Identity and moral responsibility of healthcare organizations

In this paper the moral responsibility of a Healthcare Organization (HCO) is conceived as an inextricable aspect of the identity of the HCO. We attempt to show that by exploring this relation a more profound insight in moral responsibility can be gained. Referring to Charles Taylor we explore the meaning of the concept of identity. It consists of three interdependent dimensions: a moral, a dialogical, and a narrative one. In section two we develop some additional arguments to apply his concept of personal identity to organizations. The final section works out the relationship of three dimensions of identity to some actual issues in contemporary HCOs: the tension between care and justice, the importance of dialogues about the diversity of goods, and the relevance of becoming familiar with the life-story of the HCO. Identity of an HCO is established and developed in commitments to and identification with certain goods that are central for a HCO. However, many of these goods are interwoven with everyday practices and policies. Therefore, moral responsibility asks for articulation of goods that often stay implicit and should not be reduced to a merely procedural approach. However difficult this articulation may be, if it is not tried at all HCOs run the risk of drifting away from their very identity as healthcare institutions: to offer care to patients and to do this in accordance with demands of social justice.     

Backward-compatibility effects with irrelevant stimulus-response overlap: the case of the SNARC effect

In 3 dual-task experiments, the relationship between primary-task response (R1) and secondary-task response (R2) was varied. In general, R1-left responses were faster when followed by the word one, and right responses were faster when followed by the word two. This backward-compatibility (BWC) effect indicated (a) that activation of R2 was not delayed until R1 selection was completed, and (b) that activation of the vocal responses was accompanied by the automatic activation of magnitude codes, known to be associated with spatial left-right codes (spatial-numerical association of response codes [the SNARC effect]). These findings supported the hypotheses (a) that BWC effects persist even with irrelevant R1-R2 overlap, (b) that the SNARC effect is based on associations between magnitude and spatial representations underlying response processing, and (c) that the production and perception of magnitudes relies on common codes.     

Personal selling and the purchasing function: where do we go from here?

The business-to-business selling function has changed over the years, with more informed and demanding buyers, prompting firms to move toward a more consultative, solution-selling approach. While these changes have been the focus of extensive research in the personal selling and sales management domain, the customer side of the interaction dyad requires more examination. Even within the context of the customer side, insufficient attention has been paid to the purchasing function in business-to-business (B2B) selling research. Given the increased importance in customer organizations of the purchasing function, this article presents a literature review that highlights the purchasing function's personal selling and sales management needs and argues that, as the purchasing function becomes more important and its needs evolve, personal selling and sales strategies also need to evolve. The article highlights areas for future research in this domain.     

Children's representation of symbolic and nonsymbolic magnitude examined with the priming paradigm

How people process and represent magnitude has often been studied using number comparison tasks. From the results of these tasks, a comparison distance effect (CDE) is generated, showing that it is easier to discriminate two numbers that are numerically further apart (e.g., 2 and 8) compared with numerically closer numbers (e.g., 6 and 8). However, it has been suggested that the CDE reflects decisional processes rather than magnitude representation. In this study, therefore, we investigated the development of symbolic and nonsymbolic number processes in kindergartners and first, second, and sixth graders using the priming paradigm. This task has been shown to measure magnitude and not decisional processes. Our findings revealed that a priming distance effect (PDE) is already present in kindergartners and that it remains stable across development. This suggests that formal schooling does not affect magnitude representation. No differences were found between the symbolic and nonsymbolic PDE, indicating that both notations are processed with comparable precision. Finally, a poorer performance on a standardized mathematics test seemed to be associated with a smaller PDE for both notations, possibly suggesting that children with lower mathematics scores have a less precise coding of magnitude. This supports the defective number module hypothesis, which assumes an impairment of number sense.     

‘There is a Time to be Born and a Time to Die’ (Ecclesiastes 3:2a): Jewish Perspectives on Euthanasia

Reviewing the publications of prominent American rabbis who have (extensively) published on Jewish biomedical ethics, this article highlights Orthodox, Conservative and Reform opinions on a most pressing contemporary bioethical issue: euthanasia. Reviewing their opinions against the background of the halachic character of Jewish (biomedical) ethics, this article shows how from one traditional Jewish textual source diverse, even contradictory, opinions emerge through different interpretations. In this way, in the Jewish debate on euthanasia the specific methodology of Jewish (bio)ethical reasoning comes forward as well as a diversity of opinion within Judaism and its branches.     

“For Every Illness There is a Cure”: Attitudes and Beliefs of Moroccan Muslim Women Regarding Health,Illness and Medicine

In order to provide adequate health care, it is important to be well aware of the views and attitudes of the health seeker regarding health, illness and medicine. In the Belgian context, the views of Muslim women, particularly of middle-aged and elderly Moroccan women, have been understudied. The aim of this article is twofold. First, we seek to bring forward the attitudes and beliefs of middle-aged and elderly Moroccan Muslim women living in Antwerp (Belgium) towards health, illness and medicine. Second, we seek to explore which role religion plays in their views and attitudes regarding health, illness and medicine. Qualitative empirical research was conducted with a sample of middle-aged and elderly Moroccan Muslim women living in Antwerp (Belgium) (n = 30) and with experts in the field (n = 15). In-depth interviews and participant observations were conducted to reveal their perceptions regarding health, illness and medicine. This study reveals that religion plays a crucial role in how Muslim women perceive and deal with illness. Theological considerations that centre on God’s omnipotence, the belief in the afterlife and religious virtues take up a central position. A holistic approach is adopted in the search for healing, i.e. an interplay between calling upon medicine and turning to God. Religious beliefs seem to be a powerful source in coping with illness.     

LANGUAGE AS A VALUES‐REALIZING ACTIVITY: CARING,ACTING, AND PERCEIVING

A problem for natural scientific accounts, psychology in particular, is the existence of value. An ecological account of values is reviewed and illustrated in three domains of research: carrying differing loads; negotiating social dilemmas involving agreement and disagreement; and timing the exposure of various visual presentations. Then it is applied in greater depth to the nature of language. As described and illustrated, values are ontological relationships that are neither subjective nor objective, but which constrain and obligate all significant animate activity physically, socially, and morally. As an embodied social activity, conversational dialogue is characterized in terms of values, pragmatics, and presence rather than in terms of syntactic and semantic rules. In particular the nature of dialogical arrays is explored, and the hypothesis that language is an action system, a perceptual system, and a caring system is explored. Language expands horizons and makes it possible for humans to realize their calling as culture makers and caretakers.     

全球生命伦理学

探讨生命伦理学的起源,并阐述了不同理论支持者的观点,发现无论准确的生命伦理学历史起源是什么,目前生命伦理学已经变成了一种真正的全球现象。它在全世界具有重要的意义,因为人类不仅仅是欧洲人或亚洲人,也是世界公民和一个全球道德共同体的成员。生命伦理学对任何地方、任何人都是重要的,并不是因为它是"拿来"的,而是因为它提供了一个普遍的框架去解释和管理正在经历的变化,这个变化包括了目前所有的国家和文化。然而,这个框架的解释和应用必须依据本土环境。因此,现代生命伦理学具有全球性和本土特征的特点。     

Emotional intelligence in young and middle adulthood: cross-sectional analysis of latent structure and means

Differentiation of the construct of emotional intelligence was investigated in young and middle-aged adults, on the basis of hypotheses generated from differential emotions theory, discrete emotions functionalist theory, and empirical literature on age-related changes in affective complexity and differentiation of abilities. Both age groups were characterized by the same set of comparably related dimensions. However, midlife adults reported significantly greater use of optimism as a mood-regulation strategy than was reported by young adults. This study considers implications of possible structural continuity in emotional intelligence in conjunction with mean increases in the use of optimism as a strategy for managing affect.