Marie Johnstone

Next SectionCultural differences in end-of-life care and the moral disagreements these sometimes give rise to have been well documented. Even so, cultural considerations relevant to end-of-life care remain poorly understood, poorly guided, and poorly resourced in health care domains. Although there has been a strong emphasis in recent years on making policy commitments to patient-centred care and respecting patient choices, persons whose minority cultural worldviews do not fit with the worldviews supported by the conventional principles of western bioethics face a perpetual struggle in getting their care needs met in a meaningful, safe, and healing way. In this essay, attention is given to exploring why cultural differences exist, why they matter, and how health care providers should treat them in order to reduce the incidence and impact of otherwise preventable harmful moral outcomes in end-of-life care. In addressing these questions, a novel application of the renowned terror management theory will be made

The centerpiece of the Analyses is a translation from the German of notes for a series of lectures given by phenomenologist Edmund Husserl in the early twenties, which is to say some eighty years ago. Husserl designated the topic of the lectures 'transcendental logic'. In this context, the term, 'transcendental', is not to be understood in some mystical sense, but rather in a Kantian sense: pertaining to the conditions of possibility of experience. Likewise, the term, 'logic', is not to be taken in the narrow sense of formal logic, but rather in the very general sense it had for Platonic dialectic: a concern with normative guidelines and critical assessment of the possibility of truth. The topic of the lectures is succinctly characterized by Husserl as 'a universal theory of science, and at the same time, a theory of science in principle,' where the latter means 'the science of the a priori of all sciences as such' (p. 1).