Current methods of obtaining an informed consent leave much to be desired. Patients rarely read consent forms or understand all of the risks, benefits, or alternatives associated with their treatment. Evaluating the advantages and disadvantages of treatment options often presents a more significant challenge for patients with lower levels of health literacy. This article reviews the evidence of shortcomings in our informed consent system and then explores the potential for a new approach to engage patients at all levels of health (...) literacy in their treatment decisions. Specifically, the article will examine the potential of shared decision-making to bridge gaps in knowledge, increase patient adherence to treatment, and improve health outcomes in low health literacy patient populations. Leveling barriers to treatment information for disadvantaged populations should be a public health imperative, especially if it can be shown to improve health outcomes and reduce health disparities. (shrink)

Current methods of obtaining an informed consent leave much to be desired. Patients rarely read consent forms or understand all of the risks, benefits, or alternatives associated with their treatment. Evaluating the advantages and disadvantages of treatment options often presents a more significant challenge for patients with lower levels of health literacy. This article reviews the evidence of shortcomings in our informed consent system and then explores the potential for a new approach to engage patients at all levels of health (...) literacy in their treatment decisions. Specifically, the article will examine the potential of shared decision-making to bridge gaps in knowledge, increase patient adherence to treatment, and improve health outcomes in low health literacy patient populations. Leveling barriers to treatment information for disadvantaged populations should be a public health imperative, especially if it can be shown to improve health outcomes and reduce health disparities. (shrink)

The ethical nature of transformational leadership has been hotly debated. This debate is demonstrated in the range of descriptors that have been used to label transformational leaders including narcissistic, manipulative, and self-centred, but also ethical, just and effective. Therefore, the purpose of the present research was to address this issue directly by assessing the statistical relationship between perceived leader integrity and transformational leadership using the Perceived Leader Integrity Scale (PLIS) and the Multi-Factor Leadership Questionnaire (MLQ). In a national sample of (...) 1354 managers a moderate to strong positive relationship was found between perceived integrity and the demonstration of transformational leadership behaviours. A similar relationship was found between perceived integrity and developmental exchange leadership. A systematic leniency bias was identified when respondents rated subordinates vis-à-vis peer ratings. In support of previous findings, perceived integrity was also found to correlate positively with leader and organisational effectiveness measures. (shrink)

U.S. immigration policies and enforcement can make immigrants fearful of accessing healthcare. Although current immigration policies restrict enforcement in “sensitive locations” including healthcare facilities, there are reports of enforcement actions in such settings.

After the invention of a national script, c.400 AD, Armenians rapidly developed their own literary forms, drawing on foreign texts as well as their own traditions. Historical writing is the most original genre in classical and medieval Armenian literature. Greek works constituted the major part of translated histories. But in the thirteenth century the extensice Chronicle of the Syrian Patriarch Michael and the first part of the Georgian chronicles were adapted for an Armenian readership. The collection known as the `Georgian (...) Chronicles' was finally codified in the eighteenth century and represents only a small part of Georgian historical writing. The thirteenth century Armenian version is in fact the earliest attestation of this growing corpus of texts, predating all extant Georgian manuscripts of it. This book presents the two texts, Georgian and Armenian, in English translation for the first time. The Introduction and Commentary draw attention to the ways in which the unknown Armenian translator changed his original material in a pro-Armenian fashion. His rendering became the standard source for early Georgian history used by later Armenian historians. The book includes a useful overview of the background to the chronicles, the history and culture of Christian Georgia and Armenia, and their respective languages and literature. (shrink)

After the invention of a national script, c.400 AD, Armenians rapidly developed their own literary forms, drawing on foreign texts as well as their own traditions. Historical writing is the most original genre in classical and medieval Armenian literature. Greek works constituted the major part of translated histories. But in the thirteenth century the extensice Chronicle of the Syrian Patriarch Michael and the first part of the Georgian chronicles were adapted for an Armenian readership. The collection known as the `Georgian (...) Chronicles' was finally codified in the eighteenth century and represents only a small part of Georgian historical writing. The thirteenth century Armenian version is in fact the earliest attestation of this growing corpus of texts, predating all extant Georgian manuscripts of it. This book presents the two texts, Georgian and Armenian, in English translation for the first time. The Introduction and Commentary draw attention to the ways in which the unknown Armenian translator changed his original material in a pro-Armenian fashion. His rendering became the standard source for early Georgian history used by later Armenian historians. The book includes a useful overview of the background to the chronicles, the history and culture of Christian Georgia and Armenia, and their respective languages and literature. (shrink)

Stephen RAPP (R.) has embarked on a very ambitious project – to investigate Georgian cultural contacts with the Byzantine and Iranian worlds through Georgian historial writing from its beginnings to medieval times. This involves nothing less than a presentation in English of all the relevant texts, save where a recent translation has already made them accessible, a survey of modern scholarship in Georgian as well as western languages, and a critical assessment of the dates of composition of the various works, (...) their motivation and reception. The volume under review is the first of a planned trilogy. Based on research dating back over a decade, it concentrates on those texts in the Georgian “Chronicles” which predate the political unification of the country. The second volume will tackle the literary dimension of Georgia's conversion to Christianity, the invention of a native script, and the beginnings of ecclesiastical literature; while the third volume will study the reorientation of the Georgian élite from their original Iranian background towards the Byzantine world as this is reflected in local historiography. All in all, this massive undertaking will update, expand and carry forward the work of Cyril TOUMANOFF reflected in his Studies in Christian Caucasian History, which was published exactly forty years before R.'s first volume appeared. (shrink)

There are differences in caregivers’ literacy and health literacy levels that may affect their ability to consent to children participating in clinical research trials. This study aimed to explore the effectiveness, and caregivers’ understandings, of the process of informed consent that accompanied their child’s participation in a dental randomized control trial (RCT). Telephone interviews were conducted with a convenience sample of ten caregivers who each had a child participating in the RCT. Pre-tested closed and open-ended questions were used, and the (...) findings were produced from an inductive analysis of the latter and a descriptive analysis of the former. Participants had limited understanding of the purpose of the RCT and rated the readability of the consent form more highly than they rated their understanding of the research. All felt that informed consent was vital, but some caregivers had not read the consent documents. Some caregivers enrolled their child in the RCT because they trusted the researchers, and the majority wanted to improve dental care for children. The informed consent process was not always effective despite high readability of the informed consent documents. Researchers must consider the health literacy of the study group, and actively engaging with caregivers to achieve meaningful informed consent may be challenging. Future research could explore participants’ perspectives of informed consent in populations with low health literacy and assess whether an underlying expectation not to comprehend health-related information may be a barrier to informed consent. (shrink)

Background: When adolescent boys experience close, secure relationships with their parents and peers, the implications are potentially far reaching, including lower levels of mental health problems in adolescence and young adulthood. Here we use rare prospective intergenerational data to extend our understanding of the impact of adolescent attachments on subsequent postpartum mental health problems in early fatherhood.Methods: At age 17–18 years, we used an abbreviated Inventory of Parent and Peer Attachment to assess trust, communication, and alienation reported by 270 male (...) participants in their relationships with mothers, fathers, and peers. More than a decade later, we assessed the adult males, now fathers, at 12 months postpartum for symptoms of depression, anxiety, and stress. Logistic regression was used to examine the extent to which attachment dimensions predicted paternal postpartum mental health, adjusting for potential confounding, and with assessment for interactions between parent and peer attachments.Results: Trust in mothers and peers, and good communication with fathers during adolescence, were associated with 5 to 7 percentage point reductions in postpartum mental health symptoms in early fatherhood. Weak evidence of parent-peer interactions suggested secure attachments with either parent or peer may compensate for an insecure attachment with the other.Conclusions: Our results suggest that fostering trust and communication in relationships that adolescent boys have with parents and peers may have substantial effects on rates of paternal postpartum mental health problems. The protective benefits may be preventative in intergenerational cycles of risk for mental health problems. (shrink)

In this article I pay attention to some of the reviews that Reason in Common Sense of George Santayana received from some of the most outstanding philosophers of his time: E. Albee, J. Dewey, A.W. Moore, G. E. Moore, C. S. Peirce and F. C S. Schiller. My paper is arranged in six sections: 1) Biographical circumstances of Reason in Common Sense; 2) Peirce’s reading of Santayana; 3) The reviews of John Dewey; 4) Other readers of Reason in Common Sense; (...) 5) Santayana returns on his book; and, finally, by way of conclusion, 6) Reading today Reason in Common Sense. (shrink)

Connections between W. James and L. Wittgenstein have been widely highlighted in recent scholarship: his mature reflections on the philosophy of psychology found in James a major source of inspiration. This paper gives reason of Wittgenstein's refusal to being labelled "pragmatist" and stresses -against Schulte- the influential role of James in the development of Wittgenstein's thought.

Our aim in this article, after providing the general framework of the reception of William James in Spain, is to trace the reception of The Varieties of Religious Experience through Unamuno’s reading of this book.

The article focuses on the concept of reasonableness as described by American philosopher Charles S. Peirce in his writings dating between 1899 and 1908. Pierce's writings considered by the author are found in the books "Contributions to The Nation," vols. 1-4, edited by K. L. Ketner and J. E. Cook, and "Collected Papers of Charles Sanders Peirce," vols. 1-8, edited by C. Hartshorne, P. Weiss and A. W. Burks. The author considers 20th century Western philosophies of reason, pragmatism, scientism, thirdness, (...) postmodernism, and philosopher Walker Percy's criticisms of Peirce's arguments regarding reasonableness. (shrink)

Connections between J.L.Vives and C.S. Peirce are shown. Not only is reflec-tion on language and meaning central in both thinkers, but Peirce also knew Vives' thought especially through W. Hamilton and the Scottish common sense school. Peirce credited Vives with being a forerunner of the use of dia-grams in logic, and both share a critical view of late medieval nominalistic logicians and a social and hierarchical conception of knowledge.