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Health equity is a global concern. Although health equity extends far beyond the equitable distribution of healthcare, equitable access to healthcare is essential to the achievement of health equity. In Canada, Indigenous Peoples experience inequities in health and healthcare access. Cultural safety and trauma‐ and violence‐informed care have been proposed as models of care to improve healthcare access, yet practitioners lack guidance on how to implement these models. In this paper, we build upon an existing framework of equity‐oriented care for (...) primary healthcare settings by proposing strategies to guide nurses in operationalizing cultural safety and trauma‐ and violence‐informed care into nursing practice at the individual level. This component is one strategy to redress inequitable access to care among Indigenous Peoples in Canada. We conceptualize barriers to accessing healthcare as intrapersonal, interpersonal, and structural. We then define three domains for nursing action: practicing reflexivity, prioritizing relationships, and considering the context. We have applied this expanded framework within the context of Indigenous Peoples in Canada as a way of illustrating specific concepts and focusing our argument; however, this framework is relevant to other groups experiencing marginalizing conditions and inequitable access to healthcare, and thus is applicable to many areas of nursing practice. (shrink)

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As nursing professionals, we believe access to healthcare is fundamental to health and that it is a determinant of health. Therefore, evidence suggesting access to healthcare is problematic for many Indigenous peoples is concerning. While biomedical perspectives underlie our current understanding of access, considering alternate perspectives could expand our awareness of and ability to address this issue. In this paper, we critique how access to healthcare is understood through a biomedical lens, how a postcolonial theoretical lens can extend that understanding, (...) and the subsequent implications this alternative view raises for the nursing profession. Drawing on peer‐reviewed published and gray literature concerning healthcare access and Indigenous peoples to inform this critique, we focus on the underlying theoretical lens shaping our current understanding of access. A postcolonial analysis provides a way of understanding healthcare as a social space and social relationship, presenting a unique perspective on access to healthcare. The novelty of this finding is of particular importance for the profession of nursing, as we are well situated to influence these social aspects, improving access to healthcare services broadly, and among Indigenous peoples specifically. (shrink)

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Inequities in access to oncology care among Indigenous peoples in Canada are well documented. Access to oncology care is mediated by a range of factors; however, emerging evidence suggests that healthcare providers, including nurses, play a significant role in shaping healthcare access. The purpose of this study was to critically examine access to oncology care among Indigenous peoples in Canada from the perspective of oncology nurses. Guided by postcolonial theoretical perspectives, interpretive descriptive and critical discourse analysis methodologies informed study design (...) and data analysis. Oncology nurses were recruited from across Canada to complete an online survey (n = 78). Nurses identified a range of barriers experienced by Indigenous peoples when accessing oncology care, yet located these barriers primarily at the individual and systems levels. Nurses perceived themselves as mediators of access to oncology care; however, their efforts to facilitate access to care were constrained by the dominance of biomedicine within healthcare. Nurses' constructions of access to oncology care highlight the embedded narrative of individualism within nursing practice and the relative invisibility of racism as a determinant of equitable access to care among Indigenous peoples. This suggests a need for oncology nurses to better understand and incorporate structural determinants of health perspectives. (shrink)

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This essay contends that the debate between subjectivism and objectivism in ethics is better understood as a dispute among three alternatives: subjectivism, objectivism, and intrinsicism. Ayn Rand has identified intrinsicism – the belief that certain things are good “in, by, and of” themselves – as the doctrine that is actually operative in many defenses of moral objectivity. What intrinsicism fails to appreciate, however, is the significant role of the subject, the person to whom and for whom anything can be valuable. (...) Objective value, in Rand's view, is relational. Its existence depends on contributions of both external reality and human consciousness. Values are not reducible to psychological states, as in subjectivism, but nor are they independent of them, as in intrinsicism. Objectivity in ethics is attained neither through revelation of the intrinsic property of goodness nor through the subject's creation of goodness, but through a rational procedure of evaluation that is governed by the method of objectivity. This essay is in three parts, explaining Rand's view of exactly what intrinsicism is; elaborating on her view of the nature of moral objectivity; and highlighting certain features that make plain the differences between an intrinsicist and an objectivist account of value. (shrink)

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Omar Khadr was arrested at the age of 15 by the U.S military and has remained in custody in Guantanamo for 8 years. Today, he plead guilty to five war crime charges. Despite stating in open court last summer that he would not plead guilty, today he muttered a confession. In accordance with the plea bargain, Khadr plead guilty to murder, attempted murder, conspiracy, providing material support to terrorists, and spying. Following this, a jury imposed the harshest possible sentence, 40 (...) years imprisonment. Khadr may receive parole after eight years. The first year of this sentence will be served in Gauntanamo, following which he may be repatriated. The government of Canada does not have to repatriate Khadr, nor is parole guaranteed. Rather than hypothesizing outcomes, I want to discuss the case philosophically. (shrink)

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The recent report of the AMA Council on Ethical and Judicial Affairs (CEJA), “Professionalism in the Use of Social Media,” describes the types of social media medical professionals use, outlines ways in which existing AMA policies address issues of online professionalism, and makes a list of recommendations for physicians to maintain online professionalism. CEJA recommends directed efforts towards educating physicians about the benefits and pitfalls of social media and, in particular, underscores the difficulties of maintaining professional boundaries in the digital (...) age. In this commentary, we highlight issues introduced by the report and suggest some specific ways that the recommendations of the committee can be implemented by medical schools, residency programs, and practicing physicians. (shrink)

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In this groundbreaking collection of articles,Tara Chatterjea brings Indian philosophy into proximity with contemporary analytic thought.

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We prove that every usco multimap $$\varPhi :X\rightarrow Y$$ Φ : X → Y from a metrizable separable space X to a GO-space Y has an $$F_\sigma $$ F σ -measurable selection. On the other hand, for the split interval $${\ddot{\mathbb I}}$$ I ¨ and the projection $$P:{{\ddot{\mathbb I}}}^2\rightarrow \mathbb I^2$$ P : I ¨ 2 → I 2 of its square onto the unit square $$\mathbb I^2$$ I 2, the usco multimap $${P^{-1}:\mathbb I^2\multimap {{\ddot{\mathbb I}}}^2}$$ P - 1 : (...) I 2 ⊸ I ¨ 2 has a Borel selection if and only if the Continuum Hypothesis holds. This CH-example shows that know results on Borel selections of usco maps into fragmentable compact spaces cannot be extended to a wider class of compact spaces. (shrink)

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In the article the author analyzed changes in the confessional life of the Rome-Catholic Church in the territory of western regions of Ukraine in 1953–1958 years. Investigating features of the relationship between the soviet authorities and the Roman Catholics in the period liberalization social and political life in the USSR.

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В огляді подано головні переклади класики філософської літератури за попередні роки. Публікації здійснено у співпраці з фондом «Міжвухами» та видавництвом «Темпора». Головну увагу сфокусовано на творах Емануеле Северино, Ібн Сіни, Генрі Девіда Торо та Едмунда Гуссерля.

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Пропонована стаття розкриває нові аспекти розуміння історичного процесу та відгуку людської спільноти на них. Адаптаційні процеси, згідно з історичною антропологією, можуть виявлятися в мистецтві та ритуалі. У контексті цієї статті автор розглядає танець, хореографічне мистецтво, як безпосередню реакцію людей на швидкі зміни історичних обставин. Це надає можливість визначати танець як надзвичайно важливий маркер реакції спільноти на нові обставини, у яких ця спільнота опинилася.

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We investigated the impact of frequency of interruptions in a simulated medical visual search task. Participants performed the visual search task during which they were interrupted by a number-classification task in 25, 50, or 75% of all trials, respectively, reflecting the frequency conditions. Target presence and interruption were varied within-subjects, and interruption frequency was varied between-subjects. Globally, on a frequency condition level, participants in the low frequency condition had longer mean response times for the primary visual search task than in (...) the high condition, but there were no other performance differences between the three frequency conditions. Locally, on the level of specific interruption effects, accuracy decreased directly after interruptions for target present but not for target absent trials. Furthermore, interruptions caused significant interruption costs, reflected in slower overall RTs in interrupted than in uninterrupted trials. The combined findings show that especially for critical visual search tasks as in the medical field, interruptions—regardless of frequency—should be avoided. (shrink)

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Small but significant gender differences in emotion expressions have been reported for adults, with women showing greater emotional expressivity, especially for positive emotions and internalizing negative emotions such as sadness. But when, developmentally, do these gender differences emerge? And what developmental and contextual factors influence their emergence? This article describes a developmental bio-psycho-social model of gender differences in emotion expression in childhood. Prior empirical research supporting the model, at least with mostly White middle-class U.S. samples of youth, is presented. Limitations (...) to the extant literature and future directions for research on gender and child emotion are suggested. (shrink)

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This paper explores the work of Nicolas Rashevsky, a Russian émigré theoretical physicist who developed a program in "mathematical biophysics" at the University of Chicago during the 1930s. Stressing the complexity of many biological phenomena, Rashevsky argued that the methods of theoretical physics -- namely mathematics -- were needed to "simplify" complex biological processes such as cell division and nerve conduction. A maverick of sorts, Rashevsky was a conspicuous figure in the biological community during the 1930s and early 1940s: he (...) participated in several Cold Spring Harbor symposia and received several years of funding from the Rockefeller Foundation. However, in contrast to many other physicists who moved into biology, Rashevsky's work was almost entirely theoretical, and he eventually faced resistance to his mathematical methods. Through an examination of the conceptual, institutional, and scientific context of Rashevsky's work, this paper seeks to understand some of the reasons behind this resistance. (shrink)

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The aim of this study was to investigate the ethical dilemma of prioritising financial resources to expensive biological therapies. For this purpose, the four principles of biomedical ethics formulated by ethicists Tom Beauchamp and James Childress were used as a theoretical framework. Based on arguments of justice, Beauchamp and Childress advocate for a health care system organised in line with the Danish system. Notably, our study was carried out in a Danish setting.

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CHAPTER ONE LIFE The extant evidence about Speusippus' life is scanty, and little of it is reliable. The reasons are not difficult to discover : the greater ...

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In the article of Diduh T. H. ―The position of the Catholic denominations in Ukraine in 1953–1964 gg: historiographical review of the problem‖ analyzed the works of domestic researchers on the history of Catholic denominations in Ukraine. Focuses on the analysis of historiographical works, which cover the position of the Roman Catholic and Greek Catholic churches in the area of the western regions of Ukraine for 1953–1964 years.

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Narrative Medicine in Hospice Care argues that the models of selfhood and care found in the work of Paul Ricoeur can serve as a framework for clinicians, caregivers, and end-of-life patients regardless of the patients’ verbal and cognitive capabilities.

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This book explores Walter Benjamin, Siegfried Kracauer and Alexander Kluge's analyses of the role that a rejuvenation in the capacity for imagination can play in encouraging us to reconceive the possibilities of the past, the present, and the future outside of the parameters of the status quo. The concept of imagination to which the title of the book refers is not a strictly defined, stable concept, but rather a term which is employed to refer to a capacity that facilitates both (...) an active, creative relationship to one's environment, and a process of mediation between the outside world and one's own experiences and memories. Through a detailed analysis of their engagements with subjects that span a broad range of historical and thematic contexts (including topics as diverse as literature, children's play, film, photography, history, and television) the book charts the extent to which the concept of imagination plays a central role in Benjamin, Kracauer, and Kluge's explorations of a mode of perception and experience which could serve as a catalyst for the creation and sustenance of a desire for a different kind of future. (shrink)

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У статті здійснено критичний розгляд концепції функціонального існування цінностей Манфреда Фрінґса, яка є спробою прояснення способу буття цінностей у феноменологічній аксіології Макса Шелера. У центрі уваги перебуває завдання дослідження онтологічних передумов інтерпретації Фрінґса, експлікації її внутрішніх суперечностей та проблематичних концептуальних наслідків. Показано, що інтерпретація Фрінґса не враховує принципове для феноменологічної аксіології розрізнення реального та ідеального аксіологічного вимірів; це неврахування й визначає дві основні тези Фрінґсової концепції – тезу про буття цінностей як досвідну даність і тезу про функціональне існування цінностей. Показано, (...) що послідовне відстоювання обох тез породжує неусувні суперечності. Редукція буття цінностей до даності в досвіді, а відтак заперечення ідеального виміру цінностей, унеможливлює леґітимну апеляцію до автономного морального принципу, руйнуючи таким чином ідею ціннісного абсолютизму, визначальну для етичного проекту Шелера; крім того, онтологічна іманентизація цінностей підважує статус сутностей, ставлячи під сумнів правомірність феноменологічних претензій на строге ейдетичне пізнання. Своєю чергою, інша теза Фрінґсової концепції – про функціональне існування цінностей – містить латентне припущення поза-досвідного буття цінностей, вступаючи у суперечність із попередньою тезою про їхнє суто досвідне буття. При цьому ідея функціонального існування має своїм наслідком змістове ототожнення «трансцендентних» та іманентних цінностей, що усуває ідею критеріологічної автономії, можливої лише за матеріальної та онтологічної нетотожності нормативного та фактичного. Стаття включає вступ, шість тематичних розділів і висновок. (shrink)

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Cet article analyse les premiers exemples de testaments, actes de cession et autres documents notariés par lesquels des femmes réduites en esclavage puis libérées ont reçu des biens fonciers et des biens matériels à la fin du xviie et au début du xviiie siècle à la Barbade. Comme cette première période a été marquée par le développement de la société esclavagiste barbadienne et la croissance de la communauté des libres de couleur, ces documents donnent un aperçu des relations établies avec (...) les propriétaires d’esclaves et l’administration coloniale. L’une de ces séries documentaires concerne « Free Jenny » ou Jane Hallett qui résidait vers 1690-1740 dans la région connue sous le nom de « The Cameroons » ainsi que Sarah Hallett qui résidait à proximité de Halletts à Saint Michael. On y voit de quelle façon la terre se transmettait des élites blanches masculines à leurs familles blanches et non-blanches. On y voit aussi combien ces legs de terre étaient ténus. Mais ce type de document transmet également la voix des femmes libres ainsi que celle de certaines esclaves à travers les temps. (shrink)

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The article focuses on the historical, psychological, anthropological, and sociocultural aspects of the phenomenon of a double. Compared with other beings, a human is constantly forming strategies for the realization of his or her freedom. Therefore, human beings do not adapt to the world but create unusual projections of themselves. As a result, there are specific models of entering into the Being, based on a symbolic construction. Symbolism as the main component of duplication is the central point of the study. (...) The symbol allows us to intermediate various important formations of human existence, and to combine contradictory components. Reflection on the role of doubling in human existence is the main approach of this study. A human creates numerous symbolic images such as twins, a mask, a doll, the right and left hand, a mirror, a shadow. Since ancient times, people project themselves into other dimensions, go beyond the usual space and temporal coordinates, push their boundaries, and try to prolong their existence. Doubling helps individuals to assert themselves, find successful forms of life protection, get support in extreme situations, obtain new characteristics, exam the ideal modes of their prototypes. The appearance of a double does not necessarily mean a precise copy of oneself. Rather, it means exploration for a balance, a way to combine the opposites through continuous mediation, comparing oneself with the Other, and understanding one’s own alienation. Reduplication allows people to change, improve, overcome one- dimensionality, construct the identity, and achieve the fullness of their personality. This ability causes self-actualization, self-knowledge, self-awareness, and meaningful self-observation. Duality uncovers the physiological and mental asymmetry of the human being, helps to distinguish between real and virtual, facilitates social adaptation, promotes self-esteem, delineation, and localization of negative manifestations.Manuscript received 11.08.2020. (shrink)

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This paper assesses the impact of the Giving Voice to Values (GVV) program. The GVV program takes a very different approach to ethics education and shifts the focus from the traditional why actions are unethical to how one can effectively resolve ethical conflict. The GVV program encourages reflection on potential actions and reactions through practice with voicing one’s values. We chose to implement this program in an advanced financial accounting course and encouraged our students to voice their values through scripted (...) role-plays. After implementing this program and empirically assessing the impact of the ethics intervention, we find that students are more likely to speak up and confront unethical actions by voicing their values to internal management, the CFO, and company hotlines after completing the module. While not a primary focus of the study, the intervention also appears to have increased the students’ ability to recognize and increase their sensitivity to ethical issues. (shrink)

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Today's sweatshops violate our notions of justice, yet they continue to flourish. This is so because we have not settled on criteria that would allow us to condemn and do away with them and because the poor working conditions in certain places are preferable to the alternative of no job at all. In this paper, we examine these phenomena. We consider the definitional dilemmas posed by sweatshops by routing a standard definition of sweatshops through the precepts put forward in the (...) literature on justice and virtue ethics. We conclude that fixing on definitions is pointless and misleading and that we are better off looking at whether or not a workplace violates the basic human rights of workers and whether or not the working conditions there cohere with situations on which we have already rendered judgments. In the end, we suggest guidelines for businesses that operate in the global workplace to help them avoid charges of running sweatshops. These recommendations account for the harsh living conditions in certain developing and emerging countries as well as the norms of societies in developed countries. (shrink)

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Viable Values examines the most basic foundations of value and morality, demonstrating the shortcomings of major traditional views and proposing that morality is grounded in the objective requirements of human life. Smith argues that morality depends on a proper understanding of the concept of values, and that values depend on the alternative of life or death. She proposes that human beings need to be moral in order to live, explaining how life is the standard of morality, how flourishing is the (...) proper end and reward of living morally, and how an intelligent egoism is the path to flourishing. (shrink)

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In this article, I argue that the medical conceptualization of gender identity in the United States has entered a “new regime of truth.” Drawing from a mixed-methods analysis of medical journals, I illuminate a shift in the locus of gender identity from external genitalia and pathologization of families to genes and brain structure and individualized self-conception. The sexed body itself has also undergone a transformation: Sex no longer resides solely in genitalia but has traveled to more visible parts of the (...) body, implicating racialized aesthetic ideals in its new formulation. The re-imagining of gender identity as genetically and neurologically inscribed and the expanding locus of sex correspond to an inversion of the relationship between gender identity and the sexed body as well as shifts in medical jurisdiction. Whereas psychiatrists in the 1960s, ’70s, and ’80s understood gender as stemming from genital sex, the less popular idea that gender identity precedes the sexed body has gained traction in recent decades. If gender identity once derived from the sexed body, the sexed body must now be brought into alignment with gender identity. The increasing legitimacy of self-defined gender identity, the expanding definition of racialized sex, and the inversion of the sex–gender identity relationship elevates the role of surgeons in producing racialized and sexed bodies. (shrink)

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Interview of Veronica Pugach with Taras Lyuty about the project to support philosophical translation, launched by the Cultural Institution "Mizhvukhamy".

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Educational analysts need new ways to engage with policy processes in a networked world of complex transnational connections. In this discussion,Tara Fenwick and Richard Edwards argue for a greater focus on materiality in educational policy as a way to trace the heterogeneous interactions and precarious linkages that enact policy as complex manifestations. In particular, Fenwick and Edwards point to the methodologies of actor-network theory (ANT), at least in its most recent permutations, as a useful approach to materiality in (...) policy analysis. Published examples of educational policy studies drawing from these methodologies are beginning to appear. In reviewing these, we argue that ANT sensibilities help to make visible the sociomaterial assemblages—the “messy objects”—that enact policy, the micro-negotiations that mobilize and stabilize (and destabilize) these assemblages, and the multiple ontologies that often coexist in policy environments. Fenwick and Edwards conclude with a discussion of methodological issues for working with concepts of ontological variance and messy objects in educational policy. (shrink)

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_Purpose:_ This study examined the relationship between the near dissociated phoria and disparity vergence eye movements. Convergence insufficiency (CI) patients before vergence therapy were compared to: (1) the same patients after vergence therapy; and (2) binocularly normal controls (BNC). _Methods:_ Sixteen subjects were studied—twelve BNC and four with CI. Measurements from the CI subjects were obtained before and after 18 h of vergence eye movement therapy. The near dissociated phoria was measured using the flashed Maddox rod technique. Vergence responses were (...) stimulated from 4° symmetrical disparity vergence step stimuli. The peak velocity of the vergence response and the magnitude of the fusion initiating component (FIC) from an independent component analysis (ICA) were calculated. A linear regression analysis was conducted studying the vergence peak velocity as a function of the near dissociated phoria where the Pearson correlation coefficient was computed. _Results:_ Before vergence therapy, the average with one standard deviation FIC magnitude of convergence responses from CI subjects was 0.29° ± 0.82 and significantly less than the FIC magnitude of 1.85° ± 0.84 for BNC ( p t -test reported that the FIC and near dissociated phoria before vergence therapy for CI subjects significantly increased to 1.49° ± 0.57 ( p p r = 0.87; p _Conclusion:_ The results have clinical translational impact in understanding the mechanism by which vergence therapy may be changing the vergence system leading to a sustained reduction in visual symptoms. (shrink)

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The article deals with the historical, cultural and anthropological aspects of the notion of mimesis. It is often considered to be an aesthetic phenomenon and a signified imitation or a doubling. However, such simplification cannot be justified in all instances. Something is always lost when trying to reduce mimesis to simple mechanical imitation. In antiquity, mimesis was not confined to aesthetics but acquired anthropological significance and had an impact on social or pedagogical processes. In this study, mimesis plays, primarily, an (...) anthropological function. It means that, like many other cultural phenomena, mimesis is most ambivalent, as it is capable of leading to conformism, or vice versa, it can have a powerful heuristic potential for a certain experience. Plato and Aristotle looked at art through the prism of mimesis and contrasted it with such types of cognition as science and history, since they were associated with truth and reality. However, Stagirite criticizes Platonism. In his view, mimesis does not radically confront the mind. Mimetic processes allow us to connect different worlds with the ability to imitate and to be different. Such diversity is formatting the core of social life. People can use the imagination and the ability to create their own worlds, which allows them to join the society. Varieties of mimesis are performance, ritual, and gesture. They all allow us to play different types of behavior, similar and at the same time different. Mimetic processes help to reach beyond the world, to recognize others, to realize their aspirations, and to re-build experience. However, sometimes a person is not used to certain forms of imitation. Then there is a desire for weak reproduction and simulation, and then mimesis degenerates into mimicry, which is expressed in the form of adaptation. Thus, mimetic processes are not only connected to the ability of copying but also reveal rational patterns of thought. Finally, mimesis helps a human to expand himself/herself. Manuscript received 15.02.2020. (shrink)

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The article is an attempt at a philosophical interpretation of the literary text. Its task is to identify the principles of the human self, which are presented in classical literature, in Homer’s “Iliad” and “Odyssey” and Dante’s “Divine Comedy”. The study provides an analysis of the archetypal narrative structure to which the model of human development with three components is applied. The correspondence of the heroes to this typology, which is not the final measure of the human, but resembles the (...) “ideal types” according to Max Weber, has been traced in the research. The dynamics of the development of the inner world of a human being, which corresponds to the plot of the journey, is analyzed. That is not a journey only in physical space, but an inner path too that a person overcomes in a gradual process of self-awareness. It has been found that the works of Homer and Dante can be interpreted as not implying a developed and independent personality. On the other hand, the characters demonstrate the key factors of change that occur within the one who forms the traits of self-sufficiency. The study succeeds in constructing a psychological map that allows outlining not a stable type, but rather different personality horizons. There are certain human aspirations of the man to be the creator of the self. However, such motivations involve not only a number of arbitrary manifestations of human beings but also the establishment of a measure for themselves. Initially, these intentions are carried out without self-absorption, reflection, and self-assessment. After all, unrestrained and unbalanced human temperament for a long time remains subject to higher forces and is significantly limited by this supreme power. Nevertheless, a human eventually comes to the need for self-knowledge and establishes a balance between rational and unconscious manifestations. People succeed in getting out of the circle of self-forgetfulness by overcoming various forms of alienation, loneliness, narcissism, self-contradiction, negligence, arrogance. Self-control is achieved by truth about oneself, overcoming fear, recognizing the effects of temptation and passion. The human attitude to the Other becomes possible due to freedom and love as cardinal manifestations of the active component of the self. (shrink)

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The purpose of this panel is to engage an increasingly multidisciplinary audience in a developing conversation about the relationship between business and peace. Topics covered will include an overview of existing scholarship; an examination the connection between stakeholder thinking and a more robust understanding of the firm; an inquiry into workplaces, work, and workers; and an exploration of the multifaceted role of technology. Our goal is to provoke further discussion of these topics and others to become part of the ongoing (...) conversation and newly developing body of scholarship. (shrink)

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In elegy 4.9, Propertius connects the story of Hercules' transvestism to some of Rome's most ancient and venerable sites: the Ara Maxima, the subject of the poem's aition, and the sanctuary of the Bona Dea, where the poem's action takes place. These locations resonate with Rome's traditional gender roles and with the Augustan urban renovation. This essay argues that Propertius' use of monuments in 4.9 responds to and challenges the Princeps' use of Roman places as a means to solidify his (...) position in the new Rome, thereby establishing the poet as the Princeps' rival in creating urban meaning. (shrink)

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