Medical assistance in dying legislation: Hospice palliative care providers’ perspectives.Soodabeh Joolaee,Anita Ho,Kristie Serota,MatthieuHubert &Daniel Z. Buchman -2022 -Nursing Ethics 29 (1):231-244.detailsBackground: After over 4 years since medical assistance in dying legalization in Canada, there is still much uncertainty about how this ruling has affected Canadian society. Objective: To describe the positive aspects of medical assistance in dying legalization from the perspectives of hospice palliative care providers engaging in medical assistance in dying. Design: In this qualitative descriptive study, we conducted an inductive thematic analysis of semi-structured interviews with hospice palliative care providers. Participants and setting: Multi-disciplinary hospice palliative care providers in (...) acute, community, residential, and hospice care in Vancouver and Toronto, Canada, who have engaged in end-of-life care planning with patients who have inquired about and/or requested medical assistance in dying. Ethical considerations: The research proposal was approved by University of British Columbia Research Ethics Board in Vancouver and University Health Network in Toronto. Participants were informed regarding the research goals, signed a written consent, and were assigned pseudonyms. Results: The 48 participants included hospice palliative care physicians (n = 22), nurses (n = 15), social workers (n = 7), and allied health providers (n = 4). The average interview length was 50 min. Positive aspects of medical assistance in dying legalization were identified at (1) the individual level: (a) a new end-of-life option, (b) patients’ last chance to express control over their lives, (c) patient and family comfort and relief, and (d) a unique learning experience for hospice palliative care providers; (2) the team level: (a) supportive collegial relationships, (b) broadened discussions about end-of-life and palliative care, and (c) team debriefs provide opportunities for education and support; and (3) the institutional level: (a) improved processes to facilitate the implementation logistics. Conclusion: While being involved in the medical assistance in dying process is complex and challenging, this study sheds light on the positive aspects of medical assistance in dying legalization from the hospice palliative care provider’s perspectives. Medical Assistance in Dying legalization has resulted in improved end-of-life conversations between hospice palliative care providers, patients, and their families. Improved communication leads to a better understanding of patients’ end-of-life care plans and bridges some of the existing gaps between hospice palliative care and medical assistance in dying. (shrink)
Discovering clinical phronesis.Donald Boudreau,Hubert Wykretowicz,Elizabeth Anne Kinsella,Abraham Fuks &Michael Saraga -2024 -Medicine, Health Care and Philosophy 27 (2):165-179.detailsPhronesis is often described as a ‘practical wisdom’ adapted to the matters of everyday human life. Phronesis enables one to judge what is at stake in a situation and what means are required to bring about a good outcome. In medicine, phronesis tends to be called upon to deal with ethical issues and to offer a critique of clinical practice as a straightforward instrumental application of scientific knowledge. There is, however, a paucity of empirical studies of phronesis, including in medicine. (...) Using a hermeneutic and phenomenological approach, this inquiry explores how phronesis is manifest in the stories of clinical practice of eleven exemplary physicians. The findings highlight five overarching themes: ethos (or character) of the physician, clinical habitus revealed in physician know-how, encountering the patient with attentiveness, modes of reasoning amidst complexity, and embodied perceptions (such as intuitions or gut feeling). The findings open a discussion about the contingent nature of clinical situations, a hermeneutic mode of clinical thinking, tacit dimensions of being and doing in clinical practice, the centrality of caring relations with patients, and the elusive quality of some aspects of practice. This study deepens understandings of the nature of phronesis within clinical settings and proposes ‘Clinical phronesis’ as a descriptor for its appearance and role in the daily practice of (exemplary) physicians. (shrink)
Art History and Visual Studies in Europe: Transnational Discourses and National Frameworks.Matthew Rampley,Thierry Lenain,Hubert Locher,Andrea Pinotti,Charlotte Schoell-Glass &C. J. M. Zijlmans (eds.) -2012 - Brill.detailsThis book undertakes a critical survey of art history across Europe, examining the recent conceptual and methodological concerns informing the discipline as well as the political, social and ideological factors that have shaped its development in specific national contexts.
Denken in de spiegel:Hubert Dethier: filosofie en zingeving voor de 21ste eeuw.Hubert Dethier -2015 - Brussel: ASP. Edited by Julien Libbrecht.detailsDit boek is een hommage aan de filosoofHubert Dethier (°21 juli 1933), die we zeker in de rij kunnen plaatsen van denkers als Jaap Kruithof, Hans Achterhuis en Etienne Vermeersch. Deze hommage is geen chronologische biografie. Het is daarentegen wel een verhaal waarin het leven vanHubert Dethier verweven wordt met de geschiedenis van zijn denken. Een denken dat zich situeert in de tweede helft van de vorige eeuw en het begin van de huidige eeuw en zich (...) moeiteloos projecteert naar de toekomst. Ontegensprekelijk een woelige en gewelddadige periode, maar ook een tijdgewricht van hoop en verwachting van het “nieuwe”.0. (shrink)
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Devianz und Dynamik: Festschrift fürHubert Seiwert zum 65. Geburtstag.Hubert Michael Seiwert &Edith Franke (eds.) -2014 - Göttingen: Vandenhoeck & Ruprecht.detailsReligiose Vielfalt ist nicht erst eine Erscheinung der "westlichen Moderne". Vielmehr existierten schon in fruhen Zeiten und an verschiedenen Orten der Welt oft mehrere Religionen nebeneinander, sei es dass diese unterschiedlichen Ursprungs waren oder sich aufgrund divergierender Auffassungen der religiosen Akteure innerhalb einer gemeinsamen Tradition ausdifferenzierten. Nicht immer war und ist diese Koexistenz eine friedliche. Die Religion der anderen wird haufig als "deviant" wahrgenommen oder gar als "nonkonformistisch" stigmatisiert und sanktioniert, bis hin zur physischen Vernichtung der "Devianten". Im vorliegenden Band (...) gehen vierzehn ausgewiesene Wissenschaftler_innen aus den Fachgebieten Religionswissenschaft, Soziologie, Sinologie und Judaistik aus ihrer jeweiligen fachlichen Perspektive und anhand diverser Fallbeispiele aus Geschichte und Gegenwart der Frage nach, unter welchen Umstanden, aus welchen Grunden und mit welchen Folgen religiose Pluralitat als Problem wahrgenommen wird. Das Buch verbindet so systematische Fragestellungen mit empirischen Fallbeispielen und liefert damit eine ausgezeichnete Grundlage fur die Erforschung des gesellschaftlichen Umgangs mit religioser Pluralitat. (shrink)
Emmanuel Lévinas et la méthode de l’altérité.Matthieu Dubost -2006 -Studia Phaenomenologica 6:31-58.detailsLévinas never clarified his method himself. This article is an attempt to account for such an omission and also for the non-classical notion of method as it was constructed. By observing the originality of the means by which this philosophy operates, we come to understand that phenomenology is a necessary beginning to perceive the essential ambiguity of phenomenon and the “trace” of alterity. But since this can only be an indicative process, Lévinas must find alternative means of justification, as new (...) forms of reduction. This contingency implies a notion of truth as testimony. The last stage in the method of alterity consists of an “ethical vigilance” in order to distinguish what in Same is Other. (shrink)
L'oubli de la vie: Michel Henry face au monde moderne.Matthieu Giroux -2022 - [La Murette]: R&N.detailsAvec la phénoménologie de Michel Henry (1922- 2002), c'est un monde nouveau qui s'ouvre à nous. Un monde où la pensée relève de l'épreuve de soi, où l'essence est invisible, où l'apparaître se caractérise par sa duplicité et où la Vie occupe enfin la place que la philosophie lui avait jusque-là refusée. Mais la philosophie de Michel Henry constitue également une puissante charge contre le monde moderne, celui qui, selon le mot de Bernanos, conspire contre la vie intérieure. Sa pensée (...) témoigne d'une inquiétude profonde face aux renversements des hiérarchies et aux transformations des modes de vie dont nous sommes les contemporains. Plus que tout, Michel Henry entend- préserver ce qu'il y a de proprement humain dans l'homme contre les tentatives d'objectivation de nos existences. À quoi bon une société économiquement prospère et techniquement avancée si sa réalisation doit passer par l'anéantissement de l'homme? À quoi bon mettre en place la plus performante des civilisations si celle-ci est incapable de reconnaître la Vie, c'est-à-dire sa propre - condition de possibilité?"--Page 4 of cover. (shrink)
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Le suicide: traité 16 (Ennéade I, 9).Matthieu Guyot -2022 - Paris: L'Harmattan. Edited by Plotinus.detailsPlotin (205-270) est le premier des philosophes néoplatoniciens aussi bien d'un point de vue chronologique que par son importance. Auteur de 54 traités regroupés en six Ennéades ("neuvaines"), il consacra l'un d'eux, le traité 16 (Ennéade I, 9), très bref, à la question du suicide. Dans cet ouvrage Plotin se demande si et quand le suicide peut être un choix légitime. Le commentaire qui accompagne la traduction de ce traité s'efforce de l'éclairer même pour un lecteur qui ne connaîtrait rien (...) de la pensée de son auteur, et de déployer les différentes problématiques, issues de la pensée antique et en particulier platonicienne et stoïcienne, dans lesquelles s'inscrit l'analyse de Plotin."--Page 4 of cover. (shrink)
La démocratie sans maîtres: essai.Matthieu Niango -2017 - Paris: Robert Laffont.detailsCernée par la tentation autoritaire, la démocratie paraît fragilisée. Brandie comme un étendard, la promesse d'un? gouvernement du peuple, par le peuple, pour le peuple - n'a, semble-t-il, pas été véritablement tenue. La classe politique paraît souvent plus soucieuse de sa propre survie que du bien commun, la démocratie représentative ne serait-elle qu'un leurre? Partout dans le monde, de nouveaux mouvements citoyens cherchent à mettre en oeuvre une démocratie horizontale. En déconstruisant les mécanismes et les croyances qui régissent notre vision (...) du pouvoir, ce texte propose de refonder rigoureusement le concept de démocratie réelle."--Page 4 of cover. (shrink)
Two Orders of Things: Wittgenstein on Reasons and Causes.Matthieu Queloz -2017 -Philosophy 92 (3):369-97.detailsThis paper situates Wittgenstein in what is known as the causalism/anti-causalism debate in the philosophy of mind and action and reconstructs his arguments to the effect that reasons are not a species of causes. On the one hand, the paper aims to reinvigorate the question of what these arguments are by offering a historical sketch of the debate showing that Wittgenstein's arguments were overshadowed by those of the people he influenced, and that he came to be seen as an anti-causalist (...) for reasons that are in large part extraneous to his thought. On the other hand, the paper aims to recover the arguments scattered in Wittgenstein's own writings by detailing and defending three lines of argument distinguishing reasons from causes. The paper concludes that Wittgenstein's arguments differ from those of his immediate successors; that he anticipates current anti-psychologistic trends; and that he is perhaps closer to Davidson than historical dialectics suggest. (shrink)
The Authority and Politics of Epiphanic Experience.Matthieu Queloz -manuscriptdetailsIn Epiphanies: An Ethics of Experience, Sophie Grace Chappell offers a phenomenology of epiphanies—those high points in experience when values most vividly reveal themselves to us. Yet Chappell’s method of using phenomenological descriptions to show that we live by our epiphanies leaves open the question of their authority. Why should the epiphanic carry more authority than more sober experiences? The answer, I argue, had better be sensitive to our explanatory understanding of epiphanies. Moreover, it should be sensitive to how the (...) very power of epiphanies threatens to distort our experience of other values. We must beware of what Lichtenberg called transcendent ventriloquism, whereby subjective experience is made to sound like something more than what it is—an eternal truth to be enacted at any cost. I then turn to the politics of epiphanic experience: how to live together given that we live by different epiphanies. I raise several problems for Chappell’s proposal that the normativity inherent in conversation both imposes transcendental constraints on epiphanic ethics and is determinate enough to prescribe specific political arrangements. These constraints determine either too little or too much; they come too late not to beg crucial questions; they cannot offer an independent check on epiphanic ethics; and they introduce a tension at the heart of the book between the romantic openness to experience, emotion, and enthusiasm and the rationalist aspiration to exclude non-rational influences. This threatens to cast as an illicit intrusion precisely the experiential dimension that epiphanies were to introduce into the conversation. (shrink)
From slow to fast logic: the development of logical intuitions.Matthieu Raoelison,Esther Boissin,Grégoire Borst &Wim De Neys -2021 -Thinking and Reasoning 27 (4):599-622.detailsRecent reasoning accounts suggest that people can process elementary logical principles intuitively. These controversial “logical intuitions” are believed to result from a learning process in which developing reasoners automatize their application. To verify this automatization hypothesis, we contrasted the reasoning performance of younger (7th grade) and older (12th grade) reasoners with a two-response paradigm. Participants initially responded with the first intuitive response that came to mind and subsequently were allowed to deliberate on classic “bias” problems (base-rate problems and syllogisms). Results (...) showed that in addition to showing less deliberate correction of an initial erroneous response, younger reasoners were specifically less likely to generate the correct response from the outset. The findings lend credence to the role of a developmental automatization process and indicate that developmental improvements in reasoning accuracy are at least partially driven by an improvement in the accuracy of our intuitions. (shrink)
Retrieving Realism.Hubert Dreyfus &Charles Taylor -2015 - Cambridge, MA: Harvard University Press. Edited by Charles Taylor.detailsFor Descartes, knowledge exists as ideas in the mind that represent the world. In a radical critique,Hubert Dreyfus and Charles Taylor argue that knowledge consists of much more than the representations we formulate in our minds. They affirm our direct contact with reality—both the physical and the social world—and our shared understanding of it.
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Argent et aliénation dans les Manuscrits de 1844 de K. Marx.Matthieu Dubost -2008 -Archives de Philosophie 3 (3):489-506.detailsContre les économistes classiques qui se sont pour la plupart concentrés sur l’échange et la valeur, Marx propose dans les Manuscrits de 1844 une réflexion précise sur l’argent qui prend ainsi place dans le procès global de l’aliénation. L’argent se caractérise notamment par sa forme pure et abstraite et participe d’une création de besoins artificiels qui accroissent la dépendance de l’individu. Ce faisant, l’argent est cause d’une aliénation spécifique : il transforme la quantité pure en une valeur à l’aune de (...) laquelle tout est réévalué. Cette abstraction croissante de ce qui au départ n’est qu’un moyen explique qu’il constitue progressivement la règle de tout commerce. Les échanges ne sont plus alors que les occasions de manifester l’argent lui-même. Si c’est bien sur la propriété privée que se fonde la puissance de l’argent, celui-ci a aussi son mécanisme propre.Against the classical econonics who focuses on the problems of exchange and value, Marx thinks in the Manuscripts of 1844 about money and especially its place in the global alienation process. Money is particularly described as an abstraction and plays a role in the making of artificial needs who alienate men. That is why money is a specific form of alienation : it transforms pure quantity in value in order to estimate everything. This increasing abstraction of a simple tool makes money the rule of every deal. Therefore exchanges become only occasions to make money appear. Despite the fact that the power of money is based on the property, money is also a specific form of alienation. (shrink)
Les origines antiques de la relation: Naissance et développements de la notion chez Les philosophes anciens.Matthieu Raffray -2012 -Revue Thomiste 112 (3):419-465.detailsOrigines antiques de la notion de relation : usages de la relation chez Platon, Aristote, les stoïciens. Le problème de la transmission des textes d'Aristote et de leur interprétation.
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