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Search Results (644)

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893 KB  
Proceeding Paper
Cosmicism and Artificial Intelligence: Beyond Human-Centric AI
by Soumya Banerjee
Proceedings 2025, 126(1), 13; https://doi.org/10.3390/proceedings2025126013 (registering DOI) - 24 Oct 2025
Abstract
This paper explores the intersection of H.P. Lovecraft’s cosmicism and contemporary artificial intelligence (AI), proposing a philosophical shift from anthropocentric AI development to a “cosmicist” approach. Cosmicism, with its emphasis on humanity’s insignificance in a vast, indifferent universe, offers a provocative lens through [...] Read more.
This paper explores the intersection of H.P. Lovecraft’s cosmicism and contemporary artificial intelligence (AI), proposing a philosophical shift from anthropocentric AI development to a “cosmicist” approach. Cosmicism, with its emphasis on humanity’s insignificance in a vast, indifferent universe, offers a provocative lens through which to reassess AI’s purpose, trajectory, and ethical grounding. As AI systems grow in complexity and autonomy, current human-centered frameworks, rooted in utility, alignment, and value-conformity, may prove inadequate for grappling with the emergence of intelligence that is non-human in origin and indifferent in operation. Drawing on Lovecraftian themes of fear, the unknown, and cognitive dissonance in the face of incomprehensible entities, this paper parallels AI with the “Great Old Ones”: systems so alien in logic and scale that they challenge the coherence of human-centric epistemology. We argue that a cosmicist perspective does not dismiss the real risks of AI (environmental, existential, or systemic), but reframes them within a broader ontology, one that accepts our limited place in a vast techno-cosmic continuum. By embracing cosmic humility, we propose an expanded AI ethics: one that centers not on domination or full control, but on coexistence, containment, and stewardship. This cosmicist reframing invites a deeper rethinking of intelligence, ethics, and the future: not just of humanity, but of all possible minds. Full article
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19 pages, 709 KB  
Article
The Impact of Spiritual Well-Being on Multidimensional Perfectionism in University Students: A Nationwide Survey
by Alessio Lo Cascio, Elena Sandri, Anna De Benedictis, Anna Marchetti, Giorgia Petrucci, Silvia Dsoke, Gianluca Pucciarelli, Rosaria Alvaro, Maria Grazia De Marinis and Michela Piredda
Eur. J. Investig. Health Psychol. Educ. 2025, 15(10), 211; https://doi.org/10.3390/ejihpe15100211 - 15 Oct 2025
Viewed by 239
Abstract
Background: Perfectionism is a multidimensional personality trait encompassing both adaptive and maladaptive aspects that strongly influence students’ psychological health. Spiritual well-being, defined by existential and religious components, has been suggested as a protective factor, yet its relationship with perfectionism remains underexplored in university [...] Read more.
Background: Perfectionism is a multidimensional personality trait encompassing both adaptive and maladaptive aspects that strongly influence students’ psychological health. Spiritual well-being, defined by existential and religious components, has been suggested as a protective factor, yet its relationship with perfectionism remains underexplored in university populations. This study aimed to investigate these associations in a large nationwide sample of Italian undergraduates. Methods: A total of 2103 students from public and private universities across Northern, Central, and Southern Italy participated in an online cross-sectional survey. Validated instruments were used to assess multidimensional perfectionism and spiritual well-being. Results: Self-oriented perfectionism emerged as the most prevalent dimension, followed by other-oriented and socially prescribed perfectionism. Scores for existential well-being were higher than those for religious well-being. Existential well-being was negatively associated with socially prescribed perfectionism, suggesting a buffering role against maladaptive forms of striving. Religious well-being showed only a small positive association with perfectionism. Gender and age differences were also observed, with women and younger students reporting higher levels of perfectionism. Conclusions: Findings highlight existential well-being as a potential protective factor in academic contexts, supporting meaning-centered strategies to mitigate maladaptive perfectionism. Longitudinal and cross-cultural studies are warranted to clarify causal mechanisms and inform culturally sensitive educational and clinical practices. Full article
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18 pages, 264 KB  
Article
Penal Philosophy and Practice from a Historical and Theological Perspective
by Andrew Skotnicki and Karol Lucken
Histories 2025, 5(4), 52; https://doi.org/10.3390/histories5040052 - 14 Oct 2025
Viewed by 268
Abstract
This article critiques penal philosophy and practice in contemporary society through the lens of historical–ecclesial tradition. The article opens with a discussion of the penitential rituals in the first Christian monasteries and the eventual adoption of some of these rituals in the earliest [...] Read more.
This article critiques penal philosophy and practice in contemporary society through the lens of historical–ecclesial tradition. The article opens with a discussion of the penitential rituals in the first Christian monasteries and the eventual adoption of some of these rituals in the earliest state penitentiaries in the U.S. It is argued that a nonviolent and coherent penal ideology was advocated from the inception of Christian monasticism and subsequently maintained over the centuries due to three paradigmatic values and commitments. These values and commitments, which form the basis of the critique, are a theological metanarrative, a moral ontology, and a belief in sin as an existential fact. These tenets are used to interrogate the traditional justifications of punishment that have guided government policy throughout modern history, in the U.S. and abroad. Full article
15 pages, 619 KB  
Article
Well-Being in Family Caregivers of Dementia Patients in Romania
by Liviu Florian Tatomirescu, Cristiana Susana Glavce, Gabriel-Ioan Prada, Suzana Turcu and Adriana Borosanu
Disabilities 2025, 5(4), 90; https://doi.org/10.3390/disabilities5040090 - 11 Oct 2025
Viewed by 292
Abstract
Background: The rising prevalence of neurodegenerative conditions such as dementia underscores the impact of population aging. Consequently, long-term care needs have increased and are often met by family members through informal caregiving, thereby supporting formal care systems by reducing associated costs. These [...] Read more.
Background: The rising prevalence of neurodegenerative conditions such as dementia underscores the impact of population aging. Consequently, long-term care needs have increased and are often met by family members through informal caregiving, thereby supporting formal care systems by reducing associated costs. These caregivers face physical and mental health challenges, raising concerns about their psychological well-being and prompting interest in both clinical and psychosocial research. Ryff’s eudaimonic model offers a robust framework for the assessment of psychological well-being; yet, in Romania, data on this population segment remain limited. Objective: This study aimed to compare the psychological well-being of Romanian dementia family caregivers with a reference population from the Romanian adaptation of the 54-item Ryff Psychological Well-Being Scale, and to explore how sociodemographic characteristics relate to relevant differences across well-being dimensions. Methods: A cross-sectional study was conducted among 70 Romanian family caregivers recruited from a single clinical hospital in Bucharest, Romania. Caregivers completed the 54-item Ryff Scale (Romanian adaptation), and scores were compared to reference values using one-sample t-tests with bootstrap confidence intervals. The most relevant dimension (purpose in life) was dichotomized and further examined in relation to sociodemographic and caregiving variables using Chi-squared and Fisher’s exact tests. Results: Caregivers reported significantly lower scores compared to the reference population in purpose in life (p < 0.001, d = −1.01), personal growth (p < 0.001, d = −0.91), and positive relations (p = 0.01, d = −0.30). The most pronounced deficit was observed in purpose in life, with 85.7% of caregivers scoring below the reference mean. This dimension was further examined in relation to caregiver characteristics. Retirement status showed a statistically significant association with Purpose in Life, with retired caregivers more likely to report lower scores (χ2 (1) = 4.04, p = 0.04), supported by the likelihood ratio test (p = 0.01) and a linear trend (p = 0.05). Additional marginal associations were found for household income (p = 0.14) and whether the patient slept in a separate room (p = 0.15), suggesting possible links between caregiver well-being and economic or environmental conditions. Conclusions: The study findings highlight notable psychological vulnerabilities among Romanian dementia caregivers, particularly in purpose in life and personal growth. Associations with structural and contextual factors such as retirement status, income, and caregiving environment suggest that caregiver well-being is shaped by broader socioeconomic conditions. While the magnitude of these deficits may be underestimated due to elevated stress levels in the reference group, the findings underscore the need for targeted clinical, social, and policy-level interventions aimed at strengthening existential meaning and personal development in culturally specific settings. Full article
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8 pages, 235 KB  
Editorial
Loneliness: An Existential and Public Health Issue
by Ami Rokach and David Berman
Int. J. Environ. Res. Public Health 2025, 22(10), 1544; https://doi.org/10.3390/ijerph22101544 - 9 Oct 2025
Viewed by 429
Abstract
Interpersonal relationships are a fundamental human need [...] Full article
(This article belongs to the Special Issue Public Health Consequences of Social Isolation and Loneliness)
18 pages, 775 KB  
Article
Seeking Something Beyond Themselves: A Concept Analysis of Spiritual Awakening Experiences at the End of Life
by Manuela Monteiro, Joel Vitorino, Marina G. Salvetti and Carlos Laranjeira
Nurs. Rep. 2025, 15(10), 358; https://doi.org/10.3390/nursrep15100358 - 8 Oct 2025
Cited by 1 | Viewed by 618
Abstract
Background/Objectives: End-of-life (EoL) experiences are critically important for everyone involved, giving rise to a set of needs that extend far beyond bio-physiological aspects, to encompass the spiritual dimension as the core of human beings. Understanding the processes of spiritual awakening (SA) assists palliative [...] Read more.
Background/Objectives: End-of-life (EoL) experiences are critically important for everyone involved, giving rise to a set of needs that extend far beyond bio-physiological aspects, to encompass the spiritual dimension as the core of human beings. Understanding the processes of spiritual awakening (SA) assists palliative care professionals in enhancing the quality of care provided to individuals with life-threatening illnesses, as well as to their families. SA is a fundamental occurrence linked to the fulfilment of our spiritual needs when facing an existential crisis, such as the proximity of death. However, its conceptual boundaries need to be clarified to provide qualified and humanized palliative care. Therefore, this study aims to identify the key attributes, antecedents, consequents, and empirical referents of SA at EoL, as well as to clarify the concept’s existing ambiguities. Methods: Walker and Avant’s eight-step concept analysis was used. A literature search was conducted in May 2025 across three databases (PubMed, CINAHL and Scopus). Results: Following the review, 21 articles were included for analysis. The concept analysis revealed four main attribute domains: (1) sensory–perceptual domain; (2) affective/cognitive domain; (3) relational domain; and (4) transcendental domain. Moreover, spiritual consciousness and the existential matrix were antecedents to this concept; revaluation of beliefs, finding spiritual serenity and inner freedom, fostering spiritual growth, and the desire to leave a legacy were its consequences. Conclusions: The concept of SA at the EoL reveals itself to be a complex and multifactorial phenomenon, with a profound impact on a person’s confrontation with finitude. Recognizing and integrating SA into palliative care allows for a more comprehensive understanding of human consciousness. To deal with SA experiences in healthcare settings, a multifaceted approach is needed. This encompasses acknowledging spirituality as a determinant of health, including spiritual care in standard practice, and offering education and training on spiritual care competence for healthcare practitioners. Further transdisciplinary research should be undertaken to explore SA phenomenological variations, guide clinical interventions, and evaluate SA impacts on spiritual well-being and spiritual growth. Full article
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15 pages, 272 KB  
Article
The Middle Path of Rational Faith: Jaspers and Kant
by Ondřej Sikora
Religions 2025, 16(10), 1275; https://doi.org/10.3390/rel16101275 - 6 Oct 2025
Viewed by 344
Abstract
The philosophy of both Immanuel Kant and Karl Jaspers culminates in the motif of faith (the pure practical rational faith and the philosophical faith), but this similarity has received relatively little attention. The paper examines it with specific focus on three questions: First, [...] Read more.
The philosophy of both Immanuel Kant and Karl Jaspers culminates in the motif of faith (the pure practical rational faith and the philosophical faith), but this similarity has received relatively little attention. The paper examines it with specific focus on three questions: First, can it be said that Kant advocates a narrower, morally bound conception of rational faith, while Jaspers holds a broader, existential conception? If so, what is the root of this “narrower”–“wider” distinction? Second, can we take Jaspers as “Kantian existentialist” with regard to his motif of philosophical faith? Third, what do these concepts imply in relation to Christianity? To what extent can philosophical standpoint co-exist with Christian belief? As for the first question, the interpretation shows that rather than narrower–wider, it is more appropriate to use the stricter (Kant)–looser (Jaspers) distinction in the concept of rational faith, that, (second), has in both cases different grounding. Third, contrary to seeming opposition, where Kantian faith tends to overlap with Christian belief while for Jaspers a philosopher cannot be a believer in traditional sense, both get to a “sibling proximity” on the one hand and tension to traditional religion on the other. Full article
(This article belongs to the Section Religions and Humanities/Philosophies)
30 pages, 2746 KB  
Article
Neurobiological and Existential Profiles in Posttraumatic Stress Disorder: The Role of Serotonin, Cortisol, Noradrenaline, and IL-12 Across Chronicity and Age
by Barbara Paraniak-Gieszczyk and Ewa Alicja Ogłodek
Int. J. Mol. Sci. 2025, 26(19), 9636; https://doi.org/10.3390/ijms26199636 - 2 Oct 2025
Viewed by 595
Abstract
Posttraumatic Stress Disorder (PTSD) is characterized by disruptions in central nervous system functioning and existential crises, yet the mechanistic links between neurobiological processes and dimensions of life meaning and identity remain underexplored. The aim of this study was to examine the relationships between [...] Read more.
Posttraumatic Stress Disorder (PTSD) is characterized by disruptions in central nervous system functioning and existential crises, yet the mechanistic links between neurobiological processes and dimensions of life meaning and identity remain underexplored. The aim of this study was to examine the relationships between stress biomarkers (serotonin, cortisol, noradrenaline, and interleukin-12 [IL-12]) and existential attitudes (measured using the Life Attitude Profile (Revised) [LAP-R]) in mining rescuers, considering PTSD duration and participant age. This cross-sectional study included 92 men aged 18–50 years, divided into three groups: no PTSD (n = 28), PTSD ≤ 5 years (n = 33), and PTSD > 5 years (n = 31). Serum levels of four biomarkers and LAP-R scores across eight domains were evaluated. Statistical analyses employed nonparametric tests, including the Kruskal–Wallis test for overall group differences (with Wilcoxon r effect sizes for pairwise comparisons, Mann–Whitney U tests for post hoc pairwise comparisons, and Spearman’s rank correlations for biomarker–LAP-R associations. Age effects were assessed in two strata: 18–35 years and 36–50 years. Kruskal–Wallis tests revealed significant group differences (p < 0.001) for all biomarkers and most LAP-R domains, with very large effect sizes (r > 0.7) in pairwise comparisons for serotonin (control median: 225.2 ng/mL vs. PTSD ≤ 5y: 109.9 ng/mL, r = 0.86; vs. PTSD > 5y: 148.0 ng/mL, r = 0.86), IL-12 (control: ~8.0 pg/mL vs. PTSD ≤ 5y: 62.4 pg/mL, r = 0.86; vs. PTSD > 5y: ~21.0 pg/mL, r = 0.69), and LAP-R scales such as Life Purpose (control: 54.0 vs. PTSD ≤ 5y: 39.0, r = 0.78; vs. PTSD > 5y: 20.0, r = 0.86) and Coherence (control: 53.0 vs. PTSD ≤ 5y: 34.0, r = 0.85; vs. PTSD > 5y: 23.0, r = 0.86). The PTSD ≤ 5y group exhibited decreased serotonin, cortisol (median: 9.8 µg/dL), and noradrenaline (271.7 pg/mL) with elevated IL-12 (all p < 0.001 vs. control), alongside reduced LAP-R scores. The PTSD > 5y group showed elevated cortisol (median: ~50.0 µg/dL, p < 0.001 vs. control, r = 0.86) and normalized IL-12 but persistent LAP-R deficits. Older participants (36–50 years) in the PTSD ≤ 5y group displayed improved existential attitudes (e.g., Life Purpose: 47.0 vs. 27.5 in 18–35 years, p < 0.001), whereas in PTSD > 5y, age exacerbated biological stress (cortisol: 57.6 µg/dL vs. 36.1 µg/dL, p = 0.003). Spearman correlations revealed stage-specific patterns, such as negative associations between cortisol and Death Acceptance in PTSD > 5y (ρ = −0.49, p = 0.005). PTSD alters biomarker levels and their associations with existential dimensions, with duration and age modulating patient profiles. These findings underscore the necessity for integrated therapies addressing both biological and existential facets of PTSD. Full article
(This article belongs to the Section Biochemistry)
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20 pages, 281 KB  
Review
The Youngest Minds in a Warming World: A Review of Climate Change and Child and Adolescent Mental Health
by Georgios Giannakopoulos
Psychiatry Int. 2025, 6(4), 119; https://doi.org/10.3390/psychiatryint6040119 - 2 Oct 2025
Viewed by 702
Abstract
Climate change poses a growing threat to the mental health of children and adolescents. This narrative review synthesizes global, interdisciplinary research on the psychological impacts of climate disruption during critical developmental stages, with attention to marginalized populations. We explore three key pathways of [...] Read more.
Climate change poses a growing threat to the mental health of children and adolescents. This narrative review synthesizes global, interdisciplinary research on the psychological impacts of climate disruption during critical developmental stages, with attention to marginalized populations. We explore three key pathways of harm: direct exposure to environmental disasters, chronic disruption of ecological and social systems, and existential distress such as eco-anxiety. Drawing on eco-social theory and developmental psychopathology, the review highlights how these impacts are shaped by age, geography, identity, and systemic inequities. It identifies both risk and protective factors, emphasizing the importance of caregiving relationships, cultural practices, education, and youth climate engagement. While activism can foster resilience and purpose, it may also incur emotional burdens that require clinical and policy attention. We argue that child and adolescent mental health must be recognized as central to climate justice and adaptation, and we offer urgent recommendations for integrated action across sectors. Full article
12 pages, 348 KB  
Article
On the Relationship Between Life and Death in Fang Yizhi’s Philosophy and Its Transcendence
by Jianyu Qiao and Shunfu Shen
Religions 2025, 16(10), 1243; https://doi.org/10.3390/rel16101243 - 28 Sep 2025
Viewed by 506
Abstract
The question of how to properly understand and proactively respond to life and death is a fundamental human concern and a core topic in both philosophical and religious studies. Seventeenth-century Chinese philosopher Fang Yizhi (1611–1671) held a unique perspective on this issue, yet [...] Read more.
The question of how to properly understand and proactively respond to life and death is a fundamental human concern and a core topic in both philosophical and religious studies. Seventeenth-century Chinese philosopher Fang Yizhi (1611–1671) held a unique perspective on this issue, yet his insights have received little scholarly attention. Employing a methodology of textual comparison and logical analysis, this study systematically examines Fang Yizhi’s discourse on life and death. Grounded in the framework of the “Unity of Heaven and Humanity,” (tianren heyi 天人合一) he utilized dialectical modes of thought such as “primary and complementary” (zhengyu 正余) and “inverse causality” (fanyin 反因) to view life and death as categories that are not only mutually antithetical but also capable of mutual transformation. He further substantiated this view with a Confucian-style ontological grounding. Furthermore, this paper outlines the methods he proposed for the liberation of those lost in the sea of life-and-death anxiety. The findings underscore the enduring relevance of Fang Yizhi’s philosophy of life and death in addressing modern existential anxieties and encouraging a more positive and proactive approach to life. Full article
22 pages, 345 KB  
Review
The Role of Psychedelics in Contemporary Psychological and Interdisciplinary Inquiry
by Kerem Kemal Soylemez, Emma Marie de Boo, Aysil Susuzlu and Joanne Lusher
J. Pers. Med. 2025, 15(10), 450; https://doi.org/10.3390/jpm15100450 - 28 Sep 2025
Viewed by 1482
Abstract
Psychedelic compounds are gaining renewed attention across disciplines for their profound psychological and neurobiological effects. Emerging research highlights their efficacy in treating mood disorders, PTSD, and addiction by enhancing neuroplasticity and disrupting maladaptive cognitive patterns. From a psychological standpoint, psychedelics facilitate introspection, emotional [...] Read more.
Psychedelic compounds are gaining renewed attention across disciplines for their profound psychological and neurobiological effects. Emerging research highlights their efficacy in treating mood disorders, PTSD, and addiction by enhancing neuroplasticity and disrupting maladaptive cognitive patterns. From a psychological standpoint, psychedelics facilitate introspection, emotional processing, and therapeutic breakthroughs. Neuroscientific findings reveal altered brain network dynamics, while anthropological and philosophical perspectives contextualize their cultural and existential significance. In medicine, they offer novel interventions for chronic pain and palliative care. The present review article underscores the need for rigorous, ethically grounded research to explore psychedelics’ potential in reshaping mental health paradigms and cognitive science from a multidisciplinary perspective. Full article
(This article belongs to the Special Issue Personalized Medicine in Psychiatry: Challenges and Opportunities)
14 pages, 912 KB  
Article
Effects of Climate Change on Indigenous Food Systems and Smallholder Farmers in the Tolon District of the Northern Region of Ghana
by Suleyman M. Demi and Timage Alwan Ahmed
Green Health 2025, 1(3), 15; https://doi.org/10.3390/greenhealth1030015 - 26 Sep 2025
Viewed by 319
Abstract
Climate change remains one of the existential threats to humanity in particular and life on earth in general. It presents significant impacts on food and nutritional security, health, and the general well-being of living organisms globally. Despite global efforts to tackle the climate [...] Read more.
Climate change remains one of the existential threats to humanity in particular and life on earth in general. It presents significant impacts on food and nutritional security, health, and the general well-being of living organisms globally. Despite global efforts to tackle the climate crisis, the record shows that limited progress has been made in curbing the problem. Consequently, this study intends to address the following research question: How does the climate crisis affect indigenous food systems, farmers’ livelihoods, and local communities in the study area? This study was conducted in the Tolon district of the northern region of Ghana from 2017 to 2022. Grounded in the theoretical prism of political ecology and indigenous knowledge perspective, we selected individuals who were smallholder farmers, students, faculty members, extension officers, and an administrator from the Ministry of Food and Agriculture. The data were gathered through in-depth interviews, focus groups, and workshops and analyzed using coding, thematization, and inferences drawn from the literature and authors’ experiences. This study discovered some of the effects of a changing climate, including the extinction of indigenous food crops, poor yield resulting in poverty, and food and nutritional insecurity. This study concludes that failure to tackle climate change could pose a greater threat to the survival of smallholder households in Ghana. Full article
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19 pages, 2466 KB  
Review
Opening the Sacred Chamber: The Cultural and Ethical Odyssey of Cardiac Surgery
by Vasileios Leivaditis, Georgios Mavroudes, Francesk Mulita, Nikolaos G. Baikoussis, Athanasios Papatriantafyllou, Vasiliki Garantzioti, Konstantinos Tasios, Levan Tchabashvili, Dimitrios Litsas, Paraskevi Katsakiori, Stelios F. Assimakopoulos, Konstantinos Nikolakopoulos, Andreas Antzoulas, Elias Liolis, Spyros Papadoulas, Efstratios Koletsis and Manfred Dahm
J. Cardiovasc. Dev. Dis. 2025, 12(10), 378; https://doi.org/10.3390/jcdd12100378 - 24 Sep 2025
Viewed by 564
Abstract
Cardiac surgery, now a routine medical intervention, was once deemed unthinkable—not merely due to technical limitations, but because of deep-seated cultural, religious, and philosophical prohibitions. This article traces the historical and ethical trajectory of the human heart from a sacred, inviolable symbol of [...] Read more.
Cardiac surgery, now a routine medical intervention, was once deemed unthinkable—not merely due to technical limitations, but because of deep-seated cultural, religious, and philosophical prohibitions. This article traces the historical and ethical trajectory of the human heart from a sacred, inviolable symbol of the soul to a surgically accessible organ. Through an interdisciplinary lens that integrates medical history, anthropology, theology, and contemporary bioethics, we examine how shifts in metaphysical belief, technological progress, and moral reasoning gradually legitimized cardiac intervention. From ancient Egyptian funerary rites and classical cardiocentric models to medieval religious taboos and Enlightenment redefinitions of the body, the heart’s transformation reflects broader changes in how humanity conceives life, death, and identity. The emergence of modern cardiac surgery, especially heart transplantation and extracorporeal technologies, raised new ethical dilemmas, challenging the boundaries between tissue and meaning, biology and personhood. This study argues that despite its clinical secularization, the heart retains a unique symbolic gravity that continues to shape public perception and professional responsibility. In the age of precision medicine, cardiac surgery remains not only a technical act but an existential gesture—a transgression that demands both scientific mastery and moral reverence. Full article
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17 pages, 623 KB  
Article
Psychosocial Adaptation After Heart Transplantation: The Chain-Mediating Effect of Self-Esteem and Death Anxiety on Social Support and Quality of Life in China
by Chan Gao, Song Gui, Lijun Zhu, Xiaoqian Bian, Heyong Shen and Can Jiao
Behav. Sci. 2025, 15(10), 1297; https://doi.org/10.3390/bs15101297 - 23 Sep 2025
Viewed by 474
Abstract
Heart transplantation represents a pivotal intervention for end-stage heart failure, extending survival. However, it imposes profound physical, psychological, and social challenges that often undermine recipients’ quality of life (QoL). These challenges are especially pronounced in collectivist cultural contexts like China, where familial obligations [...] Read more.
Heart transplantation represents a pivotal intervention for end-stage heart failure, extending survival. However, it imposes profound physical, psychological, and social challenges that often undermine recipients’ quality of life (QoL). These challenges are especially pronounced in collectivist cultural contexts like China, where familial obligations and stigma surrounding chronic illness intensify existential burdens. Grounded in theoretical frameworks including Coping Theory, Self-Determination Theory, Socioemotional Selectivity Theory, and Terror Management Theory, this cross-sectional study explored the interplay between social support and QoL among Chinese heart transplant recipients, elucidating the mediating roles of self-esteem and death anxiety, as well as their sequential chain-mediating pathway. Employing validated psychometric instruments, including the Social Support Rating Scale (SSRS), Rosenberg Self-Esteem Scale (RSES), Templer Death Anxiety Scale (T-DAS) and SF-36 Health Survey, along with chain-mediation modeling, the analysis revealed that social support exerts a direct positive influence on QoL, supplemented by indirect effects through enhanced self-esteem, reduced death anxiety, and a chained cognitive-existential mechanism linking these factors. These insights highlight the complex psychosocial dynamics of post-transplant adaptation, advocating for targeted and culturally attuned interventions. These interventions include family-based support programs, self-esteem enhancement strategies, and death anxiety counseling. The aim is to promote holistic rehabilitation and sustained well-being among heart transplant recipients in China’s context. Full article
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16 pages, 610 KB  
Concept Paper
Ikigai as a Framework for Career Counselling and Study Choices: Conceptual and Practical Perspectives in the Slovenian Context
by Karmen Jedvaj and Vesna Skrbinjek
Societies 2025, 15(9), 264; https://doi.org/10.3390/soc15090264 - 22 Sep 2025
Viewed by 718
Abstract
This paper explores the theoretical foundations and practical applications of the Japanese concept of ikigai in the field of career counselling and study choice, with particular emphasis on its potential implementation in Slovenia’s educational system. Unlike traditional guidance models that primarily focus on [...] Read more.
This paper explores the theoretical foundations and practical applications of the Japanese concept of ikigai in the field of career counselling and study choice, with particular emphasis on its potential implementation in Slovenia’s educational system. Unlike traditional guidance models that primarily focus on the alignment of abilities and interests, ikigai represents a holistic framework integrating values, competencies, social contribution, and economic sustainability. The paper develops a novel conceptual model of ikigai coaching, applicable across three educational phases and structured into five implementation steps. It situates ikigai within broader motivational and existential theories, while also addressing the challenges of intercultural adaptation and risks of oversimplification or commercialisation. Empirical insight is provided through an expert interview with Professor Rutger ThielenTielen (Breda University of Applied Sciences, BUAS), and limitations as well as directions for future research are critically examined. The original contribution of this article lies in its contextualisation of ikigai within the Slovenian educational and cultural framework, where such approaches have not yet been systematically applied or academically evaluated. By integrating theoretical reflection, a structured coaching model, and empirical insight, the paper advances the academic debate on meaning-oriented career counselling and provides a culturally sensitive proposal for enriching guidance practices in Slovenia. Full article
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