BackgroundCancer patients often suffer from psychological distress during or after cancer treatment, but the use of psycho-oncological care among cancer patients is limited. One of the reasons might be that the way psycho-oncological care is organized, does not fit patients’ preferences. This study aimed to obtain detailed insight into cancer patients’ preferences regarding the organization of psycho-oncological care.Methods18 semi-structured interviews were conducted among cancer patients. Patients completed psycho-oncological treatment between 2015 and 2020 at the psychology department in a general hospital (...) or a center specialized in psychological cancer care in the Netherlands. The interview comprised questions related to preferences regarding the institute where to receive treatment, the psychologist who provides treatment, and the type of treatment, as well as questions related to experienced barriers and facilitators to receive psycho-oncological care. Interviews were digitally recorded and transcribed verbatim. Data were analyzed individually by two coders into key issues and themes.ResultsRegarding the institute, easy accessibility and prompt availability of psychol-oncological care were considered important. Regarding the psychologist, most participants had a strong preference to be treated by a psychologist specialized in cancer or other somatic diseases. Individual face-to-face therapy was preferred above other types of treatment. Several barriers were mentioned to receive psycho-oncological treatment, among which poor accessibility to psycho-oncological care, lack of knowledge on the possibilities for psycho-oncological treatment, and stigma. Most frequently mentioned facilitators were being assertive to ask for help, having a good relationship with the healthcare professional, and the integration of psycho-oncological support within medical cancer care.ConclusionFrom the patient’s perspective, the organization of psycho-oncological care for cancer patients should focus on easy accessibility and availability, delivered by specialized psychologists, and integration in medical cancer care. Online and group therapy are acceptable, but individual face-to-face therapy is preferred. It is warranted to increase awareness on psycho-oncological care targeting both patients and healthcare providers. (shrink)

BackgroundFor many decades, the debate on children’s competence to give informed consent in medical settings concentrated on ethical and legal aspects, with little empirical underpinnings. Recently, data from empirical research became available to advance the discussion. It was shown that children’s competence to consent to clinical research could be accurately assessed by the modified MacArthur Competence Assessment Tool for Clinical Research. Age limits for children to be deemed competent to decide on research participation have been studied: generally children of 11.2 (...) years and above were decision-making competent, while children of 9.6 years and younger were not. Age was pointed out to be the key determining factor in children’s competence. In this article we reflect on policy implications of these findings, considering legal, ethical, developmental and clinical perspectives.DiscussionAlthough assessment of children’s competence has a normative character, ethics, law and clinical practice can benefit from research data. The findings may help to do justice to the capacities children possess and challenges they may face when deciding about treatment and research options. We discuss advantages and drawbacks of standardized competence assessment in children on a case-by-case basis compared to application of a fixed age limit, and conclude that a selective implementation of case-by-case competence assessment in specific populations is preferable. We recommend the implementation of age limits based on empirical evidence. Furthermore, we elaborate on a suitable model for informed consent involving children and parents that would do justice to developmental aspects of children and the specific characteristics of the parent-child dyad.SummaryPrevious research outcomes showed that children’s medical decision-making capacities could be operationalized into a standardized assessment instrument. Recommendations for policies include a dual consent procedure, including both child as well as parents, for children from the age of 12 until they reach majority. For children between 10 and 12 years of age, and in case of children older than 12 years in special research populations of mentally compromised patients, we suggest a case-by-case assessment of children’s competence to consent. Since such a dual consent procedure is fundamentally different from a procedure of parental permission and child assent, and would imply a considerable shift regarding some current legislations, practical implications are elaborated. (shrink)

For decades, the discussion on children’s competence to consent to medical issues has concentrated around normative concerns, with little progress in clinical practices. Decision-making competence is an important condition in the informed consent model. In pediatrics, clinicians need to strike a proper balance in order to both protect children’s interests when they are not fully able to do so themselves and to respect their autonomy when they are. Children’s competence to consent, however, is currently not assessed in a standardized way. (...) Moreover, the correlation between competence to give informed consent and age in children has never been systematically investigated, nor do we know which factors exactly contribute to children’s competence. (shrink)

The design of collaborative robotics, such as driver-assisted operations, engineer a potential automation of decision-making predicated on unobtrusive data gathering of human users. This form of ‘somatic surveillance’ increasingly relies on behavioural biometrics and sensory algorithms to verify the physiology of bodies in cabin interiors. Such processes secure cyber-physical space, but also register user capabilities for control that yield data as insured risk. In this technical re-formation of human–machine interactions for control and communication ‘a dissonance of attribution’ :7684, 2019. https://doi.org/10.1073/pnas.1805770115) (...) is created between perceptions of phenomena, materials and decision-making. This reconfigures relations not only between humans and machines, objects and subjects, but possibly disrupts attributive functions in the social system of Law. What it requires is shifting a legal accountability for action from a sovereignty of the human to a new materialist account based on a ‘cognitive assemblage’ between physiological data, computation and algorithmic sensing. This paper investigates the function of law as a guidance system to acknowledge this account of sensory and algorithmic computation as autonomous ‘sensing agents’ that may be accountable in situations of risk. This assemblage of robotic computation and sensory determination requires a clearer legal differentiation across the current static terminologies of person, property, liability and rights that maintain strict separations of object from subject. To neglect this, we argue, law will solely impute attributions of error to humans despite evidence of operation via mutual control. (shrink)

Este trabajo está divido en dos partes: en la primera de ellas se aborda la novela decimonónica de Eça de Queirós El crimen del padre Amaro: Escenas de la vida devota, así como la adaptación cinematográfica de Carlos Carrera y el guión de Vicente Leñero para la película El crimen del padre Amaro. Y un particular retorno al género novelístico El padre Amaro de Vicente Leñero. La metodología que se usará en este primer apartado será: exégesis de la adaptación, resumen (...) y elementos característicos de la novela Eça de Queirós, la denuncia social, y la relación amorosa; en una segunda parte se realizará un análisis de El crimen del Padre Amaro bajo la perspectiva de semiótica de la cultura de Yuri M. Lotman basada en su texto Estructura del texto artístico. (shrink)

Although law is established on a strong presumption that persons younger than a certain age are not competent to consent, statutory age limits for asking children’s consent to clinical research differ widely internationally. From a clinical perspective, competence is assumed to involve many factors including the developmental stage, the influence of parents and peers, and life experience. We examined potential determining factors for children’s competence to consent to clinical research and to what extent they explain the variation in competence judgments.

Emphasizing the predictive success and practical utility of psychological science is an admirable goal but it will require a substantive shift in how we design research. Applied research often assumes that findings are transferable to all practices, insensitive to variation between implementations. We describe efforts to quantify and close this practice-to-practice gap in education research.

I examine the morality of sport fishing by focusing on the respect that anglers show for the interests of fish compared to the respect that hunters show for their game. Angling is a form of hunting because of the strong link between these two activities in literature, in management, and in the individual’s participation in both angling and hunting, and in the similarity of both activities during the process of pursuing an animal in order to control it. Fish are similar (...) in many ways to animals that are hunted, including their interests in survival and in avoiding pain. These interests need to be considered by anglers for moral reasons. All hunters and anglers value their sport with animals more than they respect the lives of animals they pursue. Hunters are, therefore, similar to anglers in the respect that they show for the survival interests of their game animals. Hunters, however, are significantly different from anglers in the respect that they show for an animal’s interest in avoiding pain and suffering. While hunters make every effort to reduce pain and suffering in their game animals, anglers purposefully inflict these conditions on fish. These similarities and differences have three important consequences: (1) The moral argument justifying the killing of animals for sport in hunting must apply to all of angling as well. (2) Angling, unlike hunting, requires a second justification for the intentional infliction of avoidable pain and suffering in fish. (3) If ethical hunters hold true to their principle of avoiding all suffering in the animals that they pursue, then hunters must reject all sports fishing. (shrink)

With the new millennium approaching, to sketch the wider canvas of the state of art historical research at the end of the 20th century is hardly a realistic objective. For those who like to delve deeper into this matter, I heartily recommend Donald Preziosi's recent critical anthology, published by Oxford University Press, called ‘The Art of Art History’. Here you will find a survey of the major directions in art historical research since the days that Johann Joachim Winckelmann invented our (...) profession, illustrated by appropriate texts chosen from over the whole period of the mid-18th to the late 20th century. (shrink)

Anglers frequently justify their sport on the basis of nature conservation. According to this utilitarian equation, harming fish by angling is balanced by conservation of nature. To qualify as justification for angling, nature conservation must arise from and be connected to angling, a connection achieved by sport fisheries management. Management practices are, therefore, evaluated to determine if, on the whole, these practices are beneficial to nature and, if these benefits “outweigh” harms caused to nature by management and to fish by (...) angling. Although not conclusive, according to this analysis, harms caused to nature by both sport fisheries management and to fish by angling “outweigh” angling related benefits to nature. Consequently, the justification of angling on the basis of nature conservation is dubious at best. (shrink)

The aim of this article is to examine how Ricœur’s critique of Husserl’s and Levinas’s notions of intersubjectivity informs his own alternative conceptualization of the intra- and interpersonal as a complex intertwining of moral selfhood and a just community. My first assumption is that law, as a prescriptive intervention in the social structure of our communal life, presupposes a phenomenology of our “being with others”. My second assumption is that Ricœur’s entire philosophical anthropology, and specifically his ideas on ethics, legality (...) and justice, can be read as a prolonged response to Husserl’s solipsistic deadlock in the famous Fifth Cartesian Meditation. Taken together these two assumptions connect Ricœur’s early analysis of phenomenology with his complex reconceptualization of moral selfhood in Oneself as Another, culminating in the ethical maxim of “a good life with and for others in just institutions.”. (shrink)

This is the first collection of essays examining Paul Ricoeur's writings on law, bringing together eminent Ricoeur scholars from around the world to demonstrate the importance of Ricoeur's philosophy for the juridical field while offering new paths to extend and build on his work.

I examine the morality of sport fishing by focusing on the respect that anglers show for the interests of fish compared to the respect that hunters show for their game. Angling is a form of hunting because of the strong link between these two activities in literature, in management, and in the individual’s participation in both angling and hunting, and in the similarity of both activities during the process of pursuing an animal in order to control it. Fish are similar (...) in many ways to animals that are hunted, including their interests in survival and in avoiding pain. These interests need to be considered by anglers for moral reasons. All hunters and anglers value their sport with animals more than they respect the lives of animals they pursue. Hunters are, therefore, similar to anglers in the respect that they show for the survival interests of their game animals. Hunters, however, are significantly different from anglers in the respect that they show for an animal’s interest in avoiding pain and suffering. While hunters make every effort to reduce pain and suffering in their game animals, anglers purposefully inflict these conditions on fish. These similarities and differences have three important consequences: (1) The moral argument justifying the killing of animals for sport in hunting must apply to all of angling as well. (2) Angling, unlike hunting, requires a second justification for the intentional infliction of avoidable pain and suffering in fish. (3) If ethical hunters hold true to their principle of avoiding all suffering in the animals that they pursue, then hunters must reject all sports fishing. (shrink)

This book contextualizes Paul Ricoeur’s philosophy through the lens of philosophical anthropology. It shows how Ricoeur renews this tradition by developing a hermeneutic of human self-expression, a phenomenology of the capable human, and an ethics of life lived “with and for others in just institutions.”.

A critical examination of the history of theories and uses of concepts such as ‘primitive’ and ‘savage’ in the academic study of religion in imperial, colonial and postcolonial contexts is particularly urgent in our time with its demands to decolonise Western models of knowledge production. In Savage Systems (1996) and Empire of Religion (2014), David Chidester has contributed to this project by relating the invention and use of terms such as ‘religion’, ‘primitive’ and ‘savage’ by theorists of religion in European (...) imperial metropoles to South African colonial and indigenous contexts. This article intends to take Chidester’s project further by relating Gerardus Van der Leeuw’s phenomenological analysis of ‘primitive mentality’ (particularly in De primitieve mensch en de religie, 1937) to Chidester’s analysis and postcolonial critique of imperial theories of religion. By taking animism and dreams in Chidester’s and Van der Leeuw’s works as example, it is argued that in spite of the latter’s decontextualised use of ethnological material, a fundamental shift occurred in the judgement of ‘primitive’ religion from Tylor’s evolutionary to Van der Leeuw’s phenomenological analysis, which is contrary to claims according to which modern theories are unanimously denigratory of indigenous religions. (shrink)

Amsterdam University Press is a leading publisher of academic books, journals and textbooks in the Humanities and Social Sciences. Our aim is to make current research available to scholars, students, innovators, and the general public. AUP stands for scholarly excellence, global presence, and engagement with the international academic community.

Despite growing concerns that children tend to avoid the news, the reasons why have received little research attention. Therefore, the current study aims to develop and test a model conceptualizing the relations between children’s news consumption, news avoidance, emotional responses, and parent and child mitigation strategies. The model was tested using data collected during the first year of the COVID-19 pandemic. The current, preregistered, survey study was part of a longitudinal project and used data from the second wave. Data were (...) collected in November/December 2020 among 510 children. Findings showed that children who consumed more news during the pandemic avoided pandemic news less often. Children who experienced more anxiety-related behaviors regarding pandemic news avoided pandemic news more often. The relation between news consumption and emotional responses was stronger for children who experienced restrictive parental mediation more often, indicating that this was not an effective parental mediation strategy for tempering their emotional responses. Children with higher levels of emotional responses used reactive coping strategies more often. However, this did not seem to be an effective strategy against pandemic news avoidance because none of the strategies had a negative relation with pandemic news avoidance. Distancing was even positively related to pandemic news avoidance. Although the current study was not able to fully unravel how news avoidance-related constructs relate to one another, we were able to get some important insights guiding future research. Specifically, it is of crucial importance to unravel the mechanisms that increase the chance of children’s news avoidance and those that mitigate it, to build interventions to counteract news avoidance and to protect children from the negative emotional consequences by news consumption. (shrink)

The Dutch Paediatric Association reports consensus among its members regarding the necessity to take the future quality of life into account when reaching decisions regarding the continuation or dis-continuation of life-prolonging treatment. The paramount importance of the discussion with the parents is stressed. Dissension exists regarding active euthanasia in the newborn, both opinions being respected. If dissension exists within the profession parents should be informed and if necessary referred to a doctor who shares their moral views.

Preparing the Next Generation of Oral Historians is an invaluable resource to educators seeking to bring history alive for students at all levels. Filled with insightful reflections on teaching oral history, it offers practical suggestions for educators seeking to create curricula, engage students, gather community support, and meet educational standards. By the close of the book, readers will be able to successfully incorporate oral history projects in their own classrooms.

This paper evaluates the ways in which European business schools are implementing sustainability and ethics into their curricula. Drawing on data gathered by a recent large study that the Academy of Business in Society conducted in cooperation with EFMD, we map the approaches that schools are currently employing by drawing on and expanding Rusinko’s :507–519 2010) and Godemann et al.’s matrice of integrating sustainability in business and management schools. We show that most schools adopt one or more of the four (...) approaches outlined by Godemann et al.. However, we also argue that a fifth dimension needs to be added as the existing matrices do not capture the systemic nature of such curricular initiatives and how these are influenced by internal factors within the business school and external factors beyond. We suggest calling this fifth dimension ‘Systemic Institutional Integration’ and demonstrate that any business school which aims to integrate sustainability further into the curricula cannot succeed without the following: Systemic thinking and systemic leadership, Connectedness to business, the natural environment and society and Institutional capacity building. Utilising further literature and the answers provided by the deans and faculty, we discuss each factor in turn and suggest paths towards the successful systemic institutional integration of sustainability and ethics into management education. (shrink)

Núñez and colleagues (2019) question whether cognitive science still exists “as a coherent academic field with a well‐defined and cohesive interdisciplinary research program.” This worry may be premature on two grounds. First, we are not convinced that the Lakatosian criterion of coalescence around a core framework is the best standard for judging whether a field is well‐defined and productive. Second, although we acknowledge that cognitive science is not as visible as we would like, we doubt that this low profile accurately (...) reflects the state of actual research and teaching programs based on the cognitive science approach. (shrink)

Reflections on Technology for Educational Practitioners describes the main ideas of fourteen philosophers of technology and how these ideas are used or can be used in technology education.

“Para que isso servirá em minha vida?” Ao longo de minha trajetória como professor do ensino secundário, ouvi esta pergunta algumas vezes. É provável que nós professores de filosofia não sejamos um alvo privilegiado dessa pergunta provocadora. Trata-se mesmo de uma questão legítima, ainda mais para nós: latinoamericanos, brasileiros, nordestinos, piauienses. Trata-se de uma pergunta que evoca um certo desespero, uma certa pressa, um tipo de agonia que é bem nossa; como quando dizemos “estou agoniado”. Queremos tudo “pra já”. Parece (...) que jamais nos daremos o direito de viver e aprender algo pelo simples fato de que o saber é bom e merece ser fruído. (shrink)

Despite its uniform appearance, the cerebellar cortex is highly heterogeneous in terms of structure, genetics and physiology. Purkinje cells (PCs), the principal and sole output neurons of the cerebellar cortex, can be categorized into multiple populations that differentially express molecular markers and display distinctive physiological features. Such features include action potential rate, but also their propensity for synaptic and intrinsic plasticity. However, the precise molecular and genetic factors that correlate with the differential physiological properties of PCs remain elusive. In this (...) article, we provide a detailed overview of the cellular mechanisms that regulate PC activity and plasticity. We further perform a pathway analysis to highlight how molecular characteristics of specific PC populations may influence their physiology and plasticity mechanisms. (shrink)