The difficulties faced in the recruitment and retention of nursing staff in nursing homes for older people are an international challenge. It is therefore essential that the causes of nurses’ reluctance to work in these settings are determined. This paper considers the influence that multiple‐source care funding issues have on nursing home nurses’ experiences and views regarding the practice and appeal of the role. The methodology for this study was hermeneutic phenomenology. Thirteen nurses from seven nursing homes in the North (...) East of England were interviewed in a sequence of up to five interviews and data were analysed using a literary analysis method. Findings indicate that participants are uncomfortable with the business aspects that funding issues bring to their role. The primary difficulties faced are: tensions between care issues and funding issues; challenges associated with ‘selling beds’; and coping with self‐funding residents’ changing expectations of care. The findings of the study suggest that multiple‐source care funding systems that operate in nursing homes for older people pose challenges to nursing home nurses. Some of these challenges may impact on their recruitment and retention. (shrink)

Conserving the vitality of suffering: addressing family constraints to illness conversationsWhen persons are confronted with life‐threatening or chronic illness, there is always a possibility that family members other than the person experiencing the illness also suffer as they attempt to manage their own distress. This paper describes exemplars from a hermeneutic study that explored therapeutic conversations between nurses and families who were living with a member experiencing ischaemic heart disease. These conversations uncovered the complexity of both individual and family suffering (...) following acute cardiac illness events, and called attention to nursing practices that addressed some of the ways that family members were constrained from having conversations about the illness. When spaces were created for these conversations to occur, possibilities for making sense of illness and suffering were revealed as vital. These understandings support the efforts of family members to sustain and conserve family relationships in the face of illness and suffering, and inform both the professional and personal lives of nurses. (shrink)

This article is a theoretical examination of the relationship between truth and forms of dialogue, in discursive psychology. To do this, I mainly draw on Bakhtin and Kiekegaard . In contrast to a hermeneutic tradition that has sidelined the importance of the author to discourse , these authors offer an understanding of truth that depends on the author's emotional connection to the truth they are expressing. They most clearly demonstrate the dynamics of our emotional connection to truth in their descriptions (...) of different forms of speech. Kierkegaard describes the relationship between self and truth in irony, while Bakhtin does the same in the epic, the confession and the quarrel. It is my argument that these forms of speech interact with truth and help organise selfhood. I also argue that our current methodological emphasis on the function of words or the play of dominant discourses tend to overlook the experiential landscape of language and its reciprocal relationship with our subjectivity. (shrink)

As Modernist doctrines emphasizing the unity and agency of the educated self are increasingly set up as the straw men of contemporary educational discourses, premodern and Medieval theories of selfhood tend to disappear from the horizon of educational thought altogether. In this essay, in order to subvert this overcoming of our intellectual past, I examine Thomas Aquinas’ reading of the doctrine of original sin. Relying on Graham McAleer’s claim that Aquinas’ metaphysical theory sanctifies the body, I argue that Aquinas’ understanding (...) of original sin relies on a discursive, pedagogical model to account for human finitude. (shrink)

This paper re-frames business ethical codes as narrative processes by reflecting critically on key ontological assumptions underpinning the existing research, and introducing new and relevant concepts based on alternative assumptions. The first section draws on recent decision-making research to develop a theoretical account of BCEs as complex, socially embedded sensemaking processes. The second section addresses the content of codes, and differentiates between narrative and logico-scientific modes of reasoning. The third section focuses on the quality of code communication and identifies several (...) distinct types of narrative process. We provide research directions for how this new understanding of BCEs may be further developed, as well as implications for practitioners. In response to the call for new conceptual models, the paper provides organizational researchers with a more nuanced understanding of how BCEs enable or constrain ethical behavior in organizations. (shrink)

The ethical foundation of the medical profession, which values service above reward and holds the doctor-patient relationship as inviolable, continues to be challenged by the commercialization of health care. This article contends that a realigned leadership framework - one that distinguishes being a leader as the ontological basis for what leaders know, have, and do - is central to safeguarding medicine's ethical foundation. Four ontological pillars of leadership - awareness, commitment, integrity, and authenticity - are proposed as fundamental elements that (...) anchor this foundation and the basic tenets of professionalism. Ontological leadership is shaped by and accessible through language; what health care leaders create in language "uses" them by providing a point of view (a context) within and from which they orient their conversations, decisions, and conduct such that they are ethically aligned and grounded. This contextual leadership framework exposes for us the limitations imposed by our mental maps, creating new opportunity sets for being and action (previously unavailable) that embody medicine's charter on professionalism. While this leadership methodology contrasts with the conventional results-oriented model where leading is generally equated with a successful clinical practice, a distinguished research program, or a promotion, it is not a replacement for it; indeed, results are essential for performance. Rather, being and action are interrelated and their correlated nature equips leaders with a framework for tackling health care's most complex problems in a manner that preserves medicine's venerable ethical heritage. (shrink)

This essay reports on phenomenological research conducted with people who describe having been harassed, having been accused of harassment, and/or having mediated or adjudicated harassment disputes. The authors review recent legal conceptions of sexual harassment and articulate a methodology for analyzing individual narrative accounts. The analysis of six selected interviews (three alleged harassers and three declared harassees) depicts how, through discourse with others, persons in ambiguous cases of harassment come to perceive themselves as harassers or harasseesgradually, how intention is inferred (...) from conductcontingently, and how perceptions and expressions are often reified as certainties in the effort to secure some sense of justiceinstitutionally. (shrink)

Although the positive outcomes achieved in home‐visiting interventions targeting young, disadvantaged mothers are partly credited to therapeutic relationships, researchers rarely offer philosophical or theoretical explanations for these relationships. This omission is a conspicuous oversight as nurse–family relationships have figured prominently in public health nursing practice since its inception. In this study, I suggest that the contribution of therapeutic relationships to positive outcomes will remain theoretically undeveloped as long as clinical trials and nursing practice models follow the logic of techne. After (...) describing how a scientific–clinical gaze misrepresents teen mothers and contributes to a rational–technical model of clinical practice, I draw on contemporary hermeneutics to describe how dialog and understanding are indispensable for clinical judgment and the judicious use of scientific knowledge. This hermeneutic corrective calls attention to the dialogical nature of truth and the relational skills that disclose meaning, preserve personhood, and support possibilities available in the life‐world. Dialogical understanding also disrupts the scientific–clinical gaze by disclosing the social disparities that are implicated in early childbearing and teen mothers’ long‐term prospects. The implications of this thought for legitimating and supporting the flexibility and clinical know‐how that ‘strays’ from protocol‐driven care is addressed. (shrink)

The idea that educational research should be 'scientific', and ideally based on randomised control trials, is in danger of becoming hegemonic. In the face of this it seems important to ask what other kinds of educational research can be respectable in their own different terms. We might also note that the demand for research to be 'scientific' is characteristically modernist, and thus arguably local and temporary. It is then tempting to consider what non-modernist approaches might look like. The purpose of (...) this article is to sketch a case for one particular reaction against modernist thinking: romanticism. How might our understanding (apprehension, sense) of education be changed by readmitting the insights and perspectives of romanticism? And, crucially, what confidence could we have in educational research that was thus inspired and that took the 'romantic turn'? (shrink)

Much current educational research shows the influence of two powerful but potentially pernicious lines of thought. The first, which can be traced at least as far back as Francis Bacon, is the ambition to formulate precise techniques of research, or ‘research methods’, which can be applied reliably irrespective of the talent of the researcher. The second is the recognition that in the social sciences we—humankind—are ourselves the objects of our study. The first line of thought threatens to cut educational research (...) free of the wider range of ideas and theories that should govern or at least inform it. The second tends to turn it into an absorption with self, particularly when allied to what its practitioners like to think of as the postmodern turn. (shrink)

This essay lays out a history of the translation, interpretation, transmission and reception of the Bhagavad Gita as a cultural, religious and philosophical text in the West from 1785 to 1945; in doing so it focuses primarily on Britain, although it also refers to other contexts of reception where they are connected to the British context, or to present revealing or helpful comparisons. The object of the essay is to investigate relationships between the Gita's interpretive history and assumptions about the (...) Gita, both as a transcultural philosophical source and as an essentially Hindu religious text, which have been in place since the twentieth century. Although there have been other transnational surveys and histories of the Gita's translation, this essay differs from them in positing a specific period of interpretation between the end of the nineteenth century and the beginning of the twentieth, during which time, it argues, the Gita as a received and translated text was significantly altered in certain specific ways which continue to influence its present understanding both in the West and in India. (shrink)

Narrative picturing is a creative interviewing technique that can be applied within qualitative research interviews with the aim of enhancing the ‘richness’ of narrative data. This paper describes briefly narrative picturing and its theoretical underpinnings. Whilst using this technique within a dedicated study of people with experience of self‐cutting, two key factors emerged in relation to advancing the use of narrative picturing. These were overcoming the inhibitions of the person interviewed and the exploration of personal meaning(s) disclosed during narrative picturing, (...) which were commonly found to be particularly abstract or unprocessed. This paper suggests interviewing techniques aimed at overcoming these potential limitations. Once overcome, narrative picturing appeared to support the exploration and narration of more ‘in‐depth’ accounts of lived experience, enhancing understandings of both the person interviewed and the researcher. (shrink)

This paper offers an analytical description of the ethics of game design and its influence in the ethical challenges computer games present. The paper proposes a set of game design suggestions based on the Information Ethics concept of Levels of Abstraction which can be applied to formalise ethical challenges into gameplay mechanics; thus allowing game designers to incorporate ethics as part of the experience of their games. The goal of this paper is twofold: to address some of the reasons why (...) computer games present ethical challenges, and to exploit the informational nature of games to suggest how to develop games with ethics at the core of their gameplay. (shrink)

There are now countless social scientific disciplines—listed either as the science of … X … or as an -ology of one kind or another—each with their own internal controversies as to what are their “proper objects of their study.” This profusion of separate sciences has emerged, and is still emerging, tainted by the classical Cartesian-Newtonian assumption of a mechanistic world. We still seem to assume that we can begin our inquiries simply by reflecting on the world around us, and by (...) allowing our conceptualizations to guide our actions in our inquiries. Beginning our inquiries in this retrospective manner, however, means that our concepts and conceptualizations are both after-the-fact and beside the point, for ‘something else’ altogether is guiding us in the performance of our situation-sensitive actions than merely our conceptualizations. We need before-the-fact, hermeneutically-structured inquiries that can ‘set out’ inner ‘landscapes of possibilities’, to think-with and to provide guidance, as we try in our more scientifically organized efforts to achieve socially desired outcomes in particular socially shared situations. Conducting such preliminary inquiries is thus an art, requiring not only judgment, but also imagination and poetic forms of expression aimed at creating such shared, inner landscapes among all concerned. (shrink)

What is special about all our living exchanges with our surroundings is that they occur within the ceaseless, intertwined flow of many unfolding strands of spontaneously responsive, living activity. This requires us to adopt a kind of fluid, process thinking, a shift from thinking of events as occurring between things and beings existing as separate entities prior to their inter-action, to events occurring within a continuously unfolding, holistic but stranded flow of events, with no clear, already existing boundaries to be (...) found anywhere (Mol & Law, 1994)—a flow of events within which we ourselves are also immersed. We thus become involved in activities within which we find things happening to us, as much as we make things happen in our surroundings—in other words, our surroundings are also agentive in that they can exert “calls” upon us to respond within them in appropriate ways. Consequently, what we can learn in such encounters is not just new facts or bits of information, but new ways of relating or orienting ourselves bodily to the others and othernesses in the world around us—although much can “stand in the way” of our doing this. My concern below is to explore events happening on the (inter)-subjective side of the Cartesian subject/object divide which “shape” our spontaneous ways of acting in, and reflecting on, the “worlds” within which we live out our lives. (shrink)

In their critique of connectionist models Fodor and Pylyshyn (1988) dismiss such models as not being cognitive or psychological. Evaluating Fodor and Pylyshyn's critique requires examining what is required in characterizating models as 'cognitive'. The present discussion examines the various senses of this term. It argues the answer to the title question seems to vary with these different senses. Indeed, by one sense of the term, neither representa-tionalism nor connectionism is cognitive. General ramifications of such an appraisal are discussed and (...) alternative avenues for cognitive research are suggested. (shrink)

In this article, the formation and transformation of knowledge and the role of designs for learning will be elaborated and discussed in relation to the introduction of national curricula and school textbooks during the beginning of the industrialized era vs. the introduction of individual curricula and new digital learning resources in the post-industrialized era of globalization and multiculturalism. Quite different teaching and learning strategies have been emphasized, which I will call here “designed information and teaching” vs. “designs for learning”. It (...) seems obvious that our current society is in a stage of change that requires a new understanding of knowledge, learning and identity formation. The new position and role of the learner underlines the productive and constructive aspect of learning. Pupils not only read texts, they also produce texts, pictures, film and music and they compile and edit virtual texts. Multimodal texts, as well as the information flow of the Internet, are the consequences of, and at the same time a vehicle for, new social patterns. “Learning Design Sequences” is introduced as a theoretical map for the purpose of analyzing critical incidents in learning process, using different genres, modes and media in a process of meaning-making. (shrink)

Cognitive science typically postulates unconscious mental phenomena, computational or otherwise, to explain cognitive capacities. The mental phenomena in question are supposed to be inaccessible in principle to consciousness. I try to show that this is a mistake, because all unconscious intentionality must be accessible in principle to consciousness; we have no notion of intrinsic intentionality except in terms of its accessibility to consciousness. I call this claim the The argument for it proceeds in six steps. The essential point is that (...) intrinsic intentionality has aspectual shape: Our mental representations represent the world under specific aspects, and these aspectual features are essential to a mental state's being the state that it is. (shrink)

This paper develops a new interpretation of Heidegger's concept of conscience in order to show to what extent his thought establishes the possibility of civil disobedience. The origin of conscience lies in the self's appropriation of language as inviting a reciprocal response of the other (person). By developing the social dimension of dialogue, it is showsn that conscience reveals the self in its capacity for dissent, free speech, and civil disobedience. By developing the social roots of conscience, a completely new (...) light is cast on the political implications of Heidegger's thought. (shrink)

Analytic skill can contribute to a theology of the Bible and a theological hermeneutic in two ways, by refining the formulation of a doctrine of Scripture and a correlative hermeneutic, and by illuminating how problematic hermeneutical presuppositions have in some cases become part of exegetical practice. The contribution that the analytic style of reflection can make to the theological enterprise need not be vitiated by a common criticism of analytic modes of engaging with texts, namely, that they tend toward being (...) ahistorical, though the objection deserves to be considered carefully. (shrink)

This article focuses on the collective leadership of the civilian authorities of the British Channel Islands during the Nazi Occupation (1940-1945), and draws lessons from their ethical performance. The first part of the article determines that local officials in the Channel Islands disposed of operative margins, but that - in the interest of collaboration - these were not always used to the full. This article then details institutional factors that contributed to commonalities between the two bailiwicks of Jersey and Guernsey, (...) as they faced up to occupation. The second part of this article follows up with the dissimilarities, one of which is that Guernsey travelled further down the road to collaboration than her sister island. Social capital depletion is credited as being responsible for this; and this situation was further compounded by lack of 'ethical leadership'. The final part explores the relationship between social capital and leadership ethics, suggesting that virtue serves as a catalyst for social capital stock in crisis situations. The core research outcome is that ethical leadership produces tangible efficiency and moral effects in situations of extreme duress (such as Nazi Occupation) where one could have expected very little or no scope for such a thing. This is an uplifting message that runs counter to scepticism as to the practical value of business ethics. Implications are drawn with regard to the challenge of reconciling MNE activities with the moral complexity posed by globalization. (shrink)

If education is to make a difference it is widely acknowledged that we must aim to educate for understanding, but this means being clear about what we mean by understanding. This paper argues for a concept of personal understanding, recognising both the commonality and individuality of each pupil's understandings, and the relationship between understanding and interpretation, analysis and synopsis, and the quest for meaning. In supporting this view, the paper advocates an emergentist notion of person‐hood, and considers the neurophysiological reasons (...) for asserting the individuality of human minds, brains, and the creation of personal meanings. The notion of personal meanings would, however, seem to run counter to the post‐modern denial of the autonomous self, and the tradition in philosophy, most recently stemming from Wittgenstein, that insists that meanings and understandings are essentially social, and not personal—a view also advocated by John White in regard to education. In contrast, this paper argues that meanings and understandings are both social and personal. Once we reinstate the notion of personal minds and personal understandings, alongside the social, we may see more clearly what it means to educate for understanding, and why this might begin to make a difference. (shrink)

What is the core of pedagogical practice? Which qualities are primary to the student–teacher relationship? What is a suitable language for pedagogical practice? What might be the significance of an everyday presentational pedagogical act like for example the glance of a teacher? The pedagogical relation as lived relationality experientially sensed, as well as phenomenologically described and interpreted, precedes educational methods and theories and profoundly challenges educational practice and reflection. The paper highlights the aporetic character of pedagogical practice, reflection and research (...) by suggesting that the pedagogical relation opens up for a practice that is ethically and existentially normative rather than developmentally and socially normative, and thus fundamentally shifts the meaning of education. (shrink)

Jeffrey Stout claims that John Rawls's idea of public reason (IPR) has contributed to a Christian backlash against liberalism. This essay argues that those whom Stout calls “antiliberal traditionalists” have misunderstood Rawls in important ways, and goes on to consider Stout's own critiques of the IPR. While Rawls's idea is often interpreted as a blanket prohibition on religious reasoning outside church and home, the essay will show that the very viability of the IPR depends upon a rich culture of deliberation (...) in which all forms of reasoning can be put forth for consideration. This clarification addresses the perception that the IPR imposes an “asymmetrical burden” upon believers. In fact, the essay suggests that there are good reasons why believers, qua believers, might endorse the IPR. (shrink)

Patient competence, defined as the ability to reason, appreciate, understand, and express a choice is rarely discussed in patients with obsessive compulsive disorder, and coercive measures are seldom used. Nevertheless, a psychiatrist of psychologist may doubt whether OCD patients who refuse treatment understand their disease and the consequences of not being treated, which could result in tension between respecting the patient’s autonomy and beneficence. The purpose of this article is to develop a notion of competence that is grounded in clinical (...) practice and corresponds with the experiences of patients with obsessions and/or compulsions. We present a naturalistic case study giving both the patient’s and the therapist’s perspective based on in-depth interviews and a narrative analysis. The case study shows that competence is not merely an assessment by a therapist, but also a co-constructed reality shaped by the experiences and stories of patient and therapist. The patient, a medical student, initially told her story in a restitution narrative, focusing on cognitive rationality. Reconstructing the history of her disease, her story changed into a quest narrative where there was room for emotions, values and moral learning. This fitted well with the therapist’s approach, who used motivational interventions with a view to appealing to the patient’s responsibility to deal with her condition. We conclude that in practice both the patient and therapist used a quest narrative, approaching competence as the potential for practical reasoning to incorporate values and emotions. (shrink)

This essay argues that there are educational situations in which interlocutionary misbehaviour in the form of withholding ‘good will’ can have educational value. It describes an exchange between a teacher and a student in which the teacher withheld good will, and analyzes this exchange through conceptual frameworks of performative contradiction and differend, provided by Derrida and Lyotard, respectively. It further analyzes how context, power, and ethical considerations affect the evaluation of instances of interlocutionary misbehaviour. The essay ends with the ironic (...) observation that even in cases in which refusing to extend good will to one's interlocutor is educationally pertinent, good will is not absent from the exchange altogether. (shrink)

Much of the interest of critical realists in the hermeneutic character of social inquiry has been shaped by debates with critics. Critical realists insist that the meaningful character of societies does not exclude the possibility of treating them as objects that have causal powers and that these objects are more than the sum-total of their meanings. In what follows, I want to go beyond this debate. Working within critical realist ontology, the question I want to ask is what kind of (...) hermeneutics is required for the study of the causal powers of meaningful objects. If hypotheses about the causal powers of such objects can be confirmed only in dialogues, then what kind of dialogues and with whom are necessary for the understanding of causal powers? The question of the interpretation of causal objects is not merely a methodological one. Social structures are ontologically different from natural ones, and the nature of our understanding of meaningful objects is in part dependent on the way we come to apprehend them in thought. I argue that the approach to the understanding of the causal power of meaningful objects that has emerged in the debate between critical realists and their critics tends to view the study of causal powers as a dialogue between experts in the service of a more democratic society. Against this view, I suggest an understanding of the study of causal powers as a dialogue between critical social science and the public, a dialogue that takes place in the public sphere. (shrink)

This article builds on Gadamer’s rehabilitation of the Augustinian concept of inner word. Unlike most interpretations, the thesis is that the Augustinian inner word does not show the potentialities, but rather the ineffectiveness of ontological hermeneutics. In the first section, it is argued that for the later Augustine, the verbum in corde is the consequence of a Word- and Truth- event. In the second section, the author suggests that Gadamer has properly understood the verbum in corde as a matter of (...) faith. In the third section, it is shown that Gadamer has found in the notion a paradigm for his philosophical and theological insights. Concerning the former, he has always been fascinated by the evenemential character of the ‘second’ Heidegger’s thought. Concerning the latter, Gadamer has explicitly accused Bultmann’s demythologization of being ‘human, all too human’, and he has implicitly praised Barth’s dialectical theology. (shrink)

This essay applies the material developed in The Wounded Researcher to education. The core issue in that book is the necessity to make a place for the complex unconscious in research in order to lay a foundation for an ethics that is based in deep subjectivity. The therapy room has characteristically been the place where this kind of work has occurred, and in this regard therapy has been a form of education. The boundaries of the therapy room have, however, exploded (...) and, given the awesome powers of technology to develop and communicate information, how do we make a place for the unconscious in our educational practices? Drawing upon the work of Carl Jung this essay addresses the following questions: How does one make a place for the unconscious in the classroom, without turning teaching into therapy?; How does a teacher make a place for the unconscious dynamics in the complex interactive field among himself/herself, the students, and the material without overwhelming students?; What are the limits and dangers of this effort?; What are the consequences if we continue to ignore these dynamics in the bodies of knowledge we build? Examples from teaching my book to graduate students in psychology are provided. (shrink)

The professions of nursing and nurse education are currently experiencing a crisis of confidence, particularly in the UK, where the Francis Report and other recent reviews have highlighted a number of cases of nurses who no longer appear willing or able to ‘care’. The popular press, along with some elements of the nursing profession, has placed the blame for these failures firmly on the academy and particularly on the relatively recent move to all‐graduate status in England for pre‐registration student nurses. (...) This has come to be known in the UK as the ‘too‐posh‐to‐wash’ argument, that there is an incommensurability between being educated to degree level and performing basic nursing tasks. I will argue in this paper that the diagnosis of the problem is substantively correct, but the formulation and the prescription are misguided and dangerous. I will suggest that the growing emphasis on research‐based and evidence‐based practice is the logical conclusion of an inappropriate scientific paradigm for nursing which is underpinned by the social sciences, by technical rationality, and by a focus on people. In contrast, I will suggest that a more fruitful way of thinking about and practising nursing and nurse education is to consider it as a human science with a focus on persons in which evidence for practice derives largely from practice itself. The history of the idea of a human science is traced from its roots in nineteenth century hermeneutics to the work of Gadamer and R.D. Laing in the 1960s, and I attempt to imagine a paradigm for nursing practice, scholarship, and education based on Laing's ‘existential–phenomenological’ approach with a focus on the endeavour to understand and relate to individual persons rather than to make broad prescriptions for practice based on statistical and other generalizations. (shrink)

In his work, Being Given, Jean-Luc Marion calls for a phenomenological investigation of the givenness (donation) of the phenomenon. As a phenomenologist of religion, Marion aims to give a philosophical account of the possibility of revelation, something which by definition is unconditionally given. In Being Given, he contends that his phenomenological reduction to unconditional givenness (in the figure of the saturated phenomenon) can account for religious phenomena in a way that respects the subject matter, all the while remaining philosophically neutral. (...) In this paper I argue that Marion's aim to maintain strict philosophical neutrality interferes with his attempt to respect the subject matter of his own investigation, i.e., the givenness of revelation, since revelation is recognizably given, even as possibility, only in the non-neutral context of an interpretive tradition. I establish the latter claim with recourse to Heidegger's early hermeneutic sketches of ‘primordial Christian religiosity.’ In turn, I call for a phenomenological Destruktion of Marion's work in order to release its potential as a non-neutral investigation of a distinctively Catholic religiosity. (shrink)

Rationality and the Genetic Challenge by Matti Häyry is a well-written and thoughtful book about important issues in the contemporary ethical discussion of genetics. The book is well structured around seven practical themes that the author takes to exemplify “the genetic challenge.” He also refers to them as “seven ways of making people better,” which the subtitle of the book already puts into question form: Making People Better? In the first chapter of the book, Häyry introduces these seven themes and (...) he discusses each of them in Chapters 3–9. In the remaining two chapters, 2 and 10, he describes the main normative positions analyzed in the book and clarifies his own methodology and position. He chooses six authors, or three pairs of authors, whom he takes to “represent the three normative doctrines of Western Moral philosophy” in order to demonstrate six “divergent rationalities” or “methods of genethics.” In this way, Häyry both summarizes the main prescriptive positions in contemporary bioethical debate and contrasts them with his own “nonconfrontational notion of rationality,” which aims to show that there is a variety of divergent, not mutually exclusive normative views, the justification of which “depends ultimately on the choice of worldviews, attitudes, and ideas about the foundation of moral worth”. (shrink)

Communication between medical professionals and patients is an important aspect of therapy and patient satisfaction. Common barriers that get in the way of effective communication in this sphere include: (1) gender, age, and cultural differences; (2) physical or psychological discomfort or pain; (3) medical literacy; and (4) distraction due to technological factors or simply being overworked. The author examines these communicative barriers from a philosophical lens and then utilizes Martin Heidegger’s phenomenology and hermeneutics to provide guidance for medical professional–patient interactions. (...) The phenomenological approach espoused emphasizes the particular, contextual nature of such interactions, and thus is opposed to abstract, theoretical principles. Heidegger’s hermeneutics provides a philosophical approach to communication that may guide the back-and-forth interpretation that should happen between medical professionals and patients to achieve effective communication. (shrink)

This paper considers the nature of learning and the role of institutions in general and schools in particular in structuring learning. It outlines and commends a view of learning as a process whereby we discover ourselves as persons and thereby act to create the contexts in which we live and work. Central to this view is the idea of the 'learning school'.

This paper considers the nature of learning and the role of institutions in general and schools in particular in structuring learning. It outlines and commends a view of learning as a process whereby we discover ourselves as persons and thereby act to create the contexts in which we live and work. Central to this view is the idea of the 'learning school'.

The term doctors' orders or physicians' orders is endemic to nurses' work, to the degree perhaps that few nurses give the term much thought. The nursing profession has progressed over its historical trajectory, from a level of considerable dependence upon physicians' directives, in its beginning, to much greater professional autonomy. However, the term order remains a stronghold in nurses' professional reality, despite the fact that this term is laden with anachronistic ideological interests that are embedded within the historical, sociopolitical and (...) gendered contexts in which health care occurs. In this essay I consider the term order through multiple philosophical and semantic lenses. I explore the endowment of power within the word order and how this term disadvantages nurses. I examine how the word order demarcates roles and establishes perceived value of the item represented by the originator of the order. The concept of doctors' orders carries powerful meanings, affirms the power‐as‐knowledge hierarchy so entrenched in the nurse–physician relationship, and can inhibit nurses' full participation as partners in health care. (shrink)

One can extrapolate from the art of language instruction to discover methods applicable across the disciplines in higher education. The paradigm presented by language instruction is applicable throughout the arts and sciences. If cultivated—and there are institutional pressures working against it—such an art can impact the languages and codes of the individual disciplines so as to advance the research mission of scholars in those fields; it can also favor the interrelationships between the disciplines. How the student learns another language (L2) (...) is comparable to the process of learning a scientific discipline. (shrink)

To suppose the possibility of dialogue between theology and science is to suppose that theology is an intellectually worthy partner to engage in dialogue with science. The status of theology as a discipline, however, remains contested, one sign of which is the absence of theology from the university. I argue that a healthy theology-science dialogue would benefit from the presence of theology as an academic discipline in the university. Theology and theologians would benefit from the much closer contact with university (...) disciplines, including the sciences. The university and the sciences would benefit from the presence of theology, providing a department of ultimate concern, where big questions may be asked and ideologies critiqued. A university theology would need to meet standards of academic integrity. (shrink)