From John Stuart Mill to the Medical Humanities

2019 ◽  
pp. 65-95
Author(s):  
Brittany Pladek
Keyword(s):  
Palliative Care ◽  
Samuel Taylor Coleridge ◽  
John Stuart Mill ◽  
German Romanticism ◽  
New Criticism ◽  
Cultural Education ◽  
Health Humanities ◽  
Whole Person ◽  
Relationship Of ◽  
The Relationship

This chapter traces therapeutic holism from German Romanticism through Victorian proponents of cultural education, represented by John Stuart Mill, down to its contemporary manifestation in the work of major literary health humanists like Rita Charon, Cheryl Mattingly, and Kathryn Montgomery Hunter. It also explains the relationship of therapeutic holism to its sibling discourses, New Criticism and Millian liberalism. The former’s holistic, unified work of art parallels the latter’s proper citizen—a whole person whose wholeness is created and restored by cultural education. These linked discourses helped secure therapeutic holism’s place in interdisciplinary conversations about why medicine needs literature. The final section of the chapter critiques therapeutic holism and explains why palliative poetics offer a necessary corrective, using the work of Samuel Taylor Coleridge to illustrate the heterogeneity of Romantic literary therapies. It also surveys complementary recent work within the health humanities. Health humanists working in fields like nursing, chronic pain, and palliative care have begun to develop palliative poetics that do not expect literature to cure.

Refutation of neoliberal educational policies based on Millian principles

2021 ◽  
pp. 147821032110313
Author(s):  
Jaakko Honkanen ◽  
Rauno Huttunen
Keyword(s):  
Education Policy ◽  
John Stuart Mill ◽  
Educational Policies ◽  
Classical Liberalism ◽  
Classical Liberal ◽  
Future Analysis ◽  
Relationship Of ◽  
The Relationship

This article attempts to start an in-depth consideration and analysis of modern neoliberal education policy through its philosophical roots. To achieve this, the article considers the ideology and philosophy of the classical liberal philosopher John Stuart Mill and the relationship of his philosophy with the modern-day neoliberalist education policy. The purpose of the article is to discuss the philosophical groundwork that drives Mill’s ideas on the establishment of education and compares it to the philosophical groundwork and implications present in modern neoliberal education policy, and through this begin to assert what neoliberalist education policy is. The paper asserts that while Mill’s version of classical liberalism holds similar views and forms of occurrence with modern neoliberalist policies, in many cases Mill’s philosophical groundwork seems to disagree fundamentally with that of neoliberalism. The study is based on literature detailing both the philosophical as well as polity aspects of both Mill’s ideas and modern neoliberalism from the viewpoint of education, and it presents considerations for the nature of neoliberal education policy and its future analysis.

What’s in a Definition?Holistic Nursing, Integrative Health Care, andIntegrative Nursing: Report of an Integrated Literature Review

2019 ◽  
Vol 37 (3) ◽  
pp. 260-272 ◽  
Author(s):  
Noreen Cavan Frisch ◽  
David Rabinowitsch
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Holistic Nursing ◽  
Integrative Health ◽  
Integrative Health Care ◽  
Whole Person ◽  
Disciplinary Practice ◽  
Relationship Of ◽  
The Relationship ◽  
Distinct Method

Background: Nurses and others have used various terms to describe our caring/healing approach to practice. Because terms used can influence our image of ourselves and the image others have of us, we sought to clarify their meanings. Questions: How are the terms holistic nursing, integrative health care, and integrative nursing defined or described? Do we identify with these definitions/descriptions? Are the various terms the same or are they distinct? Method: We conducted an integrated review of peer-reviewed literature following the process described by Whittemore and Knafl. Using standard search methods, we reviewed full texts of 94 published papers and extracted data from 58 articles. Findings: Holistic describes “whole person care” often acknowledging body–mind–spirit. Holistic nursing defines a disciplinary practice specialty. The term integrative refers to practice that includes two or more disciplines or distinct approaches to care. Both terms, integrative and holistic, are associated with alternative/complementary modalities and have similar philosophical and/or theoretical underpinnings. Conclusions: There is considerable overlap between holistic nursing and integrative nursing. The relationship of integrative nursing to integrative health care is unclear based solely on definitions. Consideration of terms used provides opportunities for reflection, collaboration, and growth.

scholarly journals The Relationship of Palliative Care With Assisted Dying Where Assisted Dying is Lawful: A Systematic Scoping Review of the Literature

2020 ◽  
Vol 59 (6) ◽  
pp. 1287-1303.e1 ◽  
Author(s):  
Sheri Mila Gerson ◽  
Gitte H. Koksvik ◽  
Naomi Richards ◽  
Lars Johan Materstvedt ◽  
David Clark
Keyword(s):  
Palliative Care ◽  
Scoping Review ◽  
Assisted Dying ◽  
Review Of The Literature ◽  
Relationship Of ◽  
The Relationship

scholarly journals HUBUNGAN KECERDASAN SPIRITUAL TERHADAP PRESTASI BELAJAR SISWA

2018 ◽  
Vol 7 (2) ◽  
pp. 68-75
Author(s):  
Hasbi Ashshidieqy
Keyword(s):  
Student Achievement ◽  
Negative Correlation ◽  
Spiritual Intelligence ◽  
The Other ◽  
General Picture ◽  
Whole Person ◽  
Correlational Method ◽  
The Mind ◽  
Relationship Of ◽  
The Relationship

Many people think that the highest intelligence among the other multiple intelligences is IQ intelligence. It's just that IQ intelligence is more often used in everyday life to get material, find solutions, and solve problems. The author assumes SQ is the intelligence of the highest intelligence among multiple intellegence where SQ is the inner intelligence of the mind and soul to build yourself into a whole person by always thinking positive in dealing with every incident that happened. Therefore, the authors assume that students who have spiritual intelligence will always be able to solve problems in education. The purpose of this study is as follows To know the nature of spiritual intelligence To know the essence of student achievement To know the relation of spiritual intelligence to student achievement. The method used is descriptive correlational method is to describe the relationship of one variable with another variable to find conclusions in the form of a comparison.  This method is used to take the results of a general picture of whether there is a positive or negative correlation

Exploring the relationship of self-reported lack of appetite to patient characteristics and symptom burden.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 187-187
Author(s):  
Kelly Hyland ◽  
Alyssa L Fenech ◽  
Diane Portman ◽  
Kristine A. Donovan
Keyword(s):  
Palliative Care ◽  
Body Weight ◽  
Lean Body Mass ◽  
Body Mass ◽  
Early Identification ◽  
Symptom Burden ◽  
Patient Characteristics ◽  
Care Clinic ◽  
Relationship Of ◽  
The Relationship

187 Background: Cancer anorexia-cachexia syndrome (CACS) in patients is associated with decreases in lean body mass and body weight. Self-reported lack of appetite may be an important indicator for early identification of CACS. The current analyses examined the relationship of perceived lack of appetite to patient characteristics and overall symptom burden in a large mixed cancer sample referred to a palliative care clinic. Methods: We conducted a retrospective review of patients newly referred to an outpatient palliative care clinic over a two-year period. Data on demographic and clinical characteristics and patient-reported symptom scores on the Edmonton Symptom Assessment Scale (ESAS) were abstracted. Pearson’s correlations and ANOVAs were used to assess relationships between variables. Multiple regression analysis was used to evaluate the relative contribution of variables that were significantly correlated with lack of appetite at the univariate level. Results: Data on 544 patients ( M=53.7 years) showed that older age (r=12, p<.01), not being married or in a marriage-like relationship (r=.09, p=.04), having insurance other than managed care insurance (r=.10, p=.02), lower body mass index (BMI; r=.11, p<.01), marijuana use (r=.18, p<.0001), and overall symptom burden (ESAS total score r=.52, p < .0001) were associated with worse lack of appetite ( M=3.5, SD=3.1). Patients who were underweight (BMI <18.5, 46.7%) reported significantly worse lack of appetite than patients who were normal weight, overweight, or obese ( M=3.9, SD=3.2, p<.01). The final hierarchical regression model accounted for 34% of the variance in lack of appetite, with age, marital status, BMI, marijuana use, and total symptom burden remaining significant independent correlates (p’ s <.01). Conclusions: Contrary to expectations, relatively few clinical correlates were associated with self-reported lack of appetite. Future research should explore inter-individual genetic factors to explain alterations in lean body mass and body weight that may contribute to poor appetite in patients. Such factors may be important indicators for early identification of CACS.

scholarly journals What do you mean by “palliative sedation”?

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Alexander Kremling ◽  
Jan Schildmann
Keyword(s):  
Palliative Care ◽  
Empirical Research ◽  
Good Practice ◽  
Supplementary Information ◽  
Future Research ◽  
Data Problem ◽  
Implicit Normativity ◽  
Relationship Of ◽  
The Relationship ◽  
Conceptual Confusion

Abstract Background Sedation in palliative care is frequently but controversially discussed. Heterogeneous definitions and conceptual confusion have been cited as contributing to different problems 1) relevant to empirical research, for example, inconsistent data about practice, the ‘data problem’, and 2) relevant for an ethically legitimate characterisation of the practice, the ‘problem of ethical pre-emption’. However, little is known about how exactly definitions differ, how they cause confusion and how this can be overcome. Method Pre-explicative analyses: (A) systematic literature search for guidelines on sedation in palliative care and systematic decomposition of the definitions of the practice in these guidelines; (B) logical distinction of different ways through which the two problems reported might be caused by definitions; and (C) analysis of how content of the definitions contributes to the problems reported in these different ways. Results 29 guidelines from 14 countries were identified. Definitions differ significantly in both structure and content. We identified three ways in which definitions can cause the ‘data problem’ – 1) different definitions, 2) deviating implicit concepts, 3) disagreement about facts. We identified two ways to cause the problem of ethical pre-emption: 1) explicit or 2) implicit normativity. Decomposition of definitions linked to the distinguished ways of causing the conceptual problems shows how exactly single parts of definitions can cause the problems identified. Conclusion Current challenges concerning empirical research on sedation in palliative care can be remediated partly by improved definitions in the future, if content and structure of the used definitions is chosen systematically. In addition, future research should bear in mind that there are distinct purposes of definitions. Regarding the ‘data problem’, improving definitions is possible in terms of supplementary information, checking for implicit understanding, systematic choice of definitional elements. ‘Ethical pre-emption’, in contrast, is a pseudo problem if definitions and the relationship of definitions and norms of good practice are understood correctly.

Why Leonard Bast Had To Be Killed

2019 ◽  
Vol 14 (3) ◽  
pp. 375-396
Author(s):  
Benjamin Poore
Keyword(s):  
Social Power ◽  
Aesthetic Education ◽  
Cultural Education ◽  
Middle Classes ◽  
Howards End ◽  
Aesthetic Form ◽  
The Aesthetic ◽  
Relationship Of ◽  
The Relationship

The misfortunes of the clerk Leonard Bast in E. M. Forster's Howards End have frequently been read as a symptom of modernism's disdain for the lower-middle classes and their aspirations for cultural education. But Howards End is better seen as an extended meditation on the relationship of art and labour, and a criticism of the aesthetic education that Bast receives from the wealthy Schlegel sisters. Using Jacques Rancière's idea that aesthetic form and social power alike distribute speaking and non-speaking roles, the article discerns in the foreclosure of Bast's life and experiences an educational and aesthetic failure which Forster's bourgeois narrator is too keen to reproduce. By offering the possibility of resisting its own narrator, Howards End opens up another form of modernist pedagogy which does not create the pupil in the image of the teacher.

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