Luther En Bernardus Van Clairvaux.Theo M. M. A. C. Bell -2002 -Bijdragen 63 (3):253-280.detailsIn this article the Reformer Martin Luther is to be situated against the backdrop of his medieval theological context – considering especially Bernard of Clairvaux. It is well-known that he held in great esteem Bernard and the theology he represented. First of all, Luther's relationship to Bernard is to be investigated by way of a historiographic review of the research that was done in the past 150 years. How did one consider Luther’s attitude toward Bernard, and how did Luther research (...) specifically value this attitude? In this research, denominational positions appear to have played a important role. Secondly, the attempt is made here to sketch Bernard’s place in Luther’s own tradition. Next to the medieval scholastic theology, there were diverse other influences that became important for the young Luther. Bernard’s specific place within the complexity of medieval traditions is to be determined. This is being explained by presenting seven significant texts mainly from Luther’s works, which are added to this article. Finally, the attempt is made to determine more closely Bernard’s place in Luther’s theology between Scholasticism and Mysticism. If one wants to do justice to Bernard in Luther's works, one must take into consideration the way in which Luther has perceived him, namely as a theologian of the Scriptures, a theologian of experience and a preacher of Christ par excellence along the lines of monastic theology. (shrink)
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Bernhard Von Clairvaux Als Quelle Martin Luthers.Theo M. M. A. C. Bell -1995 -Bijdragen 56 (1):2-18.detailsIt is a well-known fact that the reformer Martin Luther highly esteemed Bernhard of Clairvaux. But what exactly was the significance of Bernhard for him? During the last years some Luther scholars became highly interested in the theological and historical relations between these two remarkable theologians. Recently Franz Posset published an article on this subject in Luther Jahrbuch. He discusses Bernhard of Clairvaux's Sermons of Christmas-time, Lent- and Easter-time as a source for Martin Luther.Theo Bell contributes to this (...) discussion firstly by examining some of the references, which are given by Posset. Did Luther refer to the Bernards second Easter sermon indeed? Was he not familiar at all with his Lenten sermons on Ps. 90? Secondly he argues, that Posset's statement, that Luther is a Bernardus redivivus, is a questionable one. Finally: the main question to the relation Luther-Bernard no longer is: did Luther read Bernard's writings and which ones did he explicitely know, but how did he read and understand them from his sixteenth century point of view? This reception problem should get the proper attention it deserves. (shrink)
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Nurturing Cultural Change in Care for Older People: Seeing the Cherry Tree Blossom.Miranda M. W. C. Snoeren,Bienke M. Janssen,Theo J. H. Niessen &Tineke A. Abma -2016 -Health Care Analysis 24 (4):349-373.detailsThere is a need for person-centred approaches and empowerment of staff within the residential care for older people; a movement called ‘culture change’. There is however no single path for achieving culture change. With the aim of increasing understandings about cultural change processes and the promotion of cultural values and norms associated with person-centred practices, this article presents an action research project set on a unit in the Netherlands providing care for older people with dementia. The project is presented as (...) a case study. This study examines what has contributed to the improvement of participation of older people with dementia in daily occupational and leisure activities according to practitioners. Data was collected by participant observation, interviews and focus groups. The results show that simultaneous to the improvement of the older people’s involvement in daily activities a cultural transformation took place and that the care became more person-centred. Spontaneous interactions and responses rather than planned interventions, analysis and reflection contributed to this. Furthermore, it proved to be beneficial that the process of change and the facilitation of that process reflected the same values as those underlying the cultural change. It is concluded that changes arise from dynamic, interactive and non-linear processes which are complex in nature and difficult to predict and to control. Nevertheless, managers and facilitators can facilitate such change by generating movement through the introduction of small focused projects that meet the stakeholders’ needs, by creating conditions for interaction and sense making, and by promoting the new desired cultural values. (shrink)
The danger of dangerousness: why we must remove the dangerousness criterion from our mental health acts.M. M. Large,C. J. Ryan,O. B. Nielssen &R. A. Hayes -2008 -Journal of Medical Ethics 34 (12):877-881.detailsObjectives: The mental health legislation of most developed countries includes either a dangerousness criterion or an obligatory dangerousness criterion (ODC). A dangerousness criterion holds that mentally ill people may be given treatment without consent if they are deemed to be a risk to themselves or others. An ODC holds that mentally ill people may be given treatment without consent only if they are deemed to be a risk to themselves or others. This paper argues that the dangerousness criterion is unnecessary, (...) unethical and, in the case of the ODC, potentially harmful to mentally ill people and to the rest of the community. Methods: We examine the history of the dangerousness criterion, and provide reasoned argument and empirical evidence in support of our position. Results: Dangerousness criteria are not required to balance the perceived loss of autonomy arising from mental health legislation. Dangerousness criteria unfairly discriminate against the mentally ill, as they represent an unreasonable barrier to treatment without consent, and they spread the burden of risk that any mentally ill person might become violent across large numbers of mentally ill people who will never become violent. Mental health legislation that includes an ODC is associated with a longer duration of untreated psychosis, and probably contributes to a poorer prognosis and an increase risk of suicide and violence in patients in their first episode of psychosis. Conclusions: Dangerousness criteria should be removed from mental health legislation and be replaced by criteria that focus on a patient’s capacity to refuse treatment. (shrink)
Teaching ethics in the clinic. The theory and practice of moral case deliberation.A. C. Molewijk,T. Abma,M. Stolper &G. Widdershoven -2008 -Journal of Medical Ethics 34 (2):120-124.detailsA traditional approach to teaching medical ethics aims to provide knowledge about ethics. This is in line with an epistemological view on ethics in which moral expertise is assumed to be located in theoretical knowledge and not in the moral experience of healthcare professionals. The aim of this paper is to present an alternative, contextual approach to teaching ethics, which is grounded in a pragmatic-hermeneutical and dialogical ethics. This approach is called moral case deliberation. Within moral case deliberation, healthcare professionals (...) bring in their actual moral questions during a structured dialogue. The ethicist facilitates the learning process by using various conversation methods in order to find answers to the case and to develop moral competencies. The case deliberations are not unique events, but are a structural part of the professional training on the work floor within healthcare institutions. This article presents the underlying theory on ethics and illustrates this approach with an example of a moral case deliberation project in a Dutch psychiatric hospital. The project was evaluated using the method of responsive evaluation. This method provided us with rich information about the implementation process and effects the research process itself also lent support to the process of implementation. (shrink)
Dutch experience of monitoring active ending of life for newborns.H. M. Buiting,M. A. C. Karelse,H. A. A. Brouwers,B. D. Onwuteaka-Philipsen,A. van Der Heide &J. J. M. van Delden -2010 -Journal of Medical Ethics 36 (4):234-237.detailsIntroduction In 2007, a national review committee was instituted in The Netherlands to review cases of active ending of life for newborns. It was expected that 15–20 cases would be reported. To date, however, only one case has been reported to this committee. Reporting is essential to obtain societal control and transparency; the possible explanations for this lack of reporting were therefore explored. Methods Data on end-of-life decision-making were scrutinised from Dutch nation-wide studies (1995, 2001 and 2005), before institution of (...) the committee. Physicians received a questionnaire about their medical decision-making for stratified samples of deceased infants up to 1 year, drawn from the central death registry. Results In 2005, 58% of all deaths were preceded by an end-of-life decision, compared with 68% in 2001 and 62% in 1995. The use of drugs with a possible life-shortening effect tended to be lower. In 2005, all four cases in the study in which an infants' life was actively ended were preceded by a decision to forego life-prolonging treatment. In three cases, the infant's life expectancy was short; one case involved a longer life expectancy. Discussion The expected number of cases is probably an overestimation due to changes in medical practice such as the tendency to attribute less life-shortening effects to opioids. The lack of reports is probably also associated with requirements in the regulation; it may be difficult to fulfil them due either to time constraints or the nature of the suffering that is addressed. If societal control of active ending of life is considered useful, changes in the regulation may be needed. (shrink)
Client Participation in Moral Case Deliberation: A Precarious Relational Balance. [REVIEW]F. C. Weidema,T. A. Abma,G. A. M. Widdershoven &A. C. Molewijk -2011 -HEC Forum 23 (3):207-224.detailsMoral case deliberation (MCD) is a form of clinical ethics support in which the ethicist as facilitator aims at supporting professionals with a structured moral inquiry into their moral issues from practice. Cases often affect clients, however, their inclusion in MCD is not common. Client participation often raises questions concerning conditions for equal collaboration and good dialogue. Despite these questions, there is little empirical research regarding client participation in clinical ethics support in general and in MCD in particular. This article (...) aims at describing the experiences and processes of two MCD groups with client participation in a mental healthcare institution. A responsive evaluation was conducted examining stakeholders’ issues concerning client participation. Findings demonstrate that participation initially creates uneasiness. As routine builds up and client participants meet certain criteria, both clients and professionals start thinking beyond ‘us-them’ distinctions, and become more equal partners in dialogue. Still, sentiments of distrust and feelings of not being safe may reoccur. Client participation in MCD thus requires continuous reflection and alertness on relational dynamics and the quality of and conditions for dialogue. Participation puts the essentials of MCD (i.e., dialogue) to the test. Yet, the methodology and features of MCD offer an appropriate platform to introduce client participation in healthcare institutions. (shrink)
Code of Ethics for Politicians.A. Argandoña,N. Bilbeny,V. Camps,M. Calsina,Castiñeira À,C. Palazzi,F. Requejo,R. Ribera,B. Román,F. Sàez,M. Seguró,F. Torralba,Vallès Jm &R. Thomas -2012 -Ramon Llull Journal of Applied Ethics 3 (3):9.detailsAntonio Argandoña, Norbert Bilbeny, Victòria Camps, Miquel Calsina, Àngel Castiñeira, Cristian Palazzi, Ferran Requejo, Raimon Ribera, Begoña Román, Ferran Sàez, Miquel Seguró, Francesc Torralba, Josep Maria Vallès, Rosamund Thomas Ramon Llull Journal of Applied Ethics 2012 3(3):9-16.
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Collective responsibility during a cholera outbreak: The case of Hammanskraal.A. E. Obasa,M. Botes &A. C. Palk -2023 -South African Journal of Bioethics and Law 16 (3):99-104.detailsThe transmission of cholera, a highly infectious disease, is closely linked to inadequate access to clean water and sanitation facilities, with resource-poor communities, including refugees, rural communities and temporary displacement camps particularly vulnerable to outbreaks. Any disruption in water and sanitation systems or a sudden surge in community size owing to displacement can spark a humanitarian and health crisis, elevating the risk of cholera transmission and possibly triggering a regional epidemic. Recently, Hammanskraal in Gauteng, South Africa, experienced such an epidemic. (...) A multifaceted approach is essential to minimise fatalities and effectively manage healthcare services in such health emergencies. This approach includes early detection, rapid response to contain outbreaks, and the effective deployment of technical support, advocacy, resource mobilisation and partnerships at local, national, and international levels. This paper explores the responsibilities of individuals, healthcare workers, communities and governments in addressing epidemics. It also delves into the concept of collective responsibility with regard to climate change and cholera, as part of the multifaceted approach for cholera prevention and control. While economic development, equal access to safe drinking water, and adequate sanitation are necessary for cholera control, major challenges persist in achieving the fundamental right to a healthy environment in the long term. We also discuss these obstacles and conclude with practical suggestions and recommendations for future cholera prevention. (shrink)
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Gene expression patterns in a novel animal appendage: The sea urchin pluteus arm.A. C. Love,M. E. Lee &R. A. Raff -2007 -Evolution & Development 9:51–68.detailsThe larval arms of echinoid plutei are used for locomotion and feeding. They are composed of internal calcite skeletal rods covered by an ectoderm layer bearing a ciliary band. Skeletogenesis includes an autonomous molecular differentiation program in primary mesenchyme cells (PMCs), initiated when PMCs leave the vegetal plate for the blastocoel, and a patterning of the differentiated skeletal units that requires molecular cues from the overlaying ectoderm. The arms represent a larval feature that arose in the echinoid lineage during the (...) Paleozoic and offers a subject for the study of gene co-option in the evolution of novel larval features. We isolated new molecular markers in two closely related but differently developing species, Heliocidaris tuberculata and Heliocidaris erythrogramma. We report the expression of a larval arm-associated ectoderm gene tetraspanin, as well as two new PMC markers, advillin and carbonic anhydrase. Tetraspanin localizes to the animal half of blastula stage H. tuberculata and then undergoes a restriction into the putative oral ectoderm and future location of the postoral arms, where it continues to be expressed at the leading edge of both the postoral and anterolateral arms. In H. erythrogramma, its expression initiates in the animal half of blastulae and expands over the entire ectoderm from gastrulation onward. Advillin and carbonic anhydrase are upregulated in the PMCs postgastrulation and localized to the leading edge of the growing larval arms of H. tuberculata but do not exhibit coordinated expression in H. erythrogramma larvae. The tight spatiotemporal regulation of these genes in H. tuberculata along with other ontogenetic and phylogenetic evidence suggest that pluteus arms are novel larval organs, distinguishable from the processes of skeletogenesis per se. The dissociation of expression control in H. erythrogramma suggest that coordinate gene expression in H. tuberculata evolved as part of the evolution of pluteus arms, and is not required for larval or adult development. (shrink)
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Beneath the straw: In defense of participatory adaptive management. [REVIEW]J. M. Evans,A. C. Wilkie &J. Burkhardt -2009 -Journal of Agricultural and Environmental Ethics 22 (2):169-180.detailsOur recent paper advocating adaptive management of invasive nonnative species (INS) in Kings Bay, Florida received detailed responses from both Daniel Simberloff, a prominent invasion biologist, and Mark Sagoff, a prominent critic of invasion biology. Simberloff offers several significant lines of criticism that compel detailed rebuttals, and, as such, most of this reply is dedicated to this purpose. Ultimately, we find it quite significant that Simberloff, despite his other stated objections to our paper, apparently agrees with our argument that proposals (...) for alternative management of established INS (i.e., alternatives to minimization/eradication) should not be rejected on an a␣priori basis. We argue that more specific development and application of adaptive approaches toward INS management, whether in Kings Bay or other appropriate case studies, would be facilitated if ecosystem managers and invasion biologists follow Simberloff’s lead on this key point. While Sagoff largely shares (and, indeed, served as a primary source for developing) our general arguments that challenge common moral and scientific assumptions associated with invasion biology, he does question our suggestion that participatory adaptive management provides an appropriate framework for approaching environmental problems in which science and politics are inherently entangled. We attempt to answer this criticism through a brief sketch of what participatory adaptive management might look like for Kings Bay and how such an approach would differ from past management approaches. (shrink)
The Intermediate Neutrino Program.C. Adams, Alonso Jr,A. M. Ankowski,J. A. Asaadi,J. Ashenfelter,S. N. Axani,K. Babu,C. Backhouse,H. R. Band,P. S. Barbeau,N. Barros,A. Bernstein,M. Betancourt,M. Bishai,E. Blucher,J. Bouffard,N. Bowden,S. Brice,C. Bryan,L. Camilleri,J. Cao,J. Carlson,R. E. Carr,A. Chatterjee,M. Chen,S. Chen,M. Chiu,E. D. Church,J. I. Collar,G. Collin,J. M. Conrad,M. R. Convery,R. L. Cooper,D. Cowen,H. Davoudiasl,A. De Gouvea,D. J. Dean,G. Deichert,F. Descamps,T. DeYoung,M. V. Diwan,Z. Djurcic,M. J. Dolinski,J. Dolph,B. Donnelly,S. da DwyerDytman,Y. Efremenko,L. L. Everett,A. Fava,E. Figueroa-Feliciano,B. Fleming,A. Friedland,B. K. Fujikawa,T. K. Gaisser,M. Galeazzi,D. C. Galehouse,A. Galindo-Uribarri,G. T. Garvey,S. Gautam,K. E. Gilje,M. Gonzalez-Garcia,M. C. Goodman,H. Gordon,E. Gramellini,M. P. Green,A. Guglielmi,R. W. Hackenburg,A. Hackenburg,F. Halzen,K. Han,S. Hans,D. Harris,K. M. Heeger,M. Herman,R. Hill,A. Holin &P. Huber -unknowndetailsThe US neutrino community gathered at the Workshop on the Intermediate Neutrino Program at Brookhaven National Laboratory February 4-6, 2015 to explore opportunities in neutrino physics over the next five to ten years. Scientists from particle, astroparticle and nuclear physics participated in the workshop. The workshop examined promising opportunities for neutrino physics in the intermediate term, including possible new small to mid-scale experiments, US contributions to large experiments, upgrades to existing experiments, R&D plans and theory. The workshop was organized into (...) two sets of parallel working group sessions, divided by physics topics and technology. Physics working groups covered topics on Sterile Neutrinos, Neutrino Mixing, Neutrino Interactions, Neutrino Properties and Astrophysical Neutrinos. Technology sessions were organized into Theory, Short-Baseline Accelerator Neutrinos, Reactor Neutrinos, Detector R&D and Source, Cyclotron and Meson Decay at Rest sessions.This report summarizes discussion and conclusions from the workshop. (shrink)
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The minimal e-degree problem in fragments of Peano arithmetic.M. M. Arslanov,C. T. Chong,S. B. Cooper &Y. Yang -2005 -Annals of Pure and Applied Logic 131 (1-3):159-175.detailsWe study the minimal enumeration degree problem in models of fragments of Peano arithmetic () and prove the following results: in any model M of Σ2 induction, there is a minimal enumeration degree if and only if M is a nonstandard model. Furthermore, any cut in such a model has minimal e-degree. By contrast, this phenomenon fails in the absence of Σ2 induction. In fact, whether every Σ2 cut has minimal e-degree is independent of the Σ2 bounding principle.