Why frailty needs vulnerability

2014 ◽  
Vol 22 (8) ◽  
pp. 860-869 ◽  
Author(s):  
Hanneke van der Meide ◽  
Gert Olthuis ◽  
Carlo Leget

The vulnerability of older hospital patients is increasingly understood in physical terms, often referred to as frailty. This reduces their vulnerability to the functioning body regardless of the psycho-socio-cultural context they are in, and it ignores the role of the hospital environment. This paper starts from a care ethical perspective on care and uses insights from empirical work that shows that hospitalization of older patients is characterized by experiences of uncertainty that give rise to feelings of vulnerability. This paper presents a model that clarifies how vulnerability occurs in the interplay between the embodied subject, others, daily life and the hospital, and shows its dynamic and relational nature. Our complementary perspective of vulnerability is vital for nursing practice in that it starts from the situatedness of the older patient and not only points at what is missing but also at what is of significance to the older patient. Taking into account this perspective helps improving relational care.

2021 ◽  
Author(s):  
Luís Cordeiro-Rodrigues ◽  
Thaddeus Metz

Abstract The COVID-19 pandemic has brought significant challenges to healthcare systems worldwide, and in Africa, given the lack of resources, they are likely to be even more acute. The usefulness of Traditional African Healers in helping to mitigate the effects of pandemic has been neglected. We argue from an ethical perspective that these healers can and should have an important role in informing and guiding local communities in Africa on how to prevent the spread of COVID-19. Particularly, we argue not only that much of the philosophy underlying Traditional African Medicine is adequate and compatible with preventive measures for COVID-19, but also that Traditional African Healers have some unique cultural capital for influencing and enforcing such preventive measures. The paper therefore suggests that not only given the cultural context of Africa where Traditional African Healers have a special role, but also because of the normative strength of the Afro-communitarian philosophy that informs it, there are good ethical reasons to endorse policies that involve Traditional Healers in the fight against COVID-19. We also maintain that concerns about Traditional African Healers objectionably violating patient confidentiality or being paternalistic are much weaker in the face of COVID-19.


Author(s):  
Florin Lucian Isac ◽  
Eugen Florin Remes

Abstract Accelerating growth in business globalization places managers in an international environment with more ethical challenges. Ethical principles that govern businesses in a particular culture may not match with the conditions, norms and customs of other cultures. The article aims to examine comparatively the role of culture in explaining ethical issues and dilemmas in organizations. Treating the issue of business ethics in companies nowadays offer different perspectives depending on the influence of the cultural context of countries where these companies operate. Each cultural context shows its specificity, in addition to legal regulations, customs, habits or moral issues, which deserve to be highlighted in a paper on how to conduct business from an ethical perspective.


Sains Insani ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 20-28
Author(s):  
Aping Sajok

This study is related to the practice of slavery happened in indigenous communities in North Borneo since under the rule of the Sultanate of Sulu and Brunei. The aim of this study to see how slavery is considered as a unique practice and the slave role in daily life, including the type of slaves and relationship between the slave and their owners. This study will use information about slavery in North Borneo which are available from various sources such as diary, Official records of British North Borneo Chartered Company (BNBCC), Reports, News paper, Microfilm, books and articles. Slavery in North Borneo basically influenced by the role of datu’s and pengiran of the Sulu Sultanate and Brunei which sparked demand for slaves. This causes a form of slavery that occurred in the indigenous tribes such as Suluk, Bajau, Iranun, Dusun and Murut. The practice of slavery grow rapidly along with pirate activities which are intertwined with the slave trading in the Borneo sea. However, before settling by James Brooke in Sarawak and BNBCC in North Borneo, the abolition of slavery activities was implemented. Keywords: Slavery, Sulu, Brunei, Native, History, North Borneo, Abstrak: Kajian ini adalah berkaitan dengan amalan perhambaan yang berlaku dalam masyarakat peribumi di Borneo Utara sejak dibawah pengaruh Kesultanan Sulu dan Brunei. Kajian ini bertujuan untuk melihat bagaimana amalan perhambaan dianggap sebagai sebuah amalan yang unik dan peranan golongan hamba tersebut dalam kehidupan harian termasuklah jenis hamba dan bentuk hubungan di antara hamba itu sendiri dan pemilik hamba. Kajian ini akan menggunakan maklumat mengenai perhambaan di Borneo Utara yang boleh didapati daripada pelbagai sumber seperti catatan diari pegawai British, rekod-rekod Syarikat Berpiagam Borneo Utara British (SBBUB), laporan, akhbar, Mikrofilem, Buku-buku dan Artikel yang telah dihasilkan oleh sarjana awal. Perhambaan di Borneo Utara pada dasarnya banyak dipengaruhi oleh peranan pembesar daripada Kesultanan Sulu dan Brunei yang mencetuskan permintaan terhadap hamba. Hal tersebut menyebabkan wujud perhambaan yang berlaku dalam suku peribumi seperti Suluk, Bajau, Iranun, Dusun dan Murut. Amalan ini berkembang pesat bersama dengan aktiviti perlanunan yang saling berkait dengan perdagangan hamba di sekitar perairan Borneo. Namun demikian, menjelang pertapakan James Brooke di Sarawak serta SBBUB di Borneo Utara, penghapusan aktiviti perhambaan ini telah dijalankan. Kata kunci: Perhambaan, Sulu, Brunei, Peribumi, Sejarah, Borneo Utara,


1970 ◽  
Vol 8 (1) ◽  
pp. 22-30
Author(s):  
Анжеліка Шамне

У статті розглянуто сучасні підходи до інтерпретації категорії розвитку, розкрито теоретичні  та методологічні підходи до вивчення категорії розвитку у сучасній психології, визначено її психологічний  зміст,   моделі,   структуру   та   динаміку.   Категорія   розвитку   розглядається   як   епіцентр   наукової  проблематики у психології та як поняття інтегративного типу. Розвиток проаналізовано як категорію,  явище і проблему психології розвитку в різних аспектах аналізу. Розглянуто місце розвитку в системі  споріднених психологічних понять. У статті також аналізуються психологічні аспекти теоретичних та  методологічних  постнекласичних  тенденцій  вивчення  природи,  характеру  та  визначення  психічного  розвитку. Постнекласична парадигма та плюралістична методологія пізнання визначають розмитість  дисциплінарної мови  та  врахування  ролі  соціокультурного  контексту  при  вивченні  психологічних явищ.  Важливими тенденціями сучасного теоретико-методологічного стану психологічних досліджень розвитку  також є визнання неефективності моністичного підходу до його вивчення, взаємозв'язок теоретичних ідей  та   спроби   створення   метатеоретичних   схем,   постнекласичне   розуміння   розвитку   як   принципово  незавершеного   процесу   саморуху,   актуалізація   антропологічного   діапазону   проблем   та   посилення  спрямованості на роль культурного контексту в дослідженні розвитку людини.  The article deals with the modern approaches to the interpretation of the category of development, reveals  the theoretical and methodological approaches to study of development in modern psychology, its psychological  content, patterns, structure and dynamics. Category of development is viewed as an epicenter of scientific issues in  modern  psychology  and  the  concept  of  the  integrative  type.  Category  of  development  is  considered  as  the  phenomenon  and  the  problem  of  developmental  psychology  in  various  aspects  of  the  analysis.  Analyzed  the  development site in the related psychological concepts. The article analyzes the psychological aspects of theoretical  and methodological postnonclassical contemporary trends in the study of nature, character, and determination of  mental  development.  Postnonclassical  paradigm  and  pluralistic  methodology  of  knowledge  determine  the  disciplinary blurring and increase of the role of the analysis of socio-cultural context in the study of psychological  phenomenon. The important tendencies of modern theoretical and methodological state of psychological researches  of development are facts of inefficiency of the monistic approach to its study, interconnection of theoretical ideas  and   attempts   of  creating   metatheoretical   schemes,   postnonclassical   understanding   of   development   as   a  fundamentally  uncompleted  process  of  self-motion,  actualization  of  anthropological  range  of  problems  and  strengthening of focus on the role of cultural context in research of human development.   


2020 ◽  
Author(s):  
Sarah A Griffin ◽  
Timothy J Trull

Objectives: Using Ecological Momentary Assessment methods (EMA) we aimed to investigate the influence of trait and state (momentary) impulsivity on alcohol use behaviors in daily life. Facets of the UPPS trait model of impulsivity (Whiteside and Lynam, 2001) have been found to differentially relate to alcohol-related outcomes and behaviors in cross-sectional and longitudinal studies. The present work expands on this by assessing UPPS facets in daily life and examining the contributions of trait and state impulsivity facets to daily life drinking behavior. Methods: 49 participants were prompted at least six times per day for 21 days. A total of 4,548 collected EMA reports were included in analyses. Multi-level models were computed predicting daily life alcohol use behaviors from state and trait impulsivity facets and relevant covariates. Results: Individual facets of momentary impulsivity differentially related to alcohol outcomes, such that (lack of) premeditation and, to a lesser extent, sensation seeking showed unique patterns of association with drinking and drinking quantity. Only trait levels of (lack of) premeditation were related to drinking behavior in daily life; no other trait UPPS scale significantly related to alcohol use. Conclusions: These results highlight state difficulties with premeditation as particularly relevant to drinking behavior in daily life. Our results also support the incremental validity of state impulsivity facets over trait level measures in relation to drinking behavior in daily life. These findings offer important insight into the phenomenology of daily-life alcohol use and highlight possible avenues for intervention and prevention efforts. Public Health Statement: Momentary fluctuations in premeditation predict alcohol use in daily life. Treatments targeting planning or forethought in relation to alcohol use may interrupt this process contributing to daily life drinking behaviors.


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