scholarly journals Values in medicine

2017 ◽  
Vol 1 (1) ◽  
pp. 2514183X1771412
Author(s):  
Jürg Kesselring
Keyword(s):  
Self Determination ◽  
Normative Values ◽  
Medical Interventions ◽  
Central Values ◽  
Philosophical Background ◽  
Pain And Suffering ◽  
Potential Damage ◽  
The Individual ◽  
Justice In Health Care ◽  
Reasons For Decisions

Medical doctors should be studying in the future not only about the “alleviation of physical and mental pain and suffering” but also about the “restoration of social functioning of their patients. Medical professionals are urged to carry their culture of helping and caring as contributions to society. They also assume responsibility for the careful use of available resources and their equitable distribution. Central values of medicine are respect for human dignity, respect for self-determination and autonomy, the primacy of patient welfare, the principle of noninjury, and solidarity. Questions of values deal with particularly complex areas of personal identity, because values are causes and reasons for decisions and actions. The potential damage of medical interventions is not automatically justified by the desire to help. The ratio between benefit and risks of medical measures must always be critically appreciated. The professional medical ethic is the basis for the contract between medicine and society with three basic principles: primacy of patient welfare, respect for the rights of self-determination (autonomy) of patients (informed consent), and promoting social justice in health care (solidarity). From these principles, normative values are derived, indispensably connected with medical responsibilities and obligations. Development of these values is discussed in the light of the philosophical background of the dignity of the individual person and the process of decision-making.

Married Life in the Middle Ages, 900-1300

2019 ◽  
Author(s):  
Elisabeth van Houts
Keyword(s):  
Middle Ages ◽  
Married Couple ◽  
Self Determination ◽  
Emotional Life ◽  
Social And Emotional ◽  
Individual Agency ◽  
Married Life ◽  
The Face ◽  
History Of ◽  
The Individual

This book contains an analysis of the experience of married life by men and women in Christian medieval Europe c. 900–1300. The focus will be on the social and emotional life of the married couple rather than on the institutional history of marriage. The book consists of three parts: the first part (Getting Married) is devoted to the process of getting married and wedding celebrations, the second part (Married Life) discusses the married life of lay couples and clergy, their sexuality, and any remarriage, while the third part (Alternative Living) explores concubinage and polygyny as well as the single life in contrast to monogamous sexual unions. Four main themes are central to the book. First, the tension between patriarchal family strategies and the individual family member’s freedom of choice to marry and, if so, to what partner; second, the role played by the married priesthood in their quest to have individual agency and self-determination accepted in their own lives in the face of the growing imposition of clerical celibacy; third, the role played by women in helping society accept some degree of gender equality and self-determination to marry and in shaping the norms for married life incorporating these principles; fourth, the role played by emotion in the establishment of marriage and in married life at a time when sexual and spiritual love feature prominently in medieval literature.

scholarly journals Individual Alpha Peak Frequency, an Important Biomarker for Live Z-Score Training Neurofeedback in Adolescents with Learning Disabilities

2021 ◽  
Vol 11 (2) ◽  
pp. 167
Author(s):  
Rubén Pérez-Elvira ◽  
Javier Oltra-Cucarella ◽  
José Antonio Carrobles ◽  
Minodora Teodoru ◽  
Ciprian Bacila ◽  
...  
Keyword(s):  
Learning Disabilities ◽  
Pediatric Population ◽  
Peak Frequency ◽  
Normative Values ◽  
Z Score ◽  
Absolute Power ◽  
The Individual ◽  
And Behavior ◽  
The Waves ◽  
Alpha Peak

Learning disabilities (LDs) have an estimated prevalence between 5% and 9% in the pediatric population and are associated with difficulties in reading, arithmetic, and writing. Previous electroencephalography (EEG) research has reported a lag in alpha-band development in specific LD phenotypes, which seems to offer a possible explanation for differences in EEG maturation. In this study, 40 adolescents aged 10–15 years with LDs underwent 10 sessions of Live Z-Score Training Neurofeedback (LZT-NF) Training to improve their cognition and behavior. Based on the individual alpha peak frequency (i-APF) values from the spectrogram, a group with normal i-APF (ni-APF) and a group with low i-APF (li-APF) were compared in a pre-and-post-LZT-NF intervention. There were no statistical differences in age, gender, or the distribution of LDs between the groups. The li-APF group showed a higher theta absolute power in P4 (p = 0.016) at baseline and higher Hi-Beta absolute power in F3 (p = 0.007) post-treatment compared with the ni-APF group. In both groups, extreme waves (absolute Z-score of ≥1.5) were more likely to move toward the normative values, with better results in the ni-APF group. Conversely, the waves within the normal range at baseline were more likely to move out of the range after treatment in the li-APF group. Our results provide evidence of a viable biomarker for identifying optimal responders for the LZT-NF technique based on the i-APF metric reflecting the patient’s neurophysiological individuality.

scholarly journals Consumer-run services research and implications for mental health care

2016 ◽  
Vol 25 (5) ◽  
pp. 410-416 ◽  
Author(s):  
S. P. Segal ◽  
S. L. Hayes
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Self Determination ◽  
Functional Improvement ◽  
Way Of Life ◽  
Services Research ◽  
Self Help ◽  
Mental Health Consumers ◽  
The Individual ◽  
The Impact

Mental health consumers/survivors developed consumer-run services (CRSs) as alternatives to disempowering professionally run services that limited participant self-determination. The objective of the CRS is to promote recovery outcomes, not to cure or prevent mental illness. Recovery outcomes pave the way to a satisfying life as defined by the individual consumer despite repetitive episodes of disorder. Recovery is a way of life, which through empowerment, hope, self-efficacy, minimisation of self-stigma, and improved social integration, may offer a path to functional improvement that may lead to a better way to manage distress and minimise the impact of illness episodes. ‘Nothing about us without us’ is the defining objective of the process activity that defines self-help. It is the giving of agency to participants. Without such process there is a real question as to whether an organisation is a legitimate CRS or simply a non-governmental organisation run by a person who claims lived experience. In considering the effectiveness of CRSs, fidelity should be defined by the extent to which the organisation's process conveys agency. Unidirectional helping often does for people what they can do for themselves, stealing agency. The consequence of the lack of fidelity in CRSs to the origins of the self-help movement has been a general finding in multisite studies of no or little difference in outcomes attributable to the consumer service. This, from the perspective of the research summarised herein, results in the mixing of programmatic efforts, some of which enhance outcomes as they are true mutual assistance programmes and some of which degrade outcomes as they are unidirectional, hierarchical, staff-directed helping efforts making false claims to providing agency. The later CRS interventions may provoke disappointment and additional failure. The indiscriminate combining of studies produces the average: no effect.

scholarly journals A categorical analysis of the «personality self-determination» concept in the context of the problem of students’ orientation towards moral self-determination

2021 ◽  
Vol 10 (3) ◽  
pp. 269-273
Author(s):  
Oksana Konstantinovna Pozdnyakova
Keyword(s):  
Moral Education ◽  
Value Orientations ◽  
The Self ◽  
Self Determination ◽  
Moral Choice ◽  
Moral Self ◽  
Categorical Analysis ◽  
The Individual ◽  
Level Of Analysis

The paper raises the problem of students orientation towards moral self-determination as one of the directions of moral education of students. The necessity of carrying out a categorical analysis of the personality self-determination concept to determine the content and methods of orientation of students towards moral self-determination is substantiated. Personality self-determination is considered at the philosophical, psychological and pedagogical levels of analysis. At the philosophical level of analysis, the essence of the personality self-determination phenomenon and the concept adequate to it is revealed; it consists in a persons choice of certain actions and deeds in a given situation; shows the role of moral choice in the self-determination of the individual. At the psychological level of analysis, the author substantiates the relationship between the self-determination of the individual and the system of his/her relations (to the surrounding reality, other people and himself/herself), which determine the content of the personalitys position. At the pedagogical level of analysis, the self-determination of a person is associated with his/her choice of values, the source of which is his/her needs. The paper argues that the self-determination of a person is both a process and a result of a persons choice of his/her own position, there is a choice of relations that form the content of a position, there is a choice of values, the focus on which constitutes the value orientations of a person, which become the core of self-determination. The author also has determined some practical pedagogical tasks, the solution of which is aimed at creating conditions for the orientation of students towards moral self-determination: the task of students moral principles development, which will ensure their choice of their position, goals and means of self-realization in life; the task of familiarizing students with the value of good, which is the essence of their ethical attitude to the world, to people and to themselves; the task of developing students ability to substantiate the foundations of moral choice and its principles to reflection.

scholarly journals SUPPORT OF SELF-EDUCATION IN A DISTANCE RETRAINING PROGRAM OF TUTORS

2020 ◽  
Vol 14 (4) ◽  
pp. 719-728
Author(s):  
T. A. Klimova ◽  
Keyword(s):  
Educational Environment ◽  
Educational Process ◽  
The Self ◽  
Self Determination ◽  
Educational Activity ◽  
Self Organization ◽  
Digital Environment ◽  
The Individual ◽  
Restrictive Measures

Introduction. The paper addresses the issue of support of the students involved in a fully online retraining program, which imposes special requirements on the development of the self-education ability. The study aims to establish the conditions for organizing the support of self-education in a digital educational environment. Materials and methods. The study relies on the methodology proposed by G.N. Prozumentova for reconstructing the innovative experience to analyze the reflexive text materials of the Logbook of students of the retraining program; to identify the points of stress, misunderstanding, breaks, and transitions during training; and make an analytical generalization. Results of the study. Categories of difficulties encountered by students of the program in their self-educational activity were identified, and the conditions necessary to support self-education were established. These are points of self-determination, professional trials, points of reflection, and individual educational route. Conclusion. In the context of restrictive measures during the pandemic and the transition to the online educational process, self-skills related to self-education, i.e., self-organization, independence, and self-determination, become essential. These competences are an indispensable part of the work of a tutor. However, before the tutor can support someone, they need to build these self skills themselves. The established conditions in the retraining programs will facilitate this process. At the same time, additional studies are required to reveal in more detail the individual progress of a person under these conditions for building a model for supporting the development of self-education ability, and to determine the methods for tutors to provide the support of this progress. Keywords. Self-education, self-determination, individual educational route, professional retraining, tutor, digital environment, self skills.

scholarly journals Development of humanities education in the context of interdisciplinary approach and informatization

2021 ◽  
Vol 5 (S2) ◽  
pp. 580-587
Author(s):  
Yuriy S. Kravtsov ◽  
Mariia P. Oleksiuk ◽  
Ihor M. Halahan ◽  
Viktoriia B. Lehin ◽  
Tetiana A. Balbus
Keyword(s):  
Geographical Location ◽  
Interdisciplinary Approach ◽  
Social Practices ◽  
Virtual Space ◽  
Self Determination ◽  
Global Network ◽  
Cultural Meanings ◽  
Humanities Education ◽  
Cultural Self ◽  
The Individual

The phenomenon of globalization is directly connected to the emergence of the global Network. National and political diversity in cyberspace fades into the background. Authenticity, self-identification of a person becomes secondary. The society determines the immersion of the individual in the virtual space and its functioning in this space. The transformation and development of humanities education is determined by the processes of informatization. The development of humanities education involves the implementation of the principle of openness of humanities education to social practices and the principle of its accessibility without age and geographical location. The introduction of info-telecommunications accelerates the creation of a single information space, provides access to the information resources. The development of humanities education is aimed at implementing an interdisciplinary approach that ensures the effectiveness of the development and application of humanitarian knowledge and form a conscious responsible choice in a variety of cultural meanings, cultural self-determination. It ensures the rigor and accuracy of the methodological and technical side of humanities education.

scholarly journals Model of Development of Self-determination as the Basis of Prevention of Addictive Behavior of Adolescents in Contemporary Educational Organizations

2017 ◽  
Vol 9 (4) ◽  
pp. 21-32
Author(s):  
N.A. Stepanova
Keyword(s):  
Addictive Behavior ◽  
The Self ◽  
Self Determination ◽  
Sensitive Period ◽  
Educational Institutions ◽  
Main Stage ◽  
Educational Organizations ◽  
Stages Of Development ◽  
Maintenance Work ◽  
The Individual

The article presents the analysis of the current domestic research of the problem of self-determination. It is shown that adolescence is a sensitive period for the development of self-determination, but there are not enough studies of its dynamics at this age and ways of the formation. Self-determination is considered in the article as the opposite of addictive behavior, which makes it a resource in terms of prevention of pathological dependencies. Therefore, the proposed approach to optimization of the system of prevention in educational institutions through the development of self-determination in adolescence, based on the development of the spiritual fulfillment of the individual as the main stage of formation of the self. A model of interaction between education experts in the course of prevention of addictive behavior in educational organizations, reflecting the main stages of development of self-determination in the course of maintenance work.

The loved ones: families, intimates and patient autonomy

Legal Studies ◽  
2003 ◽  
Vol 23 (2) ◽  
pp. 332-358 ◽  
Author(s):  
Katherine O'Donovan ◽  
Roy Gilbar
Keyword(s):  
Medical Ethics ◽  
Genetic Information ◽  
Patient Autonomy ◽  
Medical Law ◽  
Central Values ◽  
Patients Rights ◽  
Law And Ethics ◽  
The Family ◽  
Legal Position ◽  
The Individual

Patient autonomy is one of the central values in medical ethics. It is generally understood as recognition of patients' rights as free individuals answerable only to themselves. This emphasis on the individual leaves open the question of the position of the patients' ‘loved ones’, that is of families and significant others. The authors examine this question in three areas of law and medical ethics. Organ donation offers an example of preference given by medical ethics to family views, notwithstanding an expressed wish of the deceased to donate, and the legal position protecting such a request. Decisions concerning the treatment of incompetent patients illustrate consideration for the family in medical ethics, but hesitations in both law and ethics in accepting family views once expressed. And the tension between the interests of patients and family members over the access to genetic information usually results in respecting the patient's right to confidentiality. This individualistic perception of autonomy, as adopted by medical law, overlooks the patient's relationships with others and is too narrow to face the complexities of human lives.

Sign in / Sign up

Export Citation Format

Share Document