Patient-centeredness can be considered a popular, and at the same time “fuzzy”, concept. Scientists have proposed different definitions and models. The present article studies scientific publications that discuss the meaning of patient-centeredness to identify different “discourses” of patient-centeredness. Three discourses are presented; the first is labelled as “caring for patients”, the second as “empowering patients” and the third as “being responsive”. Each of these discourses has different things to say about the why of patient-centeredness; the patient’s identity; the role of (...) the healthcare professional; responsibilities for medical decision-making, and the role of health information. This article compares and contrasts the discourses in ways that allow us to see differences that matter for practitioners in healthcare. On the basis of a relational constructionist philosophy, it is argued that discursive diversity is both an inevitable and a potentially valuable aspect of conversations in healthcare. We are therefore invited to center the challenge of dealing with diversity in productive ways. This article ends with a discussion of the practical implications of the discourse analysis for projects that aim to make healthcare more patient-centered. Debates on patient-centered “Health Information Exchange” are used to explain the need for a recognition of different discourses of patient-centeredness and a reflexive stance towards them. (shrink)

Within contemporary discussions on organizational wisdom, management scholars frequently turn to Aristotle’s work to conceptualize wisdom as phronesis, or practical wisdom. Contrary to the prevailing view, this paper argues that Aristotle did not propose an exclusively practical or particularistic conception of wisdom but, instead acknowledged that wisdom broadly conceived consists of two types of intellectual virtue: theoretical wisdom and practical wisdom. Aristotle’s ultimate position regarding the relations between sophia and phronesis has remained, however, ambiguous, giving rise to different interpretations, and, (...) more substantively, to the major appropriations of Aquinas, Heidegger and Gadamer. An analysis of the philosophical underpinnings of exemplary contributions to management wisdom suggests that research has predominantly applied Heideggerian and Gadamerian understandings of Aristotelian wisdom, while an Aquinian interpretation is largely absent in contemporary elaborations. Interpreting the Aristotelian notion of wisdom as dedicated purely to practical phronesis narrows the discussion on the nature of wisdom within an Aristotelian framework in ways that do not give full credit to the breadth and complexity of Aristotle’s thought. (shrink)

This study problematizes English language teaching departments in Turkey that have ignored the importance of radical pedagogy, the history of British colonialism and neoliberalism in the curriculum because Orientalist, Occidentalist and neoliberal discourses have led to the exclusion of critical discourses in ELT in Turkey. Therefore, the possible reasons for the absence of some curricular topics present a complicated structural problem. Exclusionary practices of ELT departments can be ascribed to Turkey’s political regimes that have reinforced both nation-state ideology and Anglo-American (...) neoliberal policies. The English language has also been reified as a gateway to westernization and globalization under the feeling of urgency and fear of falling behind. Therefore, the spread of English has been allowed in almost all spheres of life even if neglecting local, national and international languages has violated linguistic human rights. This paper proposes that the dominance of English can be deconstructed by including radical pedagogy and the history of British colonialism and neoliberalism into the curriculum and by prioritizing linguistic human rights to allow more space for the survival of other languages. (shrink)

Martin Heidegger was not only one of the greatest philosophers of the twentieth century but also a supporter of and a contributor to one of the most discriminatory ideologies of the recent past. Thus, "the Heidegger's case" gives us philosophers an opportunity to work on discrimination from a philosophical perspective. My aim in this essay is to question the relationship between freedom and discrimination via Heidegger's philosophy. I will show that what bridges the gap between Heidegger's philosophy and a discriminatory (...) ideology such as the National Socialist ideology is Heidegger's conceptualization of freedom with the aid of a monolithic understanding of history--one that refuses to acknowledge the plurality and heterogeneity in the socio-historical existence of human beings. Accordingly, I will claim that the Heideggerian freedom depends on the social, if not literal, murder of the marginalized segments of a given society. However, I will refuse to conclude that Heidegger's philosophy is a Nazi philosophy and that it should never be appropriated as long as we want to purify our thoughts from discriminatory ideas. Rather, I will re-appropriate Heidegger, against Heidegger, to read and interpret Michel Foucault's and Judith Butler's philosophies. My aim here is to construct a social ontology that may justify anti-discriminatory policies. More specifically, through my Heideggerian readings of Foucault and Butler, I will argue that one's freedom is dependent on the cultural resuscitation of socially, and sometimes literally, murdered racial, sexual, ethnic, religious, and sectarian/confessional minorities. (shrink)

Traditionally, kairos has been seen as a “timely” concept, and so invention is said to emerge fromthe timeliness of a cultural and historical situation. But what if invention was thought of as thepotential to shift historical courses through the injection of something new or alien into a situation?This essay argues that kairos has not been able to free itself from its historical constraints becauseit has been bound to a human sense of temporality. By evolving along patterns different from print,the apparatus (...) of the cinema developed in a way where it was not bound to illustrating movement ortimeas it occurs in human-centered experience. Following the work of Gilles Deleuze on cinema,this article argues that the outside of a human sense of time is an untapped source of invention,already present yet dormant within kairos. (shrink)

Intentional communities are formed by a group of people who have voluntarily chosen to live together for a range of reasons in the creation of a shared lifestyle. They concern practical forms of living that may reflect diverse structures and distinct philosophies. The intentional community literature is both broad and unique in its representation of intentional community living. Intentional communities may also be considered sites that form the basis for resisting mainstream forms of living and representations of subjectivity. Through an (...) active process of self-constitution, participants engaged in communal forms of living may construct different identities and styles of life. Although the term ‘intentional community’ is fairly recent, notions of utopian living have a long history. Forms of utopian living can be found in early biblical times, while Foucault’s domain of ‘ethics’ is also derived from what the intentional community literature considers to be early utopian communities. Despite an extensive literature, very little research explicitly focuses on communal living as a form of ethics as praxis. This may be due to the characterisation of ethics as a form of rules, duties and consequences, rather than ethics as a relationship that a person cultivates with their ‘self’. Foucault’s domain of ethics provides a valuable context to explore whether intentional community living can be theorised as a Foucauldian form of ethics. Although there is contemporary interest in Foucault’s domain of ethics, relatively few texts have sought to use Foucault’s ethical conceptualisation as a qualitative methodology in the context of empirical research. Even fewer studies have drawn on Foucault’s theoretical framework in the context of empirical research on intentional communities. This is despite a number of themes that the literature shares concerning notions of resistance, identity as a form of selfconstitution and the potentially transformative effect of communal living. This research therefore seeks to make a significant contribution to a relatively underresearched and under-theorised area of the literature. Drawing on Foucault’s ethics as a theoretical framework, this thesis explores twenty-eight narratives of participants who live on five rural communities in northern NSW, Australia. Fieldwork was conducted over a nine-month period between 2004 and 2005, with periods of time spent on each community. One community was revisited for the purpose of collecting further empirical data. Foucault’s ethical analysis and Foucauldian constructionism are used in the analysis and interpretation of the interviews that resulted from this fieldwork. Where individual interviews were not undertaken, a document analysis of former empirical research serves to affirm participant observations. Ethical issues concerning confidentiality and representation were addressed through the attendance at communal or ‘tribal’ meetings where required. The findings suggest that intentional community living may be theorised as a Foucauldian form of ethics, with an analysis of the empirical research providing further insight into each of the four aspects of Foucault’s ethics: the ethical substance, the mode of subjection, the self-forming activities and the telos. The findings also indicate that communal, or co-operative, living may reflect the dominant form of ethics for intentional community members by the way it permeates all other aspects of ethics. In this light, it can be said that intentional community living is an ethics as praxis—a truly practical philosophy. The implications of these findings suggest that through their very practice of an ethics, intentional community participants may be ethical, or ‘individualising’, subjects. That is, through notions of personal choice, acts of resistance and the performance of practices on the self that effect transformation, participants may construct both a ‘self’ and ‘styles of life’ that they both like and affirm, thereby positioning themselves differently against mainstream representations of ‘suburbia’. (shrink)