Most advice for sharpening our thinking skills concerns how to avoid bad arguments. But argument is only one of the two basic forms of reasoning. The other is explanation, and it is equally susceptible to abuse. You may already be familiar with certain forms of explanatory malfeasance. One of the best known is circular explanation, in which the stated cause is just a different way of describing the effect. Here I'd like to introduce you to a less appreciated error of (...) explanation. To my knowledge it has no widely accepted name, but I call it ???the convincing explanation??? (shrink)

Obese people consume significantly greater amounts of health resources. This study set out to determine if health resource utilization by obese people decreases after losing weight in a comprehensive medically supervized weight management programme. Four hundred and fifty-six patients enrolled in a single-centred, multifaceted weight loss programme in a universal health care system were studied. Patient information was anonymously linked with administrative databases to measure health resource utilization for 1 year before and after the programme. Mean body mass index (BMI) (...) decreased by more than 15%. The mean annual physician visits (pre = 9.6, post = 9.4) did not change significantly after the programme. However, patients saw a significantly fewer number of different physicians per year following the programme (pre = 4.5, post = 3.9; P < 0.001). Mean annual number of emergency visits (pre = 0.2; post = 0.2) and hospital admissions (pre = 0.05; post = 0.08) did not change. Neither baseline BMI, nor its change during the programme, influenced changes in health resource utilization. Our study suggests that weight loss in a supervized weight management programme does not necessarily decrease short-term health resource utilization. Further study is required to determine if patients who maintain their weight loss experience a decrease in health utilization. (shrink)

When tennis fan Jane Bronstein attended the 1995 U.S. Open she probably knew there was a remote chance her image would end up on television screens around the world. But she surely did not know she was at risk of becoming the object of worldwide attention on the David Letterman Show. As it happened, Letterman spotted an unflattering clip from the U.S. Open showing a heavyset Bronstein with peach juice dripping down her chin. Not only did he show the footage (...) six times that fall, but he ridiculed her on his “Top 10 List,” calling her a “seductive temptress,” even paying to put the clip on the Sony Jumbotron electronic billboard at Time Square. Ms. Bronstein sued David Letterman’s production company under New York civil rights law for violating her privacy. (shrink)

Cruelty is widely regarded to be a uniquely human trait. This follows from a standard definition of cruelty as involving the deliberate infliction of suffering together with the empirical claim that humans are unique in their ability to attribute suffering (or any mental state) to other creatures. In this paper I argue that this definition is not optimum for the purposes of scientific inquiry. I suggest that its intuitive appeal stems from our abhorrence of cruelty, and our corresponding desire to (...) define cruelty in such a way that it is almost always morally wrong. Scientifically speaking this is an arbitrary condition that inhibits our attempt to study cruelty as a natural phenomenon. I propose a fully naturalized definition of cruelty, one that considerably expands the range of creatures and behaviors that may be conceived as cruel. (shrink)

In his Philosophical Theology James Ross claims to have uncovered an assumption essential to the proof of God's existence advanced by Duns Scotus: the equivalence of logical and real possibility. Ross argues that the omission is reparable, and that Scotus's proof is ultimately satisfactory. In this paper I examine his claim and determine that while Scotus may have believed there to be a significant connection between these two concepts, his proof of God does not depend on it. Ross's attempt to (...) rework the Scotist demonstration merits consideration on its own terms, however. In calling attention to the relation between real and metaphysical possibility, Ross has hit on a way of circumventing one of the major impediments to the acceptability of Scotus's original proof: the infinite regress of causes. Since Scotus argues against the possibility of the infinite regress in copious detail, we must wonder whether he could have countenanced the alternate route suggested by Ross. While I shall argue that indeed Ross's gambit is flawed in a way that Scotus may have foreseen, his proof nevertheless deserves recognition as an original and noteworthy contribution to the literature. (shrink)

When tennis fan Jane Bronstein attended the 1995 U.S. Open she probably knew there was a remote chance her image would end up on television screens around the world. But she surely did not know she was at risk of becoming the object of worldwide attention on the David Letterman Show. As it happened, Letterman spotted an unflattering clip from the U.S. Open showing a heavyset Bronstein with peach juice dripping down her chin. Not only did he show the footage (...) six times that fall, but he ridiculed her on his “Top 10 List,” calling her a “seductive temptress,” even paying to put the clip on the Sony Jumbotron electronic billboard at Time Square. Ms. Bronstein sued David Letterman's production company under New York civil rights law for violating her privacy. (shrink)

Although explanation is widely regarded as an important concept in the study of rational inquiry, it remains largely unexplored outside the philosophy of science. This, I believe, is not due to oversight as much as to institutional resistance. In analytic philosophy it is basic that epistemic rationality is a function of justification and that justification is a function of argument. Explanation, however, is not argument nor is belief justification its function. I argue here that the task of incorporating explanation into (...) the theory of rational inquiry poses a serious challenge to our basic concept of epistemic rationality as well as the a priori method of inquiry that still lies at the heart of analytic philosophy. Specifically, it pushes us toward a much stronger form of naturalism than is generally thought necessary, one in which argument and explanation are recognized as distinct and equally fundamental cognitive processes whose dynamic relationship is one of the central issues in the theory of rationality. (shrink)

The article undertakes to develop a theory of privacy considered as a fundamental moral right. The authors remind that the conception of the right to privacy is silent on the prospect of protecting informational privacy on consequentialist grounds. However, laws that prevent efficient marketing practices, speedy medical attention, equitable distribution of social resources, and criminal activity could all be justified by appeal to informational privacy as a fundamental right. Finally, the authors show that in the specter of terrorism, privacy can (...) be conceived as a fundamental moral right, one that is completely consistent with the willingness to submit for surveillance of private lives. (shrink)

A Charter on Medical Professionalism (CMA) has just recently been developed internationally, and the Canadian Medical Association is calling for public dialogue on medical professionalism now that reforms in the Canadian system of health care are imminent. We posit that good practices are at issue; we outline the essence of these in general and also specifically in the knowing, teaching and intervening components of practice. We also see challenges not to, but in, medical professionalism – first and foremost in the (...) profession's definition of good practices and the payer's confinement of insurance coverage to these. (shrink)

Friedrich Nietzsche's prophet Zarathustra famously declared that "man is the cruelest animal". It is a nice tagline for a show such as True Detective, which entertains people with the fetishized torture, rape, and murder of lost young women. The idea that humans are the cruelest animal is interesting in itself because it implies that nonhuman animals can and do possess this disposition to some degree. This makes perfect sense in naturalistic terms. Humans are, after all, predators. Since humans are by (...) far the most successful predator on the planet, it would be reasonable on this basis alone to claim that humans are the cruelest animal. Although Nietzsche would agree that the ability to positively enjoy suffering is an essential step in the social evolution of human beings, it is not how he represents the ultimate value of human cruelty. Rather, for Nietzsche, the human capacity for cruelty is the key to affirming life itself. (shrink)

SummaryThe dichotomy between ‘scientific’ and ‘practical’ approaches to guideline development is false and divisive. Instead we should concentrate on developing mechanisms to develop and implement valid guidelines to improve patient care. The development of valid guidelines requires considerable expertise and is time consuming and expensive. It is most efficiently done at a regional or national level. The implementation of valid guidelines requires local action including the identification and modification of valid guidelines and a coordinated evidence-based implementation strategy (Grimshaw & Eccles (...) 1998). (shrink)

Meaning in philosophy, by K. Lehrer.--Meaning in linguistics, by A. Lehrer.--Theories of meaning, by W. Alston.--Of names, by J. S. Mill.--Of words, by J. Locke.--Of language, by G. Berkeley.--Signs and behavior situations, by C. Morris.--Meaning and verification, by M. Schlick.--Meaning and use, by R. Wells.--The meaning of a word, by J. Austin.--Meaning and speech acts, by J. R. Searle.--Meaning and linguistic analysis, by C. C. Fries.--The semantic compound of a linguistic description, by J. J. Katz.--Componential analysis and universal semantics, by (...) J. Lyons.--Bibliographical essay (p. 213-216). (shrink)

Meaning in philosophy, by K. Lehrer.--Meaning in linguistics, by A. Lehrer.--Theories of meaning, by W. Alston.--Of names, by J. S. Mill.--Of words, by J. Locke.--Of language, by G. Berkeley.--Signs and behavior situations, by C. Morris.--Meaning and verification, by M. Schlick.--Meaning and use, by R. Wells.--The meaning of a word, by J. Austin.--Meaning and speech acts, by J. R. Searle.--Meaning and linguistic analysis, by C. C. Fries.--The semantic compound of a linguistic description, by J. J. Katz.--Componential analysis and universal semantics, by (...) J. Lyons.--Bibliographical essay (p. 213-216). (shrink)

This study examines the role of the principle of Sikh liberalism in promoting communal harmony in today’s world. Communal harmony has been under threat in almost all countries for decades, and bigotry, distrust, and animosity prevail among the followers of diverse faithbased communities. Individuals need to be whole-hearted, liberal in approach, and tolerant toward the followers of other communities to reduce such inconsistencies in our society. The paper explores that the ideology of Sikh liberalism can be a role model for (...) establishing peace in today’s world of communal violence. This work is a sincere effort to deal with several issues, e.g., humanism, tolerance, fraternity, equality, freedom, secularism, religious pluralism, and accessibility to and honor for contrasting opinions, based on the principle of Sikh liberalism, which are the root of Sikh liberalism. The qualitative research evaluates the all-embracing aspects of Sikhism, where the liberal notion of Guru Granth Sahib and the liberal attitudes of the Sikh Gurus, especially Guru Nanak (1469-1539), the founder of Sikhism, have mainly been highlighted. It discovers the role of Sikhism in promoting communal harmony by analyzing the idea of Sikh liberalism. Thus, the study aims to make the states, governments, and the general people aware of their responsibilities and duties towards promoting communal harmony through comprehending the Sikh approaches to liberalism. Philosophy and Progress, Vol#69-70; No#1-2; Jan-Dec 2021 P 189-209. (shrink)

The dominant consequentialist, Kantian, and contractualist theories by virtue ethicists such as G.E.M. Anscombe, Alisdair MacIntyre, Martha Nussbaum, and Michael Stocker have been criticized for their neglect of the emotions. There are three reasons why it might be a mistake for moral philosophy to neglect the emotions. Emotions have an important influence on motivation, and proper cultivation of the emotions is helpful, perhaps essential, to our ability to lead ethical lives. It is a plausible thesis that an ethical life involves (...) feeling certain ways in certain circumstances and acting from certain feelings in certain circumstances. Some emotions are forms of ethical perception, judgment, or even knowledge. This chapter examines the Ancient ethical tradition that inspires the virtue ethicists' critique, revealing versions of each of these three theses in one guise or another. It first considers the medieval transformations of the ancient doctrines, and then focuses on the third, more contentious thesis, distinguishing several versions of it in the moral philosophies of the seventeenth and eighteenth century and indicating some contemporary exemplars as well. (shrink)

Ambient assisted living technologies are increasingly presented and sold as essential smart additions to daily life and home environments that will radically transform the healthcare and wellness markets of the future. An ethical approach and a thorough understanding of all ethics in surveillance/monitoring architectures are therefore pressing. AAL poses many ethical challenges raising questions that will affect immediate acceptance and long-term usage. Furthermore, ethical issues emerge from social inequalities and their potential exacerbation by AAL, accentuating the existing access gap between (...) high-income countries and low and middle-income countries. Legal aspects mainly refer to the adherence to existing legal frameworks and cover issues related to product safety, data protection, cybersecurity, intellectual property, and access to data by public, private, and government bodies. Successful privacy-friendly AAL applications are needed, as the pressure to bring Internet of Things devices and ones equipped with artificial intelligence quickly to market cannot overlook the fact that the environments in which AAL will operate are mostly private. The social issues focus on the impact of AAL technologies before and after their adoption. Future AAL technologies need to consider all aspects of equality such as gender, race, age and social disadvantages and avoid increasing loneliness and isolation among, e.g. older and frail people. Finally, the current power asymmetries between the target and general populations should not be underestimated nor should the discrepant needs and motivations of the target group and those developing and deploying AAL systems. Whilst AAL technologies provide promising solutions for the health and social care challenges, they are not exempt from ethical, legal and social issues. A set of ELSI guidelines is needed to integrate these factors at the research and development stage. (shrink)

Background The use of lengthy, detailed, and complex informed consent forms is of paramount concern in biomedical research as it may not truly promote the rights and interests of research participants. The extent of information in ICFs has been the subject of debates for decades; however, no clear guidance is given. Thus, the objective of this study was to determine the perspectives of research participants about the type and extent of information they need when they are invited to participate in (...) biomedical research. Methods This multi-center, cross-sectional, descriptive survey was conducted at 54 study sites in seven Asia-Pacific countries. A modified Likert-scale questionnaire was used to determine the importance of each element in the ICF among research participants of a biomedical study, with an anchored rating scale from 1 to 5. Results Of the 2484 questionnaires distributed, 2113 were returned. The majority of respondents considered most elements required in the ICF to be ‘moderately important’ to ‘very important’ for their decision making. Major foreseeable risk, direct benefit, and common adverse effects of the intervention were considered to be of most concerned elements in the ICF. Conclusions Research participants would like to be informed of the ICF elements required by ethical guidelines and regulations; however, the importance of each element varied, e.g., risk and benefit associated with research participants were considered to be more important than the general nature or technical details of research. Using a participant-oriented approach by providing more details of the participant-interested elements while avoiding unnecessarily lengthy details of other less important elements would enhance the quality of the ICF. (shrink)

Volume 11 brings together all of Dewey's writings for 1918 and 1919. A Modern Language Association Committee on Scholarly Editions textual edition. Dewey's dominant theme in these pages is war and its after-math. In the Introduction, Oscar and Lilian Handlin discuss his philosophy within the historical context: The First World War slowly ground to its costly conclusion; and the immensely more difficult task of making peace got painfully under way. The armi-stice that some expected would permit a return to normalcy (...) opened instead upon a period of turbulence that agitated fur-ther a society already unsettled by preparations for battle and by debilitating conflict overseas. After spending the first half of 1918-19 on sabbatical from Columbia at the University of California, Dewey traveled to Japan and China, where he lectured, toured, and assessed in his essays the relationship between the two nations. From Peking he reported the student revolt known as the May Fourth Move-ment. The forty items in this volume also include an analysis of Thomas Hobbe's philosophy; an affectionate commemorative tribute to Theodore Roosevelt, our Teddy; the syllabus for Dewey's lectures at the Imperial University in Tokyo, which were later revised and published as Reconstruction in Philosophy; an exchange with former disciple Randolph Bourne about F. Mat-thias Alexander's Man's Supreme Inheritance; and, central to Dew-ey's creed, Philosophy and Democracy. His involvement in a study of the Polish-American community in Philadelphia--resulting in an article, two memoranda, and a lengthy report--is discussed in detail in the Introduction and in the Note on the Confidential Report ofConditions among the Poles in the United States. (shrink)

For Wittgenstein, our rational und conceptual abilities ureparf of our nahuaI hisrory as a specie md are displuyed in most social practices. lñis essoy takes a look inro this idea andreldes it to the problem of comcience and opiriion.

_Peter Greenaway's Postmodern/Poststructuralist Cinema_ Edited by Paula Willoquet-Maricondi and Mary Alemany-Galway Lanham, MD: The Scarecrow Press, 2001 ISBN 0-8108-3892-3 xxviii + 360 pp.

In this introduction to this issue of The Journal of Clinical Ethics (JCE), I will discuss the legacy of our recently departed friend and colleague, Edmund D. Pellegrino, MD. In this light, I will discuss three articles in this issue of the journal that provide insight into the cultures of China, Mexico, and the U.S., and propose alternative approaches for careproviders in the U.S. to include in their practice as they work with patients and family members at the end of (...) life. (shrink)

Communication and Conflict Management Training for Clinical Bioethics Committees Content Type Journal Article Pages 341-349 DOI 10.1007/s10730-009-9116-7 Authors Lauren M. Edelstein, Johns Hopkins Medicine’s Howard County General Hospital 5755 Cedar Lane Columbia MD 21044 USA Evan G. DeRenzo, Washington Hospital Center Center for Ethics 110 Irving St Washington, D.C. NW 20010 USA Elizabeth Waetzig, Change Matrix Inc. 485 Maylin St. Pasadena CA 91105 USA Craig Zelizer, Georgetown University Department of Government 3240 Prospect St. Washington, D.C. NW 20057 USA Nneka O. (...) Mokwunye, Washington Hospital Center Center for Ethics 110 Irving St Washington, D.C. NW 20010 USA Journal HEC Forum Online ISSN 1572-8498 Print ISSN 0956-2737 Journal Volume Volume 21 Journal Issue Volume 21, Number 4. (shrink)

Moral distress (MD) is well-documented within the nursing literature and occurs when constraints prevent a correct course of action from being implemented. The measured frequency of MD has increased among nurses over recent years, especially since the COVID-19 Pandemic. MD is less understood among nurse leaders than other populations of nurses. A qualitative systematic review was conducted with the aim to synthesize the experiences of MD among nurse leaders. This review involved a search of three databases (Medline, CINAHL, and APA (...) PsychINFO) which resulted in the retrieval of 303 articles. PRISMA review criteria guided authors during the article review and selection process. Following the review, six articles were identified meeting review criteria and quality was assessed using the Critical Appraisal Skills Programme (CASP) Checklist for qualitative studies. No ethical review was required for this systematic review. The six studies included in this review originated from the United States, Brazil, Turkey, and Iran. Leadership roles ranged from unit-based leadership to executive leadership. Assigned quality scores based upon CASP criteria ranged from 6 to 9 (moderate to high quality). Three analytical themes emerged from the synthesis: (1) moral distress is consuming; (2) constrained by the system; and (3) adapt to overcome. The unique contributors of MD among nurse leaders include the leadership role itself and challenges navigating moral situations as they arise. The nurse leader perspective should be considered in the development of future MD interventions. (shrink)