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Experience and research teach us that hope, optimism and faith are crucial aspects in how a person deals with a medical situation. One ancient source of wisdom which deals with Hope – the myth of Pandora – can be interpreted in different ways, pointing to different aspects of the way hope influences the human experience. In this paper I will try to demonstrate and discuss how this pertains to medical-psychology work with patients: A short case description will be brought to (...) demonstrate the complexity of the work of hope in (difficult) medical situations. The therapeutic work in these situations will be discussed. (shrink)

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Introduction: find your way -- Orientations toward objects -- Sexual orientation -- The orient and other others -- Conclusion: disorientation and queer objects.

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A common reductionist assumption is that macro-scale behaviors can be described "bottom-up" if only sufficient details about lower-scale processes are available. The view that an "ideal" or "fundamental" physics would be sufficient to explain all macro-scale phenomena has been met with criticism from philosophers of biology. Specifically, scholars have pointed to the impossibility of deducing biological explanations from physical ones, and to the irreducible nature of distinctively biological processes such as gene regulation and evolution. This paper takes a step back (...) in asking whether bottom-up modeling is feasible even when modeling simple physical systems across scales. By comparing examples of multi-scale modeling in physics and biology, we argue that the “tyranny of scales” problem presents a challenge to reductive explanations in both physics and biology. The problem refers to the scale-dependency of physical and biological behaviors that forces researchers to combine different models relying on different scale-specific mathematical strategies and boundary conditions. Analyzing the ways in which different models are combined in multi-scale modeling also has implications for the relation between physics and biology. Contrary to the assumption that physical science approaches provide reductive explanations in biology, we exemplify how inputs from physics often reveal the importance of macro-scale models and explanations. We illustrate this through an examination of the role of biomechanics modeling in developmental biology. In such contexts, the relation between models at different scales and from different disciplines is neither reductive nor completely autonomous, but interdependent. (shrink)

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This paper aims to reconfigure the place of memory in epistemology. I start by rethinking the problem that memory systems solve; rather than merely functioning to store information, I argue that the core function of any memory system is to support accurate and relevant retrieval. This way of specifying the function of memory has consequences for which structures and mechanisms make up a memory system. In brief, memory systems are modeling systems. This means that they generate, update and manage a (...) series of overlapping, simplified, relational representations that map out features of the world. Succeeding at building and maintaining models requires the kind of active knowledge generation traditionally associated only with deliberative reasoning. (shrink)

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Awe has traditionally been considered a religious or spiritual emotion, yet scientists often report that awe motivates them to answer questions about the natural world, and to do so in naturalistic terms. Indeed, awe may be closely related to scientific discovery and theoretical advance. Awe is typically triggered by something vast (either literally or metaphorically) and initiates processes of accommodation, in which existing mental schemas are revised to make sense of the awe‐inspiring stimuli. This process of accommodation is essential for (...) the kind of belief revision that characterizes scientific reasoning and theory change. Across six studies, we find that the tendency to experience awe is positively associated with scientific thinking, and that this association is not shared by other positive emotions. Specifically, we show that the disposition to experience awe predicts a more accurate understanding of how science works, rejection of creationism, and rejection of unwarranted teleological explanations more broadly. (shrink)

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Mental simulation — such as imagining tilting a glass to figure out the angle at which water would spill — can be a way of coming to know the answer to an internally or externally posed query. Is this form of learning a species of inference or a form of observation? We argue that it is neither: learning through simulation is a genuinely distinct form of learning. On our account, simulation can provide knowledge of the answer to a query even (...) when the basis for that answer is opaque to the learner. Moreover, through repeated simulation, the learner can reduce this opacity, supporting self-training and the acquisition of more accurate models of the world. Simulation is thus an essential part of the story of how creatures like us become effective learners and knowers. (shrink)

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This article examines ‘collective feelings’ by considering how ‘others’ create impressions on the surfaces of bodies. Rather than considering ‘collective feeling’ as ‘fellow feeling’ or in terms of feeling ‘for’ the collective, the article suggests that how we respond to others in intercorporeal encounters creates the impression of a collective body. In other words, how we feel about others is what aligns us with a collective, which paradoxically ‘takes shape’ only as an effect of such alignments. The article considers different (...) examples of racism in which a particular other is held in place by being aligned with other others. The ‘moment of contact’ is shaped by past histories of contact, which allows the proximity of a racial other to be perceived as threatening, at the same time as it re-shapes the bodies in the contact zone of the encounter. Feelings rehearse associations that are already in place, in the way in which they ‘read’ the proximity of others, at the same time as they establish the ‘truth’ of the reading. The article extends its analysis by showing that bodily proximity is not required to create the impressions of others, and offers an analysis of ‘collective feelings’ within virtual communities of global nomads. Proximity does not require physical co-presence: the collective can ‘surface’ through giving up on local attachments (where the screen becomes a substitute for the skin). The article concludes that collective feelings are not feelings that the collective ‘has’, as if the collective was a subject. Rather the collective is an effect of the impressions left by others on the surfaces of skins. (shrink)

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This essay contends that postcolonial migrants have a right to enter their former colonizing nations, and that these should accept them. Our novel argument challenges well-established justifications for restrictions in immigration-policies advanced in liberal nationalism, which links immigration controls to the nation’s self-determination and the legitimate preservation of national identity. To do so, we draw on postcolonial analyses of colonialism, in particular on Edward Said’s notion of “intertwined histories,” and we offer a more sophisticated account of national identity than that (...) of liberal nationalists. In our view, the national identity of former colonizing nations cannot be understood in isolation from their ex-colonies. This entails that liberal nationalists cannot justify the restriction on the entrance of members of the nation’s former colonies by resorting to an argument about the preservation of national identity: the former colonized constitute an inseparable element of that national identity, because they are already historically part of it. (shrink)

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This paper argues that scale-dependence of physical and biological processes offers resistance to reductionism and has implications that support a specific kind of downward causation. I demonstrate how insights from multiscale modeling can provide a concrete mathematical interpretation of downward causation as boundary conditions for models used to represent processes at lower scales. The autonomy and role of macroscale parameters and higher-level constraints are illustrated through examples of multiscale modeling in physics, developmental biology, and systems biology. Drawing on these examples, (...) I defend the explanatory importance of constraining relations for understanding the behavior of biological systems. (shrink)

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It is widely accepted that ethical leadership is beneficial for the organization, the leader, and followers. Yet, little has been said about potential limitations of ethical leadership, particularly boundary conditions involving the same person perceived to display ethical leadership. Drawing on conservation of resources theory, we argue that supervisor-induced hindrance stress and job hindrance stress are factors linked to the supervisor and work environment that may limit the positive impact of ethical leadership on employee deviance and turnover intentions. Specifically, we (...) expect that high levels of hindrance stress drain resources, specifically perceptions of social support, by inhibiting the completion of work, particularly in combination with the high expectations of ethical leaders. We test our model across two time-lagged field studies. Our results demonstrate that supervisor-induced hindrance stress mitigates some of the beneficial impact of ethical leadership and that job hindrance stress further strains these relationships. Overall, our results suggest that both forms of hindrance stress jointly impact the effectiveness of ethical leadership on important outcomes, and do so partly because of their influence on perceived social support. We discuss theoretical contributions to the ethical leadership and stress bodies of literature, as well as practical implications for managers and organizations wishing to develop ethical leaders. (shrink)

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The development of nursing ethics as a field of inquiry has largely relied on theories of medical ethics that use autonomy, beneficence, and/or justice as foundational ethical principles. Such theories espouse a masculine approach to moral decision-making and ethical analysis. This paper challenges the presumption of medical ethics and its associated system of moral justification as an appropriate model for nursing ethics. It argues that the value foundations of nursing ethics are located within the existential phenomenon of human caring within (...) the nurse/patient relationship instead of in models of patient good or rights-based notions of autonomy as articulated in prominent theories of medical ethics. Models of caring are analyzed and a moral-point-of-view (MPV) theory with caring as a fundamental value is proposed for the development of a theory of nursing ethics. This type of theory is supportive to feminist medical ethics because it focuses on the subscription to, and not merely the acceptance of, a particular view of morality. (shrink)

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Background Families whose child has unexplained intellectual or developmental differences often hope that a genetic diagnosis will lower barriers to community-based therapeutic and support services. However, there is little known about efforts to mobilize genetic information outside the clinic or how socioeconomic disadvantage shapes and constrains outcomes.Methods We conducted an ethnographic study with predominantly socioeconomically disadvantaged families enrolled in a multi-year genomics research study, including clinic observations and in-depth interviews in English and Spanish at multiple time points. Coding and thematic (...) development were used to collaboratively interpret fieldnotes and transcripts.Results Thirty-two families participated. Themes included familial expectations that a genetic diagnosis could be translated into information, understanding, and assistance to improve the quality of a child’s day-to-day life. After sequencing, however, genetic information was not readily converted into improved access to services beyond the clinic, with families often struggling to use a genetic diagnosis to advocate for their child.Conclusion Families’ ability to use a genetic diagnosis as an effective advocacy tool beyond the clinic was limited by the knowledge and resources available to them, and by the eligibility criteria used by therapeutic service providers’ – which focused on clinical diagnosis and functional criteria more than etiologic information. All families undertaking genomic testing, particularly those who are disadvantaged, need additional support to understand the limits and potential benefits of genetic information beyond the clinic. (shrink)

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In lieu of an abstract, here is a brief excerpt of the content:Whiteness and the General WillDiversity Work as Willful WorkSara AhmedIn this essay I explore whiteness in relation to the general will. My starting point is that the idea of “the general will” offers us a vocabulary for thinking through the materiality of race. In his keynote address to the 40th Annual Philosophy Symposium in 2010, Charles Mills argues that race is material: it becomes part of the living human (...) body. Mills draws on recent theories of whiteness as habit, including the work of Linda Alcoff (2006) and Shannon Sullivan (2006). Quoting from Sullivan, he suggests that whiteness is in “the nose that smells, the back, neck and other muscles that imperceptibly tighten with anxiety, and the eyes that see some but not all physical differences as significant” (Sullivan 2006, 188). Whiteness is embodied; it is in bodily matter as well as affecting how bodies matter. Mills then suggests that the materiality of whiteness is its “resistance to will.” One definition of materiality could be this: resistance to will.This essay takes up the theme of the materiality of race by thinking of whiteness in relation to the will. There are clearly risks in such an undertaking: after all, the idea of whiteness as willed might seem to imply that whiteness is volitional: and can be simply “willed away.”1 I want to suggest that if whiteness is resistant to will, as that which cannot be simply willed away, then whiteness can also be understood as willed: in other words, what cannot be willed away is a willing way. Edward Said’s definition of Orientalism as “willed human work,” which as a definition has yet to be rigorously understood, could be considered an important precedent to my argument (1978, 140). The suggestion is not [End Page 1] simply that the Orient is brought into existence, or made to exist over time, but that the very labor of creating the Orient, the land of the stranger, the land far away, is what establishes a direction. Once the Orient has come to exist, there is a willing of its existence; to keep going that way is to keep that way going. Willed work is work that in willing that way creates a way that can be willed. It is not as the old English cliché says—where there’s a will there’s a way—but rather to will is to way. I think it is useful to think of whiteness in this way, as a willing way, which is of course only one way of thinking about whiteness.I pose the generality of the will as a way of reflecting on “institutional whiteness.” Whiteness becomes “the material” of an institutional body, whether that body is the nation, an organization, a neighborhood, or a street. We can consider an institution as a body with parts: it too has noses, mouths, muscles that register anxiety, as well as ears and eyes. Just think of how Neighborhood Watch, as a national or even global technology, uses the injunction that citizens should become the “eyes and ears of the police.” A good citizen is the one who accepts this injunction: the one who is willing to watch out for strangers, those who are loitering, who seem suspicious, or out of place. Institutions have “detection systems”: they have parts that register the approach of strangers. A collective body in registering those who are out of place, both creates strangers and establishes a direction toward them, as those who threaten the place of the “in place,” as those who generate anxiety.A key event in my own life was of becoming a stranger in a white neighborhood in Adelaide, Australia, in a place I called home. I was fourteen years old. I was stopped by two policemen in a car who asked me, “Are you Aboriginal?” It turned out that there had been some burglaries in the area. It was an extremely hostile address, and it was an unsettling experience at the time. It was an experience of being made into a stranger, the one who is recognized as “out of place,” as the one who does not belong, whose proximity is registered... (shrink)

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In this article, I examine racial narratives of passing and their relationship to discourses of hybridity. Rather than defining passing as inherently transgressive, or as one side of identity politics or the other, I suggest that passing must be understood in relationship to forms of social antagonism. I ask the following questions: how are differences that threaten the system recuperated? How do ambiguous or hybrid bodies get read in a way which further supports the enunciative power of those who are (...) telling the difference? In what ways is `passing' implicated in the very discourse around tellable differences? Although to some extent all identities involve passing - insofar as the subject never `is' what it `images' itself to be - we still need to theorize the differences between passing as white and passing as black. I argue that passing as black as a white subject can function as a technique of knowledge which assumes `blackness' to be imageable and hence beable. However, for black subjects to refuse to pass as white - that is, for black subjects to pass as black - can make visible the violent histories concealed by the invisibility of the mark of passing. Such a process of passing as black subjects is tied to a politics of the collective - a coming together through the recognition of the lack that engenders passing in the first place. (shrink)

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Biography of Jayatīrtha, fl. 1365-1388, Indian philosopher.

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Every day nurses are required to make ethical decisions in the course of caring for their patients. Ethics in Nursing Practice provides the background necessary to understand ethical decision making and its implications for patient care. The authors focus on the individual nurse’s responsibilities, as well as considering the wider issues affecting patients, colleagues and society as a whole. This third edition is fully updated, and takes into account recent changes in ICN position statements, WHO documents, as well as addressing (...) current issues in healthcare, such as providing for the health and care needs of refugees and asylum seekers, bioethics and the enforcement of nursing codes. (shrink)

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Nonstate actors such as social enterprises are increasingly influential for addressing pressing social needs in sub-Saharan Africa. Moving responsibility from the state to private entrepreneurs calls for a greater understanding of how single individuals achieve their social mission in a context characterized by acute poverty and where informal institutions, such as trust and collective norms, are strong governance mechanisms. This study recognizes the role of leader passion as a key element for gaining people’s trust in the social enterprise leader and (...) the social mission. Qualitative data were collected on 37 leaders of Nigerian social enterprises in arenas such as health, women’s rights, children’s rights, AIDS/hiv care and education, and sustainable development. Drawing on 100 semistructured interviews, the authors develop an inductive model illustrating how leader passion interrelates with the social enterprise organizing and outcomes. (shrink)

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This paper explores how diversity is used as a key term to describe the social and educational mission of universities in Australia. The paper suggests that we need to explore what diversity ‘does’ in specific contexts. Drawing on interviews with diversity and equal opportunities practitioners, the paper suggests that ‘diversity’ is used in the face of what has been called ‘equity fatigue’. Diversity is associated with what is new, and allows practitioners to align themselves and their units with the existing (...) values of their universities. However, given this, diversity can mean potentially anything: and practitioners have to re‐attach the term ‘diversity’ to other more marked terms such as equality and justice if it is to ‘do anything’. The paper explores the appeal of diversity, the strategic nature of diversity work, and the role of commitment, leadership and training. It also offers some more general reflections on how language works within organisations by showing that words, although they do things, are not finished as forms of action: what they do depends not only on how they are used, but how they get taken up. (shrink)

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El artículo describe aspectos significativos de la conformación histórica del método clínico y hace referencia a personalidades que influyeron desde la medicina hipocrática hasta el siglo XX, detallándose los valores éticos y morales que lo caracterizaban y sus desafíos ante la sociedad. Se significa la necesidad de una reforma de pensamiento de los profesionales de la Medicina, que permita abrir nuevas perspectivas y contribuya a la reflexión siendo revertido en una conducta humanista y atención médica con calidad, con la respectiva (...) satisfacción de la población tal como se pide en los lineamientos del Partido. The article describes significant aspects of the historical formation of the clinical method and refers to personalities that influenced since The Hippocratic Medicine until the 20th Century, making emphasis on the ethical and moral values that characterized it and its challenges before the society. The need for a reform of the medical professionals thinking is meant, which allows to open new perspectives and contributes to the reflection being reversed in a humanist behaviour and a qualified medical care, with the respective satisfaction of the population as requested in the guidelines of the party. (shrink)

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The biological sciences provide ample opportunity and motivation for feminist interventions. These sciences are seen by many as an authority on human nature and are highly relevant to many issues of social justice and public policy. Feminist philosophy of biology focuses on the ethical and epistemic adequacy and responsibility of biological claims. This work is critical in the sense of identifying epistemically and ethically irresponsible knowledge claims, research practices, and dissemination of biological research regarding sex/gender, including ways that sex/gender interacts (...) with other social categories. In this chapter we describe classic themes in feminist philosophy of biology, with particular regard to research practices and metaphysical assumptions. We then go on to argue that these classic themes remain salient in contemporary neuroscientific investigations of human emotion and in feminist research on the evolution of human behavior. (shrink)

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This paper aims to understand how we reason from historical premises to normative conclusions, tracing this question through the work of Muhammad Iqbal. On our reading, he wavers between two views of history, one a kind of natural science, and the other akin to religious interpretation. These tell different stories about the lessons we draw from history.

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Objective: Appropriate reactivity to emotional facial expressions, even if these are seen whilst we are engaged in another activity, is critical for successful social interaction. Children with conduct problems (CP) and high levels of callous-unemotional (CU) traits are characterized by blunted reactivity to other people's emotions, while children with CP and low levels of CU traits can over-react to perceived emotional threat. No study to date has compared children with CP and high vs. low levels of CU traits to typically (...) developing (TD) children or each other, using a task that assesses attentional capture by irrelevant emotional faces. -/- Method: All participants performed an attentional capture task in which they were asked to judge the orientation of a single male face that was displayed simultaneously with two female faces. Three types of trials were presented, trials with all neutral faces, trials with an emotional distractor face and trials with an emotional target face. Fifteen boys with CP and high levels of CU traits, 17 boys with CP and low levels of CU traits and 17 age and ability matched TD boys were included in the final study sample. -/- Results: Compared to TD children and children with low levels of CU traits, children with CP and high levels of CU traits showed reduced attentional capture by irrelevant emotional faces. -/- Conclusions: This study is the first to demonstrate a different pattern in emotional attentional capture in children with CP depending on their level of CU traits. (shrink)

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Se analizan las políticas medio ambientales e indígenas durante el período 1990- 2010 de gobiernos de la Concertación, los tratados internacionales sobre el medio ambiente que inciden en el uso de recursos naturales en territorios huilliche. Se concluye que la política pública medioambiental, por su naturaleza reactiva, en el contexto de los mercados globales, se ha visto sobrepasada por la hegemonía del poder de las transnacionales que invierten en los commodities forestal, minero, agropecuario, amparadas por una legislación ambiental débil y (...) un discurso político obsecuente. (shrink)

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Proponents of the emerging field of P4 medicine argue that computational integration and analysis of patient-specific “big data” will revolutionize our health care systems, in particular primary care-based disease prevention. While many ambitions remain visionary, steps to personalize medicine are already taken via personalized genomics, mobile health technologies and pilot projects. An important aim of P4 medicine is to enable disease prevention among healthy persons through detection of risk factors. In this paper, we examine the current status of P4 medicine (...) in light of historical and current challenges to predictive and preventive medicine, including overdiagnosis and overtreatment. Moreover, we ask whether it is likely that in silico integration of patient-specific data will be able to better deal such challenges and to turn risk predictions into disease-preventive actions in a wider social context. Given the lack of evidence that P4 medicine can tip the balance between benefits and harms in preventive medicine, we raise concerns about the current promotion of P4 medicine as a solution to the current challenges in public health. (shrink)

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RESUMEN El concepto heterotopía, definido por Michel Foucault como espacio otro, es retomado en este artículo, desde un enfoque crítico, para analizar los procesos de construcción, gestión y puesta en marcha del Museo Itinerante de la Memoria y la Identidad de Los Montes de María, El Mochuelo. Bajo la premisa de que el desarrollo de los procesos de memorialización debe atenderse más allá del cumplimiento normativo por parte del Estado, puesto que estas prácticas de memoria territoriales en El Mochuelo subvierten (...) el estatismo y la homogeneidad con los cuales se instauran las verdades oficiales. ABSTRACT Heterotopia concept, defined by Michel Foucault as another space, is taken up in this article to analyze the processes of construction, management, and implementation of the Museo Itinerante de la Memoria y la Identidad de Los Montes de María, El Mochuelo (Itinerant Museum of Memory and Identity of Los Montes de María, El Mochuelo). Under the premise that the development of memorialization processes must be addressed beyond regulatory compliance by the State since these territorial memory practices in El Mochuelo subvert the statism and homogeneity with which official truths are established. (shrink)

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Arguments of stability, intended in a wide sense, including the discussion of the conditions of the onset of instability and of stability changes, play a central role in the main theorizations of morphogenesis in 20th century theoretical biology. The aim of this essay is to shed light on concepts and images mobilized in the construction of arguments of stability in theorizing morphogenesis, since they are pivotal in establishing meaningful relationships between mathematical models and empirical morphologies.

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I will argue the free market in babies or in women's bodies created by an institution of paid surrogate motherhood is contrary to Kantian principles of personhood and to the feminist principle that men do not have-and cannot gain through contract, marriage, or payment of money-a right to the sexual or reproductive use of women's bodies.

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This book is composed of research presented at the fourth international Queering Paradigms Conference (QP4), held in Rio de Janeiro, Brazil. It intends to contribute to building a queer postcolonial critique of the current politics of queer activism and of queer knowledge production and circulation.

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