Purpose. The purpose of this study is to investigate how professionals learn from varying experiences with errors in health-care digitalization and develop and use negative knowledge and digital ignorance in efforts to improve digitalized health care. Design/methodology/approach. A two-year qualitative field study was conducted in the context of a public health-care organization working with digital patient communication. The data consisted of participant observation, semistructured interviews and document data. Inductive coding and a theoretically informed generation of themes were applied. Findings. The (...) findings show that both health-care and digital communication professionals learn through experiences with digital “rule-” and “knowledge-based” errors in patient communication and develop negative knowledge and awareness of digital ignorance. In their joint efforts, they use negative knowledge to “bend the rules” and to explore digital ignorance in efforts to improve patient communication. Originality/value. This study provides insight into the importance of collaboration between professionals with varying experience of errors in digitalizing patient communication. Such collaboration is required to acknowledge own shortcomings and create complementary negative knowledge to improve digital patient communication. This is particularly important when working with innovative digitalization in health care. (shrink)

Injustice can undermine the standing states have to blame criminal offenders, and this raises a difficulty for a range of punishment theories that depend on a state's moral authority. When a state lacks the moral authority that flows from political legitimacy, its right to punish criminal lawbreakers cannot depend on a systematic claim about the legitimacy of the law. Instead, an unjust state is permitted to punish only criminal acts whose wrongness is established directly by morality, and only when criminal (...) guilt is established through legal procedures that meet minimal standards of fairness. These restrictions narrow the proper scope of criminal law and invalidate popular rationales for punishment that construe punishment as blame. (shrink)

There is a gap between the first-person and third-person perspectives resulting in a tension experienced between psychological science, ‘experimental psychology’, and applied consulting psychological practice, ‘clinical psychology’. This is an exploration of that ‘gap’ and its resulting tension. First-person perspective is proposed as an important aspect of psychological reality in conjunction with the related perspectival aspects of second- and third-person perspectives. These three aspects taken ‘wholistically’ constitute a perspectival diffusion grate through which psychological reality is discerned. The reductionistic naturalism of (...) scientifically apprehended reality is examined for the powerful resistances that impedite utilizing perspective in psychological investigations with consequences for our understanding of psychological reality. The impediments constructed by Quine, Sellars, Dennett, Metzinger, and cognitive psychology are all examined for their robust intractability to first-person perspective or anything that might seem similar. The conclusion suggested is that they all result from a ‘scientific near-sightedness’ of a strict naturalism. The result is that any intentionally dependent objects that are real in the lives of persons are eliminated as not real with no ontological significance. The assertion is that ordinary things such as car keys and employment are real and are ontologically significant. (shrink)