Summary Ferdinand von Mueller (1825–96), the German-born Government Botanist of Victoria from 1853 until his death, and concurrently Director of the Melbourne Botanic Garden from 1857 until 1873, was a prolific systematic botanist, but also heavily involved in public educational activities. He conceived of the Garden as an educative place of recreation, but ultimately lost control over it. His loss did not stop his popular writing and lecturing, especially in areas related to the application of botany in horticulture, agriculture, and (...) forestry. The structure of his introductory school text—very different from the intensely logical grammar-like botany texts of the period—owed much to his political masters, but it is characterized by careful attention to language and locality. Mueller's work represents a consistent and pervasive example of attention to the ‘public understanding of science’ that resonates with the concerns of early twenty-first-century funders of scientific research. (shrink)

This forward-thinking collection presents new work that looks beyond the division between the analytic and continental philosophical traditions—one that has long caused dissension, mutual distrust, and institutional barriers to the development of common concerns and problems. Rather than rehearsing the causes of the divide, contributors draw upon the problems, methods, and results of both traditions to show what post-divide philosophical work looks like in practice. Ranging from metaphysics and philosophy of mind to political philosophy and ethics, the papers gathered here (...) bring into mutual dialogue a wide range of recent and contemporary thinkers, and confront leading problems common to both traditions, including methodology, ontology, meaning, truth, values, and personhood. Collectively, these essays show that it is already possible to foresee a future for philosophical thought and practice no longer determined neither as "analytic" nor as "continental," but, instead, as a pluralistic synthesis of what is best in both traditions. The new work assembled here shows how the problems, projects, and ambitions of twentieth-century philosophy are already being taken up and productively transformed to produce new insights, questions, and methods for philosophy today. (shrink)

This forward-thinking collection presents new work that looks beyond the division between the analytic and continental philosophical traditions—one that has long caused dissension, mutual distrust, and institutional barriers to the development of common concerns and problems. Rather than rehearsing the causes of the divide, contributors draw upon the problems, methods, and results of both traditions to show what post-divide philosophical work looks like in practice. Ranging from metaphysics and philosophy of mind to political philosophy and ethics, the papers gathered here (...) bring into mutual dialogue a wide range of recent and contemporary thinkers, and confront leading problems common to both traditions, including methodology, ontology, meaning, truth, values, and personhood. Collectively, these essays show that it is already possible to foresee a future for philosophical thought and practice no longer determined neither as "analytic" nor as "continental," but, instead, as a pluralistic synthesis of what is best in both traditions. The new work assembled here shows how the problems, projects, and ambitions of twentieth-century philosophy are already being taken up and productively transformed to produce new insights, questions, and methods for philosophy today. (shrink)

Hospitals long ago shed their role as alms houses for the poor. What vestiges remain of the early American hospital are the tax-exempt, nonprofit hospital form and a general perception that hospitals, as charitable institutions, owe a duty to their communities. The appropriateness of the nonprofit hospital tax exemption has long been debated, and many theories have been advanced to justify the tax exemption of nonprofit hospitals. In a growing number of jurisdictions, however, state and local authorities have gone beyond (...) the theoretical debate and are challenging the tax exemption of their nonprofit hospitals. For various reasons, efforts are afoot to capture greater community benefit from nonprofit hospitals.At the heart of such challenges is the debate over the nature and extent of the duty charitable institutions owe to their communities. A demand is growing for nonprofit hospitals to earn their tax exemptions by benefiting their communities in concrete ways. Some have been stripped of their tax-exempt status by local authorities or pressured to make payments in lieu of taxes. A number of states have recently implemented initiatives in an attempt to make hospitals more accountable for their community benefits. Many hospitals are responding to this heightened scrutiny in a proactive way, by voluntarily documenting community benefits. A number of nonprofit hospitals and hospital associations are cooperating with—or even sponsoring—state legislation in this area. (shrink)

Hospitals long ago shed their role as alms houses for the poor. What vestiges remain of the early American hospital are the tax-exempt, nonprofit hospital form and a general perception that hospitals, as charitable institutions, owe a duty to their communities. The appropriateness of the nonprofit hospital tax exemption has long been debated, and many theories have been advanced to justify the tax exemption of nonprofit hospitals. In a growing number of jurisdictions, however, state and local authorities have gone beyond (...) the theoretical debate and are challenging the tax exemption of their nonprofit hospitals. For various reasons, efforts are afoot to capture greater community benefit from nonprofit hospitals.At the heart of such challenges is the debate over the nature and extent of the duty charitable institutions owe to their communities. A demand is growing for nonprofit hospitals to earn their tax exemptions by benefiting their communities in concrete ways. Some have been stripped of their tax-exempt status by local authorities or pressured to make payments in lieu of taxes. A number of states have recently implemented initiatives in an attempt to make hospitals more accountable for their community benefits. Many hospitals are responding to this heightened scrutiny in a proactive way, by voluntarily documenting community benefits. A number of nonprofit hospitals and hospital associations are cooperating with—or even sponsoring—state legislation in this area. (shrink)

Over the past few years, over a dozen states have proposed, and almost as many have passed, something referred to as the Pain-Capable Unborn Child Protection Act, a piece of legislation that makes abortion impermissible once fetal pain is possible and that further stipulates the fetus can feel pain at or before 20 weeks of gestation. Some very important questions immediately relevant to the abortion debate, perhaps even to the more complex issue of fetal rights, are raised by this legislation, (...) especially because it would impinge on the second-trimester abortion rights guaranteed by Roe. We first inquire whether the claim of fetal pain perception at or before 20 weeks is true and how such a claim should be substantiated. Next, we inquire whether the fetal capacity to experience pain, at whatever stage of development, reflects on the morality of abortion and whether it should be at all relevant to determining its legality. Finally, we would like to explore the implications that a commitment to a pain-related or sentience criterion of rights might have for a pro-life agenda. (shrink)

Critical Reasoning & Philosophy is an innovative and clearly written handbook that teaches studnets how to read critically, think critically while they read, and write thoughtful, sound arguments in response.

Psychoanalysis, in Freud’s day and our own, has met with and continues to meet with staunch opposition from critics. The most ruinous criticism comes from philosophers, with a special interest in science, who claim psychoanalysis does not measure up to the above-board canons of acceptable scientific practices and, thus, is not scientific. It is common today to direct such criticisms to all metempirical forms of psychotherapy—i.e., psychotherapies that in no way concern themselves with grounding their claims with empirical research. The (...) most common defense is to cold-shoulder the criticism and counter that psychoanalysis, whether or not Freud recognized it, is a hermeneutical, not an etiological, method of therapy. In that regard, its measure of success is not symptom-removal or redirection of drive-energy in socially condoned or acceptable ways, but broadened understanding through a commonly created myth, effected by therapist and patient, for the patient’s wellbeing. In this undertaking, I argue that the hermeneutical apologia of psychoanalysis is a dodge, not a defense—an impenetrable asylum in which therapists can find refuge by buffering themselves from the possibility of criticism of the scientificity of their discipline. Because hermeneuticism disavows the possibility of knowledge in any meaningful sense—and, with that, scientific knowledge gained through observation or experimentation—it levels the epistemological playing field. With knowledge impossible and science annulled, no “investigative” inquiry or discipline can claim a status superior to any other and, hence, psychotherapy is an investigative discipline as legitimate as any other. The literature on the hermeneutic defence of psychotherapy is vast—too vast for anything but a representative sample of it in this critique. I focus merely on some of the most recent literature. (shrink)

Liberalism is the view that humans are independent, autonomous, and self-sufficient and, thus, institutional policy is warranted only when it advances these values. As an important thread in moral thought today, liberalism defines a good life as the complete freedom of all people to pursue their own desires, provided that little or no harm is done to others along the way.Moral liberalism also pervades the literature in philosophy of sport today. In this paper, I argue that liberalism as moral policy (...) in sport is wrong because liberalism as moral policy is wrong. Human autonomy implies social responsibility, which moral liberalism today disavows. At paper’s end, I sketch out a normative account of sport, aretism, that fleshes out the types of responsibilities that bind athletes to sport, properly construed as a social institution. (shrink)

Liberal individualism, in its atomic sense, asserts that people are autonomous and self-contained individuals, whose rights are prior to and independent of any conception of the good. It champions individual rights and toleration for different conceptions of the good life, and essays to secure justice for all in equal measure.In prioritizing right over good, liberal individualism demands that the state have a stance of strict neutrality concerning any particular conception of the good. It privileges political analysis, in that no conception (...) of what is good must interfere with the fundamental rights, unconditionally guaranteed, of each individual. Consequently, it is essentially atomic ideal, and this atomism, whether metaphysical ormethodological, effects a separation of persons and institutions. This I call the “Great Divide”.In what follows, I argue that the liberal separation of persons from institutions is a disintegrative political and ethical ideal in personal, social, and ethical senses. (shrink)

"A tramp, a gentleman, a poet, a dreamer, a lonely fellow, always hopeful of romance and adventure." Charlie Chaplin Freud, in a letter to Max Schiller (25 Mar. 1931), writes of an occasion in which Charlie Chaplin came to Vienna. In his account, Freud cavalierly offers great insight into the person behind the actor, even though he has never met Chaplin. Just recently . . . Charlie Chaplin was in Vienna; I almost caught sight of him, but it was too (...) cold for him, and he left in a hurry. He is undoubtedly a great artist—although he always plays one and the same part, the weak, poor, helpless, clumsy boy for whom life turns out all right in the end. Now do you think he has to forget his own self in .. (shrink)

In a letter to Benjamin Rush, Jefferson includes a syllabus—a comparative account of the merits of Jewish morality, ancient philosophy, and the precepts of Jesus. Using the syllabus as a guide, this paper is a critical examination of the influence of ancient ethical and religious thinking on Jefferson’s ethical and religious thinking—viz., Jefferson’s views of the ethics and religion of the Hebrews, the ancient philosophers, and Jesus.

In a letter to Benjamin Rush, Jefferson includes a syllabus—a comparative account of the merits of Jewish morality, ancient philosophy, and the precepts of Jesus. Using the syllabus as a guide, this paper is a critical examination of the influence of ancient ethical and religious thinking on Jefferson’s ethical and religious thinking—viz., Jefferson’s views of the ethics and religion of the Hebrews, the ancient philosophers, and Jesus.

This paper is a comprehensive investigation of Freud’s views on technology and human well-being, with a focus on ‘Civilization and Its Discontents’. In spite of his thesis in ‘Civilization and Its Discontents’, I shall argue that Freud, always in some measure under the influence of Comtean progressivism, was consistently a meliorist: He was always at least guardedly optimistic about the realizable prospect of utopia, under the ‘soft dictatorship’ of reason and guided by advances in science and technology, in spite of (...) due recognition in his later years of the possibility of annihilation through technological advances in warfare. The possibility of human annihilation, then, muffled Freud’s meliorism. Freud’s ‘muffled meliorism’, however, was not a quiet commitment to viewing technology as something good. Ultimately, Freud steered a middle course between techno-advocacy and techno-antagonism. The technologies of science, like the discoveries of psychoanalysis, were tools for humans that could be used for human betterment or, as war showed, for human degeneration. (shrink)

Plato noticed a sizeable problem apropos of establishing his republic—that there was always a ready pool of zealous potential rulers, lying in wait for a suitable opportunity to rule on their own tyrannical terms. He also recognized that those persons best suited to rule, those persons with foursquare and unimpeachable virtue, would be least motivated to govern. Ruling a polis meant that those persons, fully educated and in complete realization that the most complete happiness comprises solitary study of things unchanging, (...) would have to compromise their happiness for the wellbeing of their polis and of the people in it. Plato’s solution, in effect that the aristoi would merely recognize their duty to sacrifice personal happiness for the happiness of the polis, has perplexed and continues today to perplex scholars. Like Plato, Jefferson recognized that there was always a pool of eager sharks, ready to govern. His republicanism, comprising a ward system and general education, was founded on the fullest participation of its citizenry, suitably educated and a governing aristoi. The true aristoi, the “natural aristoi”, are the intelligent and virtuous and that government is best which allows for a “pure selection” of the natural aristoi into the governing offices. Nonetheless, as Jefferson’s own life shows, non-parochial governing meant being rent from domestic tranquility, being forced to leave behind one’s personal affairs to decay, and being tossed willy-nilly into the coliseum of nonstop political wrangling. Why would anyone, particularly one wanting to be happy, wish to govern? Thus, Jefferson faced the same problem that Plato faced. How could a state be structured so that the wisest and most virtuous would be motivated to rule? In this paper, I argue that Jefferson, in full recognition of the problem of encouraging the most intelligent and virtuous to govern, the problem of public service, offers a solution that is remarkably Platonic. (shrink)

That Jefferson execrated Plato in an 1814 letter to friend John Adams. In it, he expresses an unsympathetic, hostile view of Plato’s Republic, and the reasons are several. Nonetheless, Plato’s views on what makes government fundamentally sound are, at base, remarkably similar to Jefferson’s both in substance and sentiment, so much so that it is inconceivable to think that Plato’s Republic had little effect on Jefferson’s political thinking. That makes his execration of Plato difficult to understand. This paper is an (...) attempt to show that Jefferson, despite the tenor of his letter to Adams, had much more than a dilettante’s grasp of the political content of Plato’s major work. Jefferson was very likely quite familiar with the work, since his own political philosophy assimilates key substratal Platonic political principles of good, stable governing. His disavowal of the work and execration of Plato, then, is due to a constellation of other factors: Adams’s feelings toward Plato, Jefferson’s views on the corruptions of Jesus’s teachings, his deep-dyed detestation of metempiricism, his view that Plato was an unoriginal thinker, and strong disagreement with Plato’s means to instantiate substratal political principles. (shrink)

When talk of philosophy of pedagogy comes up today, it is common to hear the names of Aristotle, Thomas Jefferson, John Dewey, or Paulo Freire, but the name of Paul Goodman, who campaigned vigorously for pedagogical reform much of his life, is seldom mentioned. In spite of neglect of his work, Goodman had much to say on pedagogical practice that is rich, poignant, and relevant today. In consequence, it is unfortunate that he is seldom read and discussed today. This essay (...) is an attempt to fill in the gap in the scholarship. I begin by presenting an elaboration of Goodman's key insights. I then offer a critical analysis of those pedagogical insights. (shrink)

The contention that abortion harms women constitutes a new strategy employed by the pro-life movement to supplement arguments about fetal rights. David C. Reardon is a prominent promoter of this strategy. Post-abortion syndrome purports to establish that abortion psychologically harms women and, indeed, can harm persons associated with women who have abortions. Thus, harms that abortion is alleged to produce are multiplied. Claims of repression are employed to complicate efforts to disprove the existence of psychological harm and causal antecedents of (...) trauma are only selectively investigated. We argue that there is no such thing as post-abortion syndrome and that the psychological harms Reardon and others claim abortion inflicts on women can usually be ascribed to different causes. We question the evidence accumulated by Reardon and his analysis of data accumulated by others. Most importantly, we question whether the conclusions Reardon has drawn follow from the evidence he cites. (shrink)

Feature structures are employed in various forms in many areas of linguistics. Informally, one can picture a feature structure as a sort of tree decorated with information about constraints requiring that specific subtrees be identical (isomorphic). Here I show that this informal picture of feature structures can be used to characterize exactly the class of feature structures under their usual subsumption ordering. Furthermore, once a precise definition of tree is fixed, this characterization makes use only of standard domain-theoretic notions regarding (...) the information borne by elements in a domain, thus removing (or better, explaining) all apparentlyad hoc choices in the original definition of feature structures. In addition, I show how this characterization can be parameterized in order to yield similar characterizations of various different notions of feature structure, including acyclic structures, structures with appropriateness conditions and structures with apartness conditions (used to model path inequations). The generalizations to other notions of feature structure also emphasize that the construction given here is in fact independent of the application to feature structures. (shrink)

It is well-known that feature structures can be fruitfully viewed as forming a Scott domain. Once a linguistically motivated notion of set value in feature structures is countenanced, however, this is no longer possible inasmuch as unification of set values in general fails to yield a unique result. In Pollard and Moshier 1990 it was shown that, while falling short of forming a Scott domain, the set of feature structures possibly containing set values satisfies the weaker condition of forming a (...) 2/3 SFP domain when equipped with an appropriate notion of subsumption: that is, for any finite setS of feature structures, there is a finite setM of minimal upper bounds ofS such that any upper bound ofS is approximated by a member ofM. Unfortunately, the 2/3 SFP domains are not as pleasant to work with as Scott domains since they are not closed under all the familiar domain constructions; and the question has remained open whether the feature structure domain satisfies the added condition of profiniteness. In this paper we resolve this question in the affirmative. (shrink)

Institutional review board delays may hinder the successful completion of federally funded research in the U.S. military. When this happens, time-sensitive, mission-relevant questions go unanswered. Research participants face unnecessary burdens and risks if delays squeeze recruitment timelines, resulting in inadequate sample sizes for definitive analyses. More broadly, military members are exposed to untested or undertested interventions, implemented by well-intentioned leaders who bypass the research process altogether. To illustrate, we offer two case examples. We posit that IRB delays often appear in (...) the service of managing institutional risk, rather than protecting research participants. Regulators may see more risk associated with moving quickly than risk related to delay, choosing to err on the side of bureaucracy. The authors of this article, all of whom are military-funded researchers, government stakeholders, and/or human subject protection experts, offer feasible recommendations to improv... (shrink)

An anthropocentric scope for clinical medical ethics (CME) has largely separated this area of bioethics from environmental concerns. In this article, we first identify and reconcile the ethical issues imposed on CME by climate change including the dispersion of related causes and effects, the transdisciplinary and transhuman nature of climate change, and the historic divorce of CME from the environment. We then establish how several moral theories undergirding modern CME, such as virtue ethics, feminist ethics, and several theories of justice, (...) promote both a flourishing of human medical practice and the environment. We conclude by defining an expanded the scope of CME as inclusive of not only patients, families, physicians, and other health professionals but other humans, non-humans, and their shared environment. We then apply this scope and theory to a widely used framework for applying CME, the Four Topics model, to construct a climate conscious approach to CME. (shrink)

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role (...) of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM – whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part 1 of this article took up the first two questions. Part 2 took up the second two questions. Part 3 now deals with Questions 5 & 6. Question 5 confronts the issue of utility, whether the manual design of DSM-III and IV favors clinicians or researchers, and what that means for DSM-5. Our final question, Question 6, takes up a concluding issue, whether the acknowledged problems with the earlier DSMs warrants a significant overhaul of DSM-5 and future manuals. As in Parts 1 & 2 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances. (shrink)

Scholars today are divided on the motivation behind what is often called Jefferson’s “moral agrarianism”. On the one hand, some scholars take Jefferson at his word when he mentions that agrarianism is a moral vision. For these individuals, Jefferson’s agrarianism is a moral vision and an indispensible part of the good life. On the other hand, other scholars maintain that Jefferson’s moral agrarianism is merely a bit of propaganda that insidiously sheaths a political or economic ideal. For them, Jefferson is (...) through and throughout a politician, and expressions of agrarianism as a moral ideal amount to mere cant. In this paper, I examine arguments for and against Jefferson’s moral agrarianism. I defend the position that Jefferson was an aboveboard moral agrarianist and that the ideal of agrarianism was not just one that was suited for Americans, given their surfeit of land and want of laborers, but an ideal that also applied universally. I end with thoughts on Jefferson’s recognition of the rise of manufacturing in American cities throughout his life. (shrink)

The origin of marine invertebrate larvae has been an area of controversy in developmental evolution for over a century. Here, we address the question of whether a pelagic “larval” or benthic “adult” morphology originated first in metazoan lineages by testing the hypothesis that particular gene co-option patterns will be associated with the origin of feeding, indirect developing larval forms. Empirical evidence bearing on this hypothesis is derivable from gene expression studies of the sea urchin larval gut of two closely related (...) but differently developing congenerics, Heliocidaris tuberculata (feeding indirect-developing larva) and H. erythrogramma (nonfeeding direct developer), given two subsidiary hypotheses. (1) If larval gut gene expression in H. tuberculata was co-opted from an ancestral adult expression pattern, then the gut expression pattern will remain in adult H. erythrogramma despite its direct development. (2) Genes expressed in the larval gut of H. tuberculata will not have a coordinated expression pattern in H. erythrogramma larvae due to loss of a functional gut. Five structural genes expressed in the invaginating archenteron of H. tuberculata during gastrulation exhibit substantially different expression patterns in H. erythrogramma with only one remaining endoderm specific. Expression of these genes in the adult of H. erythrogramma and larval gut of H. tuberculata, but not in H. erythrogramma larval endoderm, supports the hypothesis that they first played roles in the formation of adult structures and were subsequently recruited into larval ontogeny during the origin and evolution of feeding planktotrophic deuterostome larvae. (shrink)

The contention that abortion harms women constitutes a new strategy employed by the pro-life movement to supplement arguments about fetal rights. David C. Reardon is a prominent promoter of this strategy. Post-abortion syndrome purports to establish that abortion psychologically harms women and, indeed, can harm persons associated with women who have abortions. Thus, harms that abortion is alleged to produce are multiplied. Claims of repression are employed to complicate efforts to disprove the existence of psychological harm and causal antecedents of (...) trauma are only selectively investigated. We argue that there is no such thing as post-abortion syndrome and that the psychological harms Reardon and others claim abortion inflicts on women can usually be ascribed to different causes. We question the evidence accumulated by Reardon and his analysis of data accumulated by others. Most importantly, we question whether the conclusions Reardon has drawn follow from the evidence he cites. (shrink)

In this paper we will argue in favor of federal funding of elective abortion, more specifically in support of Medicaid funding. To do so, we will address the restrictions on public funding presently in place and demonstrate that the various justifications offered in their defense are in­adequate. We will then suggest that the ‘failure to enable’ represented by a ban on Federal funding is morally equivalent to an outright prohibition on abortion for the target population. Just as a moral equivalence (...) can be established between killing and letting die in symmetrical cases, like criteria for equivalence can be established that help to identify those failures to make possible that are morally indistinguishable from proscriptions. On this basis, it can be shown that restrictions on Federal funding in such contexts can be thought to carry the same moral liability as prohibitions. (shrink)

This book examines the process philosophies of Whitehead and others against current discussions of astrobiology, extraterrestrial life, and their engagement by theological and religious systems.

The development of the Universal Declaration of Ethical Principles for Psychologists has sparked debate about its applicability to cultural groups around the globe. Focusing on the principle of respect espoused in the Declaration, this article uses examples largely drawn from the indigenous Ma-ori culture of Aotearoa/New Zealand, to highlight how the ethical imperatives espoused by the Declaration may conflict with the perspectives of M?ori. A discussion of actions denoting respect is given from a M?ori perspective. Distinctions between the ethical expectations (...) the discipline of psychology and Ma-ori have of psychological practitioners are also addressed. (shrink)

For the successful achievement of evidence-based practice, clinicians, managers and purchasers need evidence on whether a particular intervention works and ways to judge the appropriateness of the outcome criteria and measures used. Guidance is needed on what outcome measure to use, especially within routine clinical care settings. Beginning with a re-clarification of the difference between a health status and an outcome measure, the paper presents an evaluative checklist for use by clinical audit and research staff to review outcome measures for (...) use in routine care settings. Central features include the user-centredness of the measure, its psychometric properties, feasibility of use and utility. The applicability of the checklist is illustrated for outcome measurement in diabetes and stroke care. A modified form of the checklist is proposed for use by the busy clinician as an aid to the critical review of research papers within the context of evidence-based practice and to aid health care practitioners' choice of which outcome measure(s) to use within routine clinical care. (shrink)

This study examines how heightened expectations of board responsibility and accountability affect the socio-cognitive decision-making of boards and their collective task performance. Using data from the directors of 60 boards who served before and after the enactment of Sarbanes–Oxley, this study provides insight into the potential negative impact that this tightened accountability environment can have on a board’s task performance. Examining several socio-cognitive elements of board decision-making, board authority is found to have a positive main effect on board task performance, (...) while relative CEO power and affective conflict have curvilinear relationships with board task performance. Cohesiveness also moderates the relationship between a board’s perceived uncertainty and affective conflict with board task performance. In sum, the model shows how a new era of director accountability can affect the social cognitions of board decision-making that underlie board task performance. (shrink)

This paper focuses on the most common state policy responses to the opioid crisis, dividing them into six broad categories. Within each category we highlight the rationale behind the group of policies within it, discuss the details and support for individual policies, and explore the research base behind them. The objective is to better understand the most prevalent state responses to the opioid crisis.

Decision making capacity (DMC) is a fundamental concept grounding the principle of respect for autonomy and the practice of obtaining informed consent. DMC must be determined and documented every time a patient undergoes a hospital procedure and for routine care when there is reason to believe decision making ability is compromised. In this paper we explore a path toward ethically informed development and implementation of a hospital policy related to DMC assessment. We begin with a review of the context of (...) DMC assessment before discussing some considerations relevant to policy creation by healthcare ethics committees. The discussion concludes in a presentation of a typology of capacity assessment policies, which draws upon a sampling of currently used hospital policies to illustrate relevant ethical considerations. (shrink)