Search Results (9)

It is an open question whether participation in dangerous sports is prudentially rational given the high risk of traumatic brain injury they involve. This paper explores the merits of one attempt to rationalize participation in dangerous sport, which is based on Derek Parfit’s idea that it is rational for you to care less about the well-being of your future selves the more distant they are, because time diminishes the degree of their psychological connectedness to your present self. I respond to two sets of concerns about this defense of dangerous sport. First, there are concerns that the Parfitian defense is too weak to justify taking such serious risks as dangerous sport involves—specifically, objections based on an appeal to the overall shape of one’s life, as well as objections from self-directed duties. Second, there are concerns that the Parfitian defense would prove too much—specifically, that it would rationalize generally reckless risk-taking for fun; and that it would make one exploitable. I show that none of these objections succeeds, and I conclude that the Parfitian defense remains tenable. Full article

The Diabetes Remission Clinical Trial (DiRECT) demonstrated that substantial weight loss and remission from type 2 diabetes can be achieved with low-energy total diet replacement and behavioural support. However, the acceptability of the DiRECT intervention in diverse populations with strong cultural emphases on food and shared eating remains unclear. We conducted a qualitative study nested within a pilot randomised controlled trial of DiRECT in one Māori (the Indigenous people of New Zealand) primary care provider in Aotearoa New Zealand. Participants with type 2 diabetes or prediabetes, obesity, and a desire to lose weight were randomised to either dietitian-supported usual care or the dietitian-supported DiRECT intervention for twelve months. The DiRECT intervention included three months of total diet replacement, then food reintroduction and supported weight loss maintenance. At three and twelve months, semi-structured interviews explored the acceptability of DiRECT and participants’ experiences of each intervention. Interview transcripts from 25 participants (aged 48 ± 10 years, 76% female, 78% Māori or Pacific) at three months and 15 participants at twelve months were analysed. Participants viewed their pre-enrolment selves as unhealthy people with poor eating habits and desired professional weight loss support. For DiRECT participants, the total diet replacement phase was challenging but well-received, due to rapid improvements in weight and health. Food reintroduction and weight loss maintenance each presented unique challenges requiring effective strategies and adaptability. All participants considered individualised and empathetic dietetic support crucial to success. Sociocultural factors influencing success were experienced in both interventions: family and social networks provided support and motivation; however, eating-related norms were identified as challenges. The DiRECT intervention was considered an acceptable approach to weight loss in participants with type 2 diabetes or prediabetes with strong cultural emphases on food and shared eating. Our findings highlight the importance of individualised and culturally relevant behavioural support for effective weight loss and weight loss maintenance. Full article

This article considers experiences of moving and dwelling in Europe among Afghan unaccompanied young men in the context of stringent migration, asylum, and settlement processes. The young men embarked as minors and arrived unaccompanied in Norway. There, their claims for asylum had radically different outcomes: some were granted international protection and others were refused asylum. The article sheds light on forms of relationality on migration journeys by focusing on relational selves and subjectivities regarding trajectories, processes of inclusion and exclusion, and family. Participants shared numerous challenges and struggles arising from their journeys, but also possibilities and transformations taking place alongside developmental changes and life transitions. While some attached meaning to experienced hardships and drew on a sense of direction, others spoke of exhaustion or inoculated themselves from an inability to pursue a direction they desired and saw as necessary for their lives. They made sense of their experiences relationally, relating to hopes and fears, idealised and longed for kinship ties and care, and the ongoing processes and positionings involved in shaping their present situations and imaginings of the future. Full article

This article will explain how garbage care can be a way of realizing eco-spiritual care in the multifaith context of Indonesia. In Indonesia, the environment is a common concern, and waste is also a common problem. With a qualitative reflective method, the activities in garbage care are reflected in an eco-spiritual care perspective. Eco-spiritual care is an effort to assist human beings to find themselves in their environment. This reflection concludes that with a phenomenological approach, garbage care will make people find their ‘oneness’. This will underlie the renewal of attitudes toward their lives in a deeper, more positive way. In addition, this reflection on the eco-spiritual will broaden the understanding of pastoral care that has existed so far, because eco-spiritual care is not only for people who are sick, but those who want to find their natural selves. This also means that the meaning of eco-spiritual care is much broader than pastoral care because it means giving ‘good food’, not just shepherding and merely giving spiritual food. Indeed, it must be a good and healthy spiritual food to let people grow better spiritually. Full article

How do academic mothers navigate their embodied selves in a disembodied academic life? More particularly, how do mothers in Philippine Higher Education balance the demands of mothering and teaching during the pandemic? This qualitative study used a narrative inquiry approach involving in-depth interviews with academic mothers from various faculties and ranks at some Philippine Higher Education Institutions. This approach explored the complex and often contradictory discourses surrounding the tension between the polarizing models of the ideal caring mother and ideal academic, trying to excel in both roles during the pandemic. The research began with an overview by way of a literature review of the pre-pandemic mother academics. It then reflected on eight mother college professors who balanced their careers with childcare, some with adult care, as this pandemic amplified deeply ingrained traditional social norms that perpetuate social inequities. Finally, it concluded that the two domains—academy and family—remained inhospitable to professing mothers in the Philippines. This study proposed that care work should be valorized, work–family narratives normalized and mainstreamed, and public and educational policies that support mothering and teaching rethought. Full article

Over the decades, the use of environmental enrichment has evolved from a necessary treatment to a “best practice” in virtually all wildlife care settings. The breadth of this evolution has widened to include more complex inputs, comprehensive evaluation of efficacy, and countless commercially available products designed to provide for a myriad of species-typical needs. Environmental enrichment, however, remains almost inexorably based on the provision of inputs (objects, manipulanda, or other sensory stimuli) intended to enhance an environment or prolong a specific behavior. Considerable effort has been put into developing enrichment strategies based on behavioral outcomes to shift the paradigm from the traditional input-heavy process. We believe that this trajectory can be enhanced through Outcome-Based Husbandry using an ethologically based workflow tool with a universal application (regardless of species) that flushes out inputs based on desired outcomes, which can then be incorporated into daily care or layered to create sensory cue-based multi-day events. Furthermore, we believe that this strategy can drive practitioners from the confines of traditional enrichment and the object-based approach into a dynamic and holistic husbandry program that synthesizes complex experiences into regular animal care, rather than supplementing husbandry with input-based enrichment. Focusing on an animal’s complete experience and outcomes that promote competence building and the highest level of agency allows the animals, not care staff, to make meaningful decisions that impact their present and future selves. Full article

COVID-19 has brought not only fear and anxiety, but also legitimate restrictions of communication and consequential touch-deprivation in our daily lives. Couples’ relational wellbeing continues to be impacted by these COVID-19 related stressors. Protecting both personal and relational wellbeing is therefore particularly important at this time. Using a preventative intervention approach, the current paper argues the theoretical benefit of the Positive Massage programme and reports a qualitative analysis of stressed but healthy couples’ experience of engaging in the programme. Thirty-four participants completed 3 weekly classes and home-based practice of massage exchange. Data from an open text online questionnaire completed every week of the programme and again 3 weeks afterwards were analysed using thematic analysis. The identified themes included “holistic stress relief”, “relationship-promotion”, and “selves-care skill”. Couples perceived Positive Massage as an effective mutual support skill to relax and help one another by de-stressing, both emotionally and physically through verbal and nonverbal communication, creating gratitude, deeper connection and self-efficacy via quality time together and pleasurable touch. Theoretically and experientially, Positive Massage can be an effective preventative selves-care skill. Promoting the concept of selves-care and its practical application through Positive Massage would be beneficial for couples’ personal and relational wellbeing in a touch-deprived era. Full article

The aim of this article is to analyze how dignity and vulnerability, as declared principles of bioethics, both can be seen in a new light when they are thought of together, in their intertwining, in order to outline a proposal for an analytical framework for end-of-life care. It is thus shown, on the one hand, that the demand for respect for the equal dignity of every person, linked by the different anthropological and ethical theories to their autonomy as a rational agent, also refers to their fragile, vulnerable, and interdependent character, as an embodied subjectivity, sustained by a complex web of care. On the other hand, the vulnerability of these selves as others, constituted by the radical appeal of everything that affects them socially, emotionally, sensitively, and by their need for recognition and attention, would be pathological if it did not include the impulse towards autonomy, which, although precarious and connotative, requires dignified and equitable treatment. This intertwining of both principles points to a phenomenological conception of the person as a corporeal social existence, from which a number of studies on the attention to dignity and vulnerability at the end of life are analyzed. Full article

Many serious problems occur due to conflicts between the interests of the present generation and the welfare of future generations, and thus, the actions of the preset generation may be a consequence of presentism. Drawing on the theoretical framework of metacognition, the present study investigates how presentism can be overcome through future design interventions that incorporate an imaginary future generation setting. Four workshop participants were interviewed, and transcripts of the interviews were made. There were two major findings. First, we identified narratives in the responses of participants that suggest that metacognition was active during the workshops concerning the two cognitions governed by present and future selves. Second, the narratives identified above were classified into two categories, and the two corresponding roles of metacognition were identified: the monitoring and controlling function and the harmonizing function. The former is essential for the acquisition of identity as a future person; the latter is essential for reconciling this future identity with the identity of the person in the present. The present study proposes that future design is a tool that can be used to intervene in the metacognition of individuals concerning how one chooses a temporal reference point from which to view the past, present, and future of society rather than a tool to naively motivate individuals to care for future generations. Full article