconciliation is helpful.Etymologically, reconciliation means to cause two estranged persons or groups to meet each other again (re-, again + concilium, meeting). By extension, it means to resolve a dispute and to re-establish friendship and harmony, or, at a minimum, peaceful coexistence between opposed individuals or groups.2Reconciliation is both a process and a state of affairs. As process, it sets into motion a complex of agencies and strategies that cannot be used as a universally applicable recipe but requires appropriate tailoring to diverse contexts.3 The process includes certain intermediate stages as conditions of possibility for achieving the desired result. As a personal and sociopolitical state of affairs, reconciliation is an ever-fragile and elusive reality. Ultimately, because of human propensities toward violence and domination, total reconciliation and perfect peace is not achievable by human efforts but is hoped and prayed for as an eschatological gift bestowed by God or as a transcendent blessing beyond this world. This fact does not of course diminish our responsibility to bring about global healing by means of all the resources available, religious and otherwise.What Reconciliation Is NotIn our work for reconciliation it is essential to ascertain what it is not. In a helpful study on reconciliation Catholic theologian Robert Schreiter distinguishes three concepts that are allied to reconciliation but can distort its true sense. The first... (shrink)

With the development of society, the rapidly developing social environment has played a significant role in the particular group of college students. College students will inevitably suffer setbacks and psychological obstacles in their studies and daily life. This work aims to ameliorate college students’ various mental illnesses caused by anxiety and confusion during the critical period of status transformation. Educational psychology theory, aesthetic theory, and poetry appreciation are applied to the mental health education of college students to obtain a (...) satisfying psychological healing effect. First, this work summarizes the connotation and characteristics of college student’s mental health and defines educational psychology. Secondly, the long tradition of Chinese poetry teaching is introduced. Besides, the theoretical basis of poetry therapy and aesthetic psychology is expounded, and foreign poetry is discussed. In addition, poetry appreciation is used to promote personality shaping and psychological healing of college students based on the theory of educational psychology and poetry appreciation psychotherapy. In addition, mental health education for college students is studied from the perspectives of psychological health, mental health education, college students’ mental health education, and appreciation of ancient poetry. In addition, the principle and significance of college students’ mental health education are discussed from the perspective of poetry appreciation. Finally, an experimental study is conducted on college students and patients in a specific hospital department by issuing questionnaires to verify the practical application effect of this method in psychotherapy. The survey results indicate that the scores of college students who have completed a one-semester poetry appreciation course in different dimensions of mental disorders are lower than those of those who have not completed the course. At the same time, in the scores of 16 personality traits, the positive trait scores of the experimental group are higher than those of the control group. Comparing scores before and after class also reflects the positive effect of poetry appreciation intervention on college students’ personality shaping. It can be concluded that poetry appreciation has a strong effect on promoting college students’ mental health and personality shaping and improving college students’ psychological problems. (shrink)

This article explores the role that repetition plays in symbolic healing through a close examination of the speech patterns and actions performed by a healer in a Chol Maya ritual aimed at curing a woman of kisiñ—the “embarrassment-sickness.” The authors examine the repetition of speech patterns in the healing chant and the frequency with which other paralinguistic elements, such as taps, co-occur with the chant verses. The sound patterns generated during the ritual, specifically those created by the rhythmic (...) tapping of the patient's body with a bough bouquet, are yet another form of repetition often overlooked in analyses of healing rituals, which have concentrated on other symbolic elements used by healers. It is argued that the repetition of phrases in parallel verses serves as metapragmatic commentary on the healing process as a restructuring of the patient's body, which has been unstructured by the disease. (shrink)

The legacy of colonial rule has permeated into all aspects of life and contributed to healthcare inequity. In response to the increased interest in social justice, medical educators are thinking of ways to decolonise education and produce doctors who can meet the complex needs of diverse populations. This paper aims to explore decolonising ideas of healing within medical education following recent events including the University College London Medical School’s Decolonising the Medical Curriculum public engagement event, the Wellcome Collection ’s (...) Ayurvedic Man: Encounters with Indian Medicine exhibition and its symposium on Decolonising Health, SOAS University of London’s Applying a Decolonial Lens to Research Structures, Norms and Practices in Higher Education Institutions and University College London Anthropology Department’s Flourishing Diversity Series. We investigate implications of ‘recentring’ displaced indigenous healing systems, medical pluralism and highlight the concept of cultural humility in medical training, which while challenging, may benefit patients. From a global health perspective, climate change debates and associated civil protests around the issues resonate with indigenous ideas of planetary health, which focus on the harmonious interconnection of the planet, the environment and human beings. Finally, we look further at its implications in clinical practice, addressing the background of inequality in healthcare among the BAME populations, intersectionality and an increasing recognition of the role of inter-generational trauma originating from the legacy of slavery. By analysing these theories and conversations that challenge the biomedical view of health, we conclude that encouraging healthcare educators and professionals to adopt a ‘ decolonising attitude ’ can address the complex power imbalances in health and further improve person-centred care. (shrink)

This study examines the direct impact of three dimensions of the institutional environment on managerial attitudes toward the natural environment and the direct influence of the latter on the environmental sustainability orientation (ESO) of small firms. We contend that when the institutional environment is perceived by owner–managers as supportive of sound natural environment management practices, they are more likely to develop a positive attitude toward natural environment issues and concerns. Such owner–manager attitudes are likely to (...) lead to a positive and proactive orientation of their firms toward environmental sustainability. The study uses survey data from 166 small manufacturing firms located in three Philippine cities. First, the study develops and tests the measurement models to examine the validity of the constructs representing the firm’s institutional environment, managerial attitudes toward the natural environment and the ESO of firms. Second, the study develops and tests the structural models examining the institutional environment–managerial attitudes–ESO linkages. Multi-sample invariance structural model analysis shows the mediating role of managerial attitudes in the institutional environment–ESO nexus. The findings show that ESO is a construct comprising three dimensions: knowledge of environmental issues, sustainable practices and commitment toward environmental sustainability. The cognitive, regulatory and normative elements of the institutional environment are strongly linked to positive managerial attitudes toward environmental sustainability, which in turn, positively influences the firm’s overall ESO. Managerial attitudes play a mediating role in the institutional environment–ESO linkages. The managerial, practical, research and policy implications of the research findings are discussed. (shrink)

This dissertation concerns the active role of the organism in evolutionary theory. In particular, it concerns how our conception of the relationship between organism and environment, and the nature of natural selection, influences the causal and explanatory role of organismic activity and behavior in evolutionary explanations. The overarching aim is to argue that the behaviors and activities of organisms can serve both as the explananda (that which is explained) and the explanantia (that which explains) in evolutionary explanations. I attempt (...) to achieve this aim by offering three central arguments. First, that the organism-environment relation is the ontologically basic unit of biology. A common way of conceiving the relationship between organism and environment is as a duality—as two causally independent systems that overlap through interaction. I think this is a mistake. There cannot be organisms without environments and vice versa. They are codependent and codetermined. Second, that natural selection is an ecological process. By this I mean that natural selection acts primarily on organism-environment interactions. It is only in virtue of organisms interacting with their environments that there can be fitness differences amongst individual organisms in a population. The ecological approach to natural selection also entails that the nature of the system(s) of inheritance involved in the reoccurrence of favorable organism-environment interactions is, in principle, immaterial to the process of selection. It only matters for selection that organism-environment interactions actually do reoccur in subsequent generations. Third, that niche construction theory—the most well-developed theoretical and conceptual framework for studying how the activities of organisms influences evolutionary dynamics—can be seen as fully a compatible and integrated part of evolutionary theory. Together, these three arguments constitute an overarching argument. Namely that we both can, and should, take organismic activity and behavior to be crucial explanatory elements in evolutionary theory. Throughout the dissertation I also show how these three arguments have consequences for other debates in the philosophy of evolutionary theory, such as the nature of evolutionary processes, the structure of selection-based explanations, the validity and utility of the proximate-ultimate distinction, and the nature of teleology in evolutionary systems. (shrink)

The purpose of this article is to investigate human spatiality and perception in general, with the experience of adventure sports as its background. These activities highlight especially our strong relationship with the world when we consider the specific way in which the environment participates in the development of human potential. We first analyse the notions of risk and instability as important elements in adventure sports. Then we explore the notion of experience and spatiality, considering the way in which we (...) establish our relationship with the world. The theoretical background is found in the phenomenology of Merleau-Ponty and Bachelard’s phenomenology of imagination to investigate perspectives of space among adventurers. We hold that more than a different range of corporeal techniques, adventure sports can teach us a way of interrogating and looking at the world. They require a peculiar sensibility that allows our body to experience the environment in favour of a corporeal wisdom. Alternative sports indicate the possibility that we have to build up different ways of inhabiting the world and comprehending it. (shrink)

The essays in this collection focus on Christine as a political writer and provide an important resource for those wishing to understand her political thought. They locate her political writing in the late medieval tradition, discussing her indebtedness to Aristotle, Aquinas and Augustine as well as her transformations of their thought. They also illuminate Christines political epistemology her understanding of political wisdom as a part of theology, the knowledge of God. New light is thrown on the circumstances which prompted Christine (...) to write on political issues and on her attitude to Isabeau of Bavaria. These essays show that Christines originality consisted in her capacity to modify and feminise the tradition of Christian Aristotelianism through the use of elements of Christian imagery, in particular Mariology, in order to construct an image of the virtuous and prudent monarch which had lost the explicitly manly and warlike character of the Aristotelian phronimos. (shrink)

Providing a groundbreaking approach to reinventing health care, this book is a practical guide to placing patient healing back at the center of the hospital's mission. Drawing on a wealth of practical experience, the authors show health care professionals how to decrease costs and improve quality by restructuring hospital services around patients and their needs and by utilizing design and architecture to enhance the healing environment. Using the core concepts of systems theory, extensive research, and lessons from (...) pioneering hospitals, they present state-of-the-art health care practices that heal as well as cure. (shrink)

Since the 1970s, new therapeutic practices, involving the interaction between humans and dolphins - Tursiops truncatus in particular, have developed. Such practices are known as dolphin-assisted therapies (DAT), a specific case of a more heterogeneous set of experiences with dolphins called dolphin-assisted activities (DAA): these include programmes of dolphin watching and swimming in high seas, as well as shows in dolphinariums and marine parks. DAT has grown rapidly as a highly attractive form of therapy, due to the well-liked animals used (...) in an aquatic, and often exotic, environment. This kind of co-therapy seems to testify the enchantement that dolphins - in myths and chronicles often reported in rescue at sea, perceived as especially charismatic - exert on people; the human attempt of bonding with them, possibly in response to the need of building a human-animal bodily intersubjectivity. (shrink)

Disease represents a principal tentacle of natural selection and a staple theme of evolutionary medicine. However, it is through a small portal of entry and a very long lineage that disease as sickness entered behavioural spaces and human consciousness. This has a long evolutionary history. Anyone interested in the origins of medicine and psychiatry as social institution has to start with analysis of how mind and body were conceptualised and played out behaviourally following the pongid/hominin split and thereafter. The early (...) evolution of medicine provides a template for clarifying elemental characteristics of mind and minding. Sickness and healing in chimpanzees represents an early manifestation of (ethno) medicine, termed a behavioural tradition, which is found played out in routines of helping, caring, and healing as well as other social behaviours. Chimpanzees seem to know they are sick since they resort to self-medication when exhibiting signs and symptoms of disease. Also, they help those exhibiting physical and cognitive disability. Among hominins, awareness of consequences and implications of sickness and coping with them represented an important feature of human consciousness and a major factor in the origins of vaunted human abilities involving language, cognition, and culture as we know them. A philosophical examination of the early evolution of sickness and healing provides a window into an understanding of evolving human capacities such as self-awareness, awareness and implications of suffering, theory of mind, altruism, conceptual grasp of sickness and healing and morality. (shrink)

IntroductionAcademic integrity is the expectation that members of the academic community, including researchers, teachers, and students, to act with accuracy, honesty, fairness, responsibility, and respect. Academic integrity is an issue of critical importance to academic institutions and has been gaining increasing interest among scholars in the last few years. While contravening academic integrity is known as academic misconduct, cheating is one type of academic misconduct and is generally defined as “any action that dishonestly or unfairly violates rules of research or (...) education.Case studyThe case study presented in this paper describes the elements of academic misconduct in three Middle Eastern countries. Four categories of factors were analyzed, namely personal, cultural traits, contextual, and institutional. Moreover, a comparison of factors of misconduct is conducted in the three countries in order to examine how different learning environments and cultures can affect academic cheating. The study also investigates the role of teachers and administration system in enforcing integrity policy in educational institutes.Discussion and evaluationAn evaluation of the main causes of cheating and plagiarism among students in Saudi Arabia, Egypt, and Jordan is conducted by analyzing students’ response to a 20 questions survey. The nonparametric Dunn’s statistical analysis is performed to compare the variance and frequency of factors that may affect academic integrity. The significant results are reported in terms of the Krushal F statistic and p-value < 0.05. The evaluation was a useful process that demonstrated the main factors affecting academic integrity in the three countries.ConclusionSurvey results show that the role of individual social-demographic and culture factors are significant for predicting misconduct in Saudi Arabia and Egypt but not in Jordan. Most students blamed their misconduct on laziness and willingness to achieve higher education performance. Students are more likely to cheat and plagiarize because they lack the ability or information to tackle assignments. Results illustrate that the cultural impact can be a significant factor in academic misconduct. Integrity policies and the level, at which they have been applied, have a large impact on student attitudes towards cheating and their academic misconduct. (shrink)

When constructing environmental policies in democratic regimes, there is a need for a theory that can be used not only by academics but also by politicians and activists. So why has the major part of environmental ethics failed to penetrate environmental policy and serve as its rationale? Obviously, there is a gap between the questions that environmental philosophers discuss and the issues that motivate environmental activists. Avner de‐Shalit attempts to bridge this gap by combining tools of political philosophy with questions (...) of environmental ethics and environmental politics. He defends a radical position in relation to both environmental protection and social policies, in order to put forward a political theory, which is not only philosophically sound, but also relevant to the practice of environmental activism. The author argues that several directions in environmental ethics can be at odds with the contemporary political debates surrounding environmental politics. He then goes on to examine the environmental scope of liberalism, communitarianism, participatory democracy, and socialism, and concludes that while elements of liberalism and communitarianism may support environmental protection, it is participatory democracy and a modified version of socialism that are crucial for protecting the environment. (shrink)

Research and activism have increasingly denounced the problematic environmental record of the infrastructure and value chain underpinning artificial intelligence (AI). Water-intensive data centres, polluting mineral extraction and e-waste dumping are incontrovertibly part of AI’s footprint. In this article, I turn to areas affected by AI-fuelled environmental harm and identify an ethics of resistance emerging from local activists, which I term ‘elemental ethics’. Elemental ethics interrogates the AI value chain’s problematic relationship with the elements that make up the world, critiques the (...) undermining of local and ancestral approaches to nature and reveals the vital and quotidian harms engendered by so-called intelligent systems. While this ethics is emerging from grassroots and Indigenous groups, it echoes recent calls from environmental philosophy to reconnect with the environment via the elements. In empirical terms, this article looks at groups in Chile resisting a Google data centre project in Santiago and lithium extraction (used for rechargeable batteries) in Lickan Antay Indigenous territory, Atacama Desert. As I show, elemental ethics can complement top-down, utilitarian and quantitative approaches to AI ethics and sustainable AI as well as interrogate whose lived experience and well-being counts in debates on AI extinction. (shrink)

Many recent AI systems take inspiration from biological episodic memory. Here, we ask how these ‘episodic-inspired’ AI systems might inform our understanding of biological episodic memory. We discuss work showing that these systems implement some key features of episodic memory whilst differing in important respects, and appear to enjoy behavioural advantages in the domains of strategic decision-making, fast learning, navigation, exploration and acting over temporal distance. We propose that these systems could be used to evaluate competing theories of episodic memory’s (...) operations and function. However, further work is needed to validate them as models of episodic memory and isolate the contributions of their memory systems to their behaviour. More immediately, we propose that these systems have a role to play in directing episodic memory research by highlighting novel or neglected hypotheses as pursuit-worthy. In this vein, we propose that the evidence reviewed here highlights two pursuit-worthy hypotheses about episodic memory’s function: that it plays a role in planning that is independent of future-oriented simulation, and that it is adaptive in virtue of its contributions to fast learning in novel, sparse-reward environments. (shrink)

The Five Elements brings the wisdom of an ancient healing system to the modern reader. Many people today are interested in knowing themselves better, as evidenced by the popularity of personality tests online and in magazines. They want to know the reason behind their responses to situations. In this book, Dondi Dahlin shows us that we are all born with individual rhythms that go beyond the influence of our genes and upbringing. The five elements originated in ancient Chinese medicine (...) over 2,000 years ago--when scholars theorized that the universe is composed of five forces: water, wood, fire, earth, and metal. Understanding these elements helps us stay in balance physically, mentally, spiritually, and emotionally. By explaining the efficacy of wood, the depth of water, the joy of fire, the compassion of earth, and the wisdom of metal, this book helps people understand themselves and form lasting connections to others, answering the age-old question of why we do what we do. (shrink)

Faith healing deaths occur infrequently in Canada, but when they do they pose a considerable challenge for criminal justice. Similar to caregivers who absent-mindedly and fatally forget a child in a hot vehicle, faith healers do not intentionally harm their children. It can seem legally excessive and unjust to prosecute achingly bereaved parents. But unlike ‘hot-car’ deaths, faith healing parents are not absent minded in the deaths they cause. Rather, significant deliberation and strength of will is necessary to (...) treat their child’s ailment with faith alone. Two different Criminal Code provisions can be brought to bear upon these deaths, namely, s. 215 ‘Failing to provide the necessaries of life’ and s. 219 ‘Criminal negligence’. From a public, medical, and scientific perspective treating potentially fatal ailments with ‘faith’ and ‘prayer’ seems like reckless endangerment, giving apparent justification to the more serious criminal negligence charge. But, the fault element in the criminal negligence offence continues to be a vexing issue in Canadian jurisprudence. People accused of negligence-based offences are commonly held to the standard of what a reasonable person might predictably have done in similar circumstances. While it is unnecessary for the impartial trier of fact to conceive of faith healing as ‘reasonable’, it is an open question whether faith healers are sufficiently unreasonable to warrant serious criminal condemnation and possible incarceration when their course of action causes death. Is it justifiable to think of faith healers who cause death as criminally unreasonable? That is, do they depart markedly enough from the standard that criminal negligence is rightly attributed to them? Public attitudes toward religion, religious fundamentalism, and healthcare must be considered when trying to discern what a reasonable person does when treating an ailing child at risk of death. (shrink)

Damage repair is a fundamental requirement of all life as organisms find themselves in challenging and fluctuating environments. In particular, damage to the barrier between an organism and its environment (e.g. skin, plasma membrane, bacterial cell envelope) is frequent because these organs/organelles directly interact with the external world. Here, we discuss the general strategies that bacteria use to cope with damage to their cell envelope and their repair limits. We then describe a novel damage‐coping mechanism used by multicellular myxobacteria. (...) We propose that cell‐cell transfer of membrane material within a population serves as a wound‐healing strategy and provide evidence for its utility. We suggest that – similar to how tissues in eukaryotes have evolved cooperative methods of damage repair – so too have some bacteria that live a multicellular lifestyle. (shrink)

Background:In the past two decades, interest in the concept of ethical climate and in its research has increased in healthcare. Ethical climate is viewed as a type of organizational work climate, and defined as the shared perception of ethically correct behavior, and how ethical issues should be handled in the organization. Ethical climate as an important element of nursing environment has been the focus of several studies. However, scoping reviews of ethical climate research in nursing have not been (...) conducted to guide further research in this area.Objective:The purpose of this scoping review is to describe and analyze studies focusing on ethical climate in nursing environment to elicit an overall picture of the research in this field.Methods:A scoping review methodology guided by Arksey and O’Malley and Levac et al. was used. Studies were identified by conducting electronic searches on PubMed/MEDLINE, CINAHL, Web of Science Core Collection, PsycINFO, and Scopus and Philosophers’ Index databases. Of 1051 citations, 56 articles matched the inclusion criteria.Ethical considerations:This study was conducted according to good scientific guidelines.Findings:Ethical climate is a topical research area which has been explored with different methods and outcomes, in different environments, and has mainly been perceived positively. The focus of the studies was on finding associations between ethical climate and work-related factors such as job satisfaction, moral distress, and turnover intentions. Methodologically, research was rather homogeneous using quantitative, descriptive, and correlative research designs.Conclusion:Novel perspectives and more diverse methodological approaches paying attentions to issues affecting generalizability of the findings could expand our knowledge in this area. (shrink)

Patterned after Strunk and White's classic The Elements of Style , this handy reference concisely summarizes the substantial existing research on the delicate balance of professional ethics. Johnson and Ridley reduce the wealth of published material on the topic to the seventy-five most important and pithy truths for supervisors in all fields. These explore questions of integrity, loyalty, justice, respect, and delivering one's best in the business environment. Succinct and comprehensive, this is a must-have for any professional or business (...) leader striving to create an ethical workplace. (shrink)

A common understanding of the role of a game developer includes establishing (or at least partially establishing) what is interactively and perceptually available in (video)game environments: what elements and behaviors those worlds include and allow, and what is – instead – left out of their ‘possibility horizon’. The term ‘possibility horizon’ references the Ancient Greek origin of the term ‘horizon’, ὄρος (oros), which denotes a frontier – a spatial limit. On this etymological foundation, ‘horizon’ is used here to indicate the (...) spatial and operational boundaries that a (video)game environment affords its players. This book chapter discusses a particular feeling that emerge in relation to playful encounters with the ‘possibility horizons’ of videogames. I am referring here to the realization, as a player, that a game environment can be experientially exhausted and is, as such, ultimately banal. In other words, I will examine how our deliberate engagement with the interactive environments of digital games can trigger sensations that are analogous to what Romantic authors referred to as Weltschmerz (‘world-weariness’). (shrink)

This book explores society’s problems with interpersonal communication amid increasingly technological environments. The author argues that the work of Gabriel Marcel reveals the root of our issues with communication to be issues with being with others, ultimately suggesting that seeking communion is a way to bridge our disconnections.

The purpose of this article is to present a phenomenological description of how athletes in specific risk sports explore human interaction with natural elements. Skydivers play with, and surf on, the encountering air while falling towards the ground. Kayakers play on the waves and with the stoppers and currents in the rivers. Climbers are ballerinas of the vertical, using cracks and holds in the cliffs to pull upwards against gravity forces. The theoretical background for the description is found in the (...) phenomenology of Heidegger and Merleau-Ponty. The phenomenology of Husserl focused on the theoretical intentionality of the transcendental ego. With Heidegger the human being's concrete and practical interaction with the environing world moved to the foreground. Heidegger's analyses of ?equipmentality? also throw important light on equipmentality in sports and how we deal with tools and equipment in sports. However, in Heidegger's analyses the body resides in the background both as subject and object. The importance of the active body-subject is well documented in the work of Merleau-Ponty, and also Todes. The human being is a bodily ?being-in-the-world? and the body is the active medium through which the world is grasped. The body is however also situated and aligned with the fundamental dimensions of the world, with vertical gravity and with horizontal action space. In this article I show in a concrete way how in some sports we use fundamental characteristics of the environing world in a mode of playfulness. In these sports human beings play in an extreme way with fundamental elements of nature. The article thus puts phenomenology to a test. It should be able to move from general characteristics to specific features of our bodily human involvement with the environing world. (shrink)

This study underscores The Lily and the Bird's response to despair in The Sickness unto Death. By suggesting in The Lily and the Bird that we look to nature's creatures to learn an attunement and responsiveness to our situation as physical creatures subject to finite constraints, Kierkegaard's text comes into dialogue with a form of misalignment portrayed in The Sickness unto Death as a refusal of the given, “the finite,” and “the necessary.” One way of seeking alignment in The Lily (...) and the Bird entails learning to hear and to answer within one's given environment, opening up the possibility of embodied joy. (shrink)

This paper represents a preliminary investigation relating Bernard Lonergan’s thought to health science and the healing arts. First, I provide background for basic elements of Lonergan’s theoretical terminology that I employ. As inquiry is the engine of Lonergan’s method, next I specify two questions that underlie medical insights and define several terms, including health, disease, and illness, in relation to these questions. Then I expand the frame of reference to include all disciplines involved in the cycle of clinical interaction (...) under the heading health science and the healing arts. Finally, I analyze the cycle of clinical interaction in terms of Lonergan’s cognitive theory. I compare and contrast my analysis, based on Lonergan, with that of Pellegrino, Thomasma and Sulmasy as I proceed. In closing, I comment briefly on the next stage of this project regarding Lonergan’s theory of the human good in relation to the practice of the healing arts. (shrink)

This paper analyses the ethical cultures of the international accounting profession by using the concept of ‘mainstreaming’ to describe the commitment of an organisation to the ethical function in its operations. The objective of the research on which the paper is based was to rate the efforts of 62 respondent national associations of professional accountants worldwide to incorporate the ethics function into the core operations of their organisations. Sixteen environmental factors were used in the analysis. They were set up as (...) a group of criteria to assess the ethics procedures and systems of the accounting associations, and were divided into two categories. The first group was code based and contained items on code of ethics development and functions which would indicate whether ethically‐friendly management attitudes and systems were in place as a central focus of operations. Some of these elements were capable of fostering a ‘proprietary interest’ attitude on the part of members towards their codes of ethics, which in turn encourages code compliance. With the second group, other key operational aspects were examined to provide a balanced set of criteria. Interrelated elements among factors important to an ethical environment are included in the findings. The study concludes that on average the international accounting profession has attitudinal and systemic approaches that are ‘mainstream’. In general addressees were involved in code authorship and the public had adequate access to codes. However, increased use could be made of ethics professionals in the development of codes, of professional development courses to further the ethics skills of members, and of communication channels to foster a unifying approach to ethics. The study provides criteria for individual associations to assess their mainstreaming status against the international findings. (shrink)