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Given the grim global statistics of extreme poverty and socioeconomic inequalities, moral and political philosophers have focused on the duties of justice and assistance that arise therefrom. What the needy are morally permitted to do for themselves in this context has been, however, a mostly overlooked question. Reviving a medieval and early modern account of the right of necessity, I propose that a chronically deprived agent has a right to take, use and/or occupy whatever material resources are required to guarantee her self‐preservation, or the means necessary to acquire them. There are three individually necessary and jointly sufficient conditions: the need is basic, the claimant does not violate other equally important moral interests, and it is a last resort. I present two recommendations to be followed by the claimants, and offer some examples where this principle may be applied today. I reply to the objections that understanding the right of necessity in this way kills its intuitive plausibility, and that it is a remedy worse than the disease. I conclude that, while not the best solution for the problem of global poverty, the exercise of this right should be accepted if we believe in the human right to subsistence.  相似文献   

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As the older adult population continues to grow, the prevalence of chronic diseases is also increasing, leading to the need for novel ways of managing this large population of patients. One solution is to focus on informal caregivers. These informal caregivers already make a substantial contribution to our nation’s healthcare finances and patient health outcomes. Caregivers also derive benefits from caring for their family member or friend; however, it is not uncommon for these individuals to experience negative health consequences, or what is often called “burden of care.” Those called to care are not without their own burdens, and they must frequently make significant lifestyle adjustments that impact their own health. Therefore, for caregivers to be effective, caring for the caregivers must be a focus of medicine in the twenty-first century.  相似文献   

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I address two issues that were inspired by my work on the Dutch Committee on Tests and Testing (COTAN). The first issue is the understanding of problems test constructors and researchers using tests have of psychometric knowledge. I argue that this understanding is important for a field, like psychometrics, for which the dissemination of psychometric knowledge among test constructors and researchers in general is highly important. The second issue concerns the identification of psychometric research topics that are relevant for test constructors and test users but in my view do not receive enough attention in psychometrics. I discuss the influence of test length on decision quality in personnel selection and quality of difference scores in therapy assessment, and theory development in test construction and validity research. I also briefly mention the issue of whether particular attributes are continuous or discrete.  相似文献   

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我们怎样做医学--关于医学哲学范畴与体系的研究   总被引:1,自引:3,他引:1  
要把医学哲学作为一门哲学学科来建设.在简要回顾对医学哲学研究对象的历史认识过程之后,提出以"我们怎样做医学"为医学哲学研究的问题逻辑主线,尝试建构一个医学的客体论、创造论、主体论、价值论与发展论的医学哲学应用理论体系,并对它的相关范畴、学术范式及理论意义展开了有益的讨论.  相似文献   

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A proposal is made concerning the introduction of the notions of cause and reason into a natural language understanding system. Its hypothesis is that one should prefer rational explanations of actions when dealing with human, or human-like, agents, if one can find them in what one is analyzing, but that in other, nonhuman, cases one should prefer causal explanations. The reader is reminded of the existing state of the preference semantics system, and then are described the changes that would have to be made to incorporate the above proposal and to find examples to test it. Finally, it is argued that there is no reason to think that a more complex taxonomy of causes (beyond the opposition of causes and reasons) is required, at least not if, as here. one seeks a procedural distinction corresponding to any taxonomic distinction among inference rules.  相似文献   

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ABSTRACT

I question whether the flourishing that McMullin presents as negotiating the demands of three distinct normative domains is itself normative. If it is, I argue it must be incremental in some way to McMullin’s three normative domains, because there is no single, plausible, structural inter-relation between the domains. This leads to regress. If flourishing is not normative, then it undermines the unity of reason that is a cornerstone of McMullin’s account. These difficulties lead to further consideration of flourishing conceived, as McMullin does, as a project of living well in the world. What is the content of this project and what role can it play? If it is merely formal, i.e. without content, then it can be shared, but is empty, therefore without a role. If it has content, and so plays a role in balancing or unifying one’s responses to the normative domains, then that content comes, McMullin claims, from answers to the question, “Who am I?” However, I claim that this question and the answers it is likely to elicit cannot supply the content required. Even if it could, it could not do so to produce a project that is plausibly normative, leaving it thus disconnected from the normative domains. I conclude that the normative character of McMullin’s notion of flourishing cannot be made good. My tentative suggestions are to jettison flourishing as a central part of conceiving a life well-lived; or to swap Aristotle for Plato to supplant flourishing with the idea of a good life.  相似文献   

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This article argues that gaushalas, or cow shelters, in India are mobilized as sites of Hindutva or Hindu ultranationalism, where it is a “vulnerable” Hindu Indian nation—or the “Hindu mother cow” as Mother India—who needs “sanctuary” from predatory Muslim males. Gaushalas are rendered spaces of (re)production of cows as political, religious, and economic capital, and sustained by the combined and compatible narratives of “anthropatriarchy” and Hindu patriarchy. Anthropatriarchy is framed as the human enactment of gendered oppressions upon animal bodies, and is crucial to sustaining all animal agriculture. Hindu patriarchy refers to the instrumentalization of female and feminized bodies (women, cows, “Mother India”) as “mothers” and cultural guardians of a “pure” Hindu civilization. Both patriarchies commodify bovine motherhood and breastmilk. which this article frames as a feminist issue. Through empirical research, this article demonstrates that gaushalas generally function as spaces of exploitation, incarceration, and gendered violence for the animals. The article broadens posthumanist feminist theory to illustrate how bovine bodies, akin to women's bodies, are mobilized as productive, reproductive, and symbolic capital to advance Hindu extremism and ultranationalism. It subjectifies animal bodies as landscapes of nation‐making using ecofeminism and its subfield of vegan feminism.  相似文献   

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Patients with depression are often dissatisfied with disease- and therapy-related information. The objective of this study was to evaluate an intervention that applied the Common Sense Model to the provision of information during inpatient rehabilitation for patients with depression. The intervention was evaluated in a sequential control group design. Analyses of covariance were used to assess differences between the control and intervention groups. Changes with respect to illness and treatment beliefs (personal control, treatment control, coherence and concerns about medicines), satisfaction with information about medicines, illness and rehabilitation, and depressive burden were selected as primary outcome measures. We observed significant between-group differences indicating the intervention group’s superiority in terms of satisfaction with information regarding medicines. However, the two groups’ changes during rehabilitation did not differ in terms of the other outcomes. The intervention resulted in patients judging that their medication information needs had been more thoroughly fulfilled than those patients who received care-as-usual information. However, the intervention did not prove to be effective when the other outcome variables are considered. Taken together and bearing in mind the limitations of our study—particularly the non-randomised design—our results should be replicated in a randomised controlled trial.  相似文献   

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The content of stereotypes can be shaped by multiple mechanisms, one of them possibly being the “mirroring effect.” Mirroring describes a phenomenon whereby people rate their ingroup characteristics as opposite to characteristics typical of a relevant outgroup. The aim of our study was to explore mirroring in three intergroup contexts—in national, regional, and ethnic stereotypes. In Study 1, 2,241 participants rated national ingroup stereotype and outgroup stereotypes of five Central European countries. In Study 2, 741 Czech participants rated regional ingroup and outgroup stereotypes of people living in two distinct parts of the Czech Republic. In Study 3, 463 majority and Hungarian minority participants in Slovakia rated ethnic ingroup and outgroup stereotypes. The results showed a clear presence of mirroring in all three contexts.  相似文献   

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The present research is aimed at investigating through a mixed-method approach the dimensions underlying the psychosocial constructs of obedience, disobedience and the relations between them. To this end, we consider the attitudes toward (dis)obedience being socially constructed, and we chose the theory of social representations (Abric, 2003; Moscovici, 1961) as the theoretical framework of this study.The data, collected on a sample of 190 individuals, allowed us to define these social objects, reducing both their complexity and polysemy.Obedience and disobedience were both seen by research participants as context-dependent behaviours, neither positive nor negative, per se. Also, both related to the concept of authority (individuals, institutions, and society). However, while obedience was mostly considered an uncritical response to laws, social norms or physical authorities, disobedience was defined as an active, conscious line of conduct. Theoretical and practical implications of these findings are discussed.  相似文献   

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Journal of Religion and Health - According to many studies, addressing the religious and spiritual (R/S) needs of patient's increase patient satisfaction. One area of interest is how patient...  相似文献   

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Some conditions in the lives of children, adults, and groups can be construed as fulfilling universal human psychological needs. The constructive fulfillment of these basic needs promotes caring and positive, helpful relations; their frustration creates an inclination toward hostility and aggression. The article describes diverse influences that can lead to violence between individuals, groups, and societies, as well as ways to halt and prevent genocide, mass killing, and other intergroup violence, including terrorism, in part by fostering culture changes that promote harmony and peace. Ideally such culture change would involve healing from past wounds, the creation of positive (rather than destructive) ideologies, supportive communities, reconciliation and the creation of a shared collective memory, education that promotes peace, and the development of inclusive caring in children. The article also refers to work in Rwanda that aims to foster healing and reconciliation, in part by helping people understand the roots of violence and its implication for prevention. Societies and families that help to fulfill basic needs promote goodness as well as optimal human functioning—the continued growth and development of individuals.  相似文献   

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University teachers are strongly motivated by the care they feel for their students. Yet today, many are frustrated. On the one hand, it is becoming harder to teach well, as more diverse student populations, new media, and new educational priorities challenge conventional pedagogical postures and styles. On the other hand, teachers are wary of calls for greater pedagogical professionalism in an increasingly managed and de-motivating professional environment. This essay examines two movements in the United States that attempt to sustain teachers' motivation by rethinking what caring for students requires them to do. The first, a call for a “scholarship of teaching and learning,” directs the professor's attention outward, towards inquiry into their students' learning; the second directs attention inwards, encouraging exploration of “the inner landscape of a teacher's life.” While both movements oppose a narrow view of pedagogy as simply technique, they address the challenge of caring for students in different ways and point to resolutions that appear to have different potential to alter the teaching environment itself. These tensions around teaching inscribe in higher education wider debates about the value of the professions, the nature of expert practice, and how to recover and ensure professionals' capacity for care.  相似文献   

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The exegesis of sacred rites in the Talmud is subject to a restriction on the iteration and composition of inference rules. In order to determine the scope and limits of that restriction, the sages of the Talmud deploy those very same inference rules. We present the remarkable features of this early use of self-reference to navigate logical constraints and uncover the hidden complexity behind the sages’ arguments. Appendix 11 1Hebrew and Aramaic transliteration approximates traditional Sephardic pronunciation, which is closer to academic standard transliteration than the various Ashkenazic pronunciations, yet is legible. Specific references follow the convention of folio (number), side (a or b), number of lines from the top or (if negative) bottom of the page. contains a translation of the relevant sugya.  相似文献   

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The current practice of cancer genetic counseling is undergoing widespread change and scrutiny. While there are clinical resources for genetic counselors (GCs) regarding the delivery of cancer genetic services, there is limited literature regarding effective management of a genetic counseling clinical program. We have developed administrative tools to manage a large team of GCs at a single academic medical center over a period of increasing demand for genetics services, with the initial aim of decreasing wait time for urgent genetic counseling visits. Here, we describe the three main elements of the clinical operations: Balancing patient volume between GCs, scheduling tracks for both routine and urgent appointments, and a team of triaging GCs to ensure appropriate patient referrals. For each of these elements, we describe how they have been modified over time and present data to support the utility of these strategies. The preliminary evidence offered here suggests that these tools allow for an equitable distribution of patient volume between team members, as well as the timely and accurate scheduling of urgent patients. As a result of the experiences presented here, other genetic counseling programs grappling with similar issues should be aware that it is possible to shift clinical operations to serve certain patient populations in a more timely fashion while keeping both providers and GC staff satisfied.  相似文献   

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This paper provides an analysis of a basic assumption grounding the clinical research: the ontological autonomy of psychotherapy—based on the idea that the clinical exchange is sufficiently distinguished from other social objects (i.e. exchange between teacher and pupils, or between buyer and seller, or interaction during dinner, and so forth). A criticism of such an assumption is discussed together with the proposal of a different epistemological interpretation, based on the distinction between communicative dynamics and the process of psychotherapy—psychotherapy is a goal-oriented process based on the general dynamics of human communication. Theoretical and methodological implications are drawn from such a view: It allows further sources of knowledge to be integrated within clinical research (i.e. those coming from other domains of analysis of human communication); it also enables a more abstract definition of the psychotherapy process to be developed, leading to innovative views of classical critical issues, like the specific-nonspecific debate. The final part of the paper is devoted to presenting a model of human communication—the Semiotic Dialogical Dialectic Theory–which is meant as the framework for the analysis of psychotherapy.  相似文献   

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