Pope John Paul II promulgated his first major social encyclical, Laborem Exercens (“On Human Work”), in September 1981. The encyclical, evoked many favorable reactions, even from Marxists. One such writer even argued that on social issues at least, John Paul II stands as “a sturdy and reliable ally.” The Pope often speaks in categories more familiar to Marxists than to Catholics. Another commentator even indicated doubts whether U.S. Catholics realize the importance of the encyclical because “The pope's (...) concerns are the concerns of Marx, his categories and history are those of Marx.” Yet, the Pope seems to identify Marxism with Marxist-Leninism. (shrink)

Über die Universitäts-Philosophie -- Über Schopenhauer -- Editorische Notiz.

This paper offers an alternate solution to the puzzle of transformative experience raised by Paul (2014), through an appeal to Arthur Schopenhauer’s concept of the _acquired character_, which speaks to the intuition that authenticity entails a notion of the ‘self-as-guide’ (Rivera et al., 2019 ). On Paul’s solution to the puzzle, transformative decisions may be made authentically by adopting a meta-preference concerning personal transformation, such that the self is constituted after a decision is made. Yet when comparing Paul’s account (...) of authenticity to that of Somogy Varga’s (2012), we see that the former is too formal in that it neglects certain requirements of personal identity-formation, which Varga defines as wholehearted commitment based in strong evaluation. However, in defining these requirements as such, Varga’s account of authenticity is unequipped to adequately address the puzzle of transformative experience. Varga’s account further falls short with respect to specifying sufficient criteria for personal fitness, as Rings (2017) argues. In connection with this deficiency, Varga’s account also does not fully reckon with the threat of manipulation, given the possibility of egoistically driven self-deception in conjunction with oppressive social conditions. I argue that with the aim of character acquisition via acts of subjective contemplation, the authenticity of transformative decisions can be understood at least partly in terms of self-discovery. To expand on authenticity’s ethical dimension, as first introduced by Varga, in a way that is compatible with this established dimension of self-discovery, and with the help of Christopher Gill’s (1996) analysis of an ancient Greek conception of personhood, I suggest that we conceive of authenticity also as a process of value-interpretation, while employing a concept of the self that I will refer to as the _metapersonal_. This process is congruent with a metapersonal self in so far as it is aimed at defining and clarifying the human good in general, from within a community whose fundamental ethical demand consists of maximizing mutual and reciprocal benefit. (shrink)

Through the Louisiana Purchase in 1803, the United States expanded its size by over 800,000 square miles. But neither President Thomas Jefferson nor Congress knew exactly what they had bought until 1806, when Meriwether Lewis and William Clark returned from their famous expedition. One of the most significant contributions of the Expedition was a better perception of the geography of the Northwest. Lewis and Clark prepared approximately 140 maps and filled in the main outlines of the previously blank map of (...) the northwestern United States. Robert I. Field has done much the same for the vast territory of U.S. health care regulation.On the front cover of Fields new book, Health Care Regulation in America: Complexity, Confrontation, and Compromise, is a picture of a giant three-dimensional labyrinth. Rarely is cover art so perfectly appropriate. (shrink)

Aforizmy dli︠a︡ usvoenii︠a︡ zhiteĭskoĭ mudrosti -- O fizionomike -- O zhenshchinakh -- K uchenii︠u︡ o stradanii︠a︡kh mira -- V dopolnenie k ėtike -- O kritike, suzhdenii, odobrenii i slave -- Ob uchenosti i uchenykh -- O samostoi︠a︡telʹnom myshlenii.

Pullman argues that when it comes to medical aid in dying (MAID), “Canada … has much to learn from California” (Pullman 2023). Canada and California have similar populations: each about 40 million...

Arthur Schopenhauer: Über die vierfache Wurzel des Satzes vom zureichenden Grunde. Eine philosophische Abhandlung Schopenhauers Dissertation lag im Oktober 1813 der Philosophischen Fakultät der Universität Jena vor. Erstdruck: Rudolstadt 1813. Wiedergegeben wird der Text der 2. verbesserten Auflage, Frankfurt am Main 1847, in den spätere Herausgeber allerdings Zusätze integrierten, die sie Schopenhauers Handexemplaren und Manuskriptbüchern entnahmen. Sofern sich diese Zusätze nicht in den laufenden Text einfügen ließen, wurden sie in Fußnoten beigefügt. Diese Fußnoten werden hier gesondert gezählt und sind (...) durch ein A gekennzeichnet. Vollständige Neuausgabe mit einer Biographie des Autors. Herausgegeben von Karl-Maria Guth. Berlin 2016. Textgrundlage ist die Ausgabe: Arthur Schopenhauer. Zürcher Ausgabe. Werke in zehn Bänden. Der Text folgt der historisch-kritischen Ausgabe von Arthur Hübscher. Die editorischen Materialien besorgte Angelika Hübscher. Redaktion von Claudia Schmölders, Fritz Senn und Gerd Haffmanns, Zürich: Diogenes, 1977. Die Paginierung obiger Ausgabe wird in dieser Neuausgabe als Marginalie zeilengenau mitgeführt. Umschlaggestaltung von Thomas Schultz-Overhage unter Verwendung des Bildes: Arthur Schopenhauer als junger Mann, porträtiert 1815 von Ludwig Sigismund Ruhl. Gesetzt aus der Minion Pro, 11 pt. (shrink)

The determination of death by neurological criteria—“brain death”—has long been legally established as death in all U.S. jurisdictions. Moreover, the consequences of determining brain death have been clear. Except for organ donation and in a few rare and narrow cases, clinicians withdraw physiological support shortly after determining brain death. Until recently, there has been almost zero action in U.S. legislatures, courts, or agencies either to eliminate or to change the legal status of brain death. Despite ongoing academic debates, the law (...) concerning brain death has remained stable for decades. However, since the Jahi McMath case in 2013, this legal certainty has been increasingly challenged. Over the past five years, more families have been emboldened to translate their concerns into legal claims challenging traditional brain death rules. While novel, these claims are not frivolous. Therefore, it is important to understand them so that we can address them most effectively. (shrink)

This book focuses on justice and its demands in the way of providing people with medical care. Building on recent insights on the nature of moral perceptions and motivations from the neurosciences, it makes a case for the traditional medical ethic and examines its financial feasibility. The book starts out by giving an account of the concept of justice and tracing it back to the practices and tenets of Hippocrates and his followers, while taking into account findings from the neurosciences. (...) Next, it considers whether the claim that it is just to limit medical care for everyone to some basic minimum is justifiable. The book then addresses finances and expenditures of the US health care system and shows that the growth of expenditures and the percentage of the gross national product spent on health care make for an unsustainable trajectory. In light of the question what should be changed, the book suggests that overdiagnosis and medicalizing normal behavior lead to harmful, costly and unnecessary interventions and are the result of unethical behavior on the part of the pharmaceutical industry and extensive ethical failures of the FDA. The book ends with suggestions about what can be done to put the U.S. health care system on the path to sustainability, better medical care, and compliance with the demands of justice. (shrink)

This issue’s “Legal Briefing” column continues coverage of recent legal developments involving medical decision making for unbefriended patients. These patients have neither decision-making capacity nor a reasonably available surrogate to make healthcare decisions on their behalf. This topic has been the subject of recent articles in JCE. It has been the subject of major policy reports. Indeed, caring for the unbefriended has even been described as the “single greatest category of problems” encountered in bioethics consultation. Moreover, the scope of the (...) problem continues to expand, especially with rapid growth in the elderly population and with an increased prevalence of dementia.Unfortunately, most U.S. jurisdictions have failed to adopt effective healthcare decision-making systems or procedures for the unbefriended. “Existing mechanisms to address the issue of decision making for the unbefriended are scant and not uniform.” Most providers are “muddling through on an ad hoc basis.” Still, over the past several months, a number of state legislatures have finally addressed the issue. These developments and a survey of the current landscape are grouped into the following 14 categories. The first two categories define the problem of medical decision making for the unbefriended. The remaining 12 describe different solutions to the problem. The first six categories were covered in Part 1 of this article; the last eight categories are covered in this issue (Part 2). 1. Who are the unbefriended?2. Risks and problems of the unbefriended3. Prevention: advance care planning, diligent searching, and careful capacity assessment4. Decision-making mechanisms and standards5. Emergency exception to informed consent6. Expanded default surrogate lists: close friends7. Private guardians8. Volunteer guardians9. Public guardians10. Temporary and emergency guardians11. Attending physicians12. Other clinicians, individuals, and entities13. Institutional committees14. External committees. (shrink)

The integration of humanitarian action into intervention operations, and particularly the inclusion of a military component, carries risks—but none so great as to be worth sacrificing integration on the altar of humanitarian purity.

Schopenhauer plädiert in seiner Schrift "Über die Grundlagen der Moral" für einen deskriptiven und nicht für einen präskriptiven moralphilosophischen Ansatz. Trotz seiner Wertschätzung für Kant unterzieht er dessen Ethik einer eingehenden Kritik und ersetzt deren oberstes Prinzip, den kategorischen Imperativ, durch das Gefühl des Mitleids.

This issue’s “Legal Briefing” column covers legal developments pertaining to organ donation and allocation. This topic has been the subject of recent articles in JCE. Organ donation and allocation have also recently been the subjects of significant public policy attention. In the past several months, legislatures and regulatory agencies across the United States and across the world have changed, or considered changing, the methods for procuring and distributing human organs for transplantation.Currently, in the U.S., more than 100,000 persons are waiting (...) for organ transplantation. In China, more than 1.5 million people are waiting. Given the chronic shortage of available organs (especially kidneys and livers) relative to demand, the primary focus of most legal developments has been on increasing the rate of donation. These and related developments are usefully divided into the following 12 topical categories: 1. Revised Uniform Anatomical Gift Act2. Presumed Consent and Opt-Out3. Mandated Choice4. Donation after Cardiac Death5. Payment and Compensation6. Donation by Prisoners7. Donor Registries8. Public Education9. Other Procurement Initiatives10. Lawsuits and Liability11. Trafficking and Tourism12. Allocation and Distribution. (shrink)

This issue’s “Legal Briefing” column covers recent legal developments involving medical decision making for unbefriended patients. These patients have neither decision-making capacity nor a reasonably available surrogate to make healthcare decisions on their behalf. This topic has been the subject of recent articles in JCE. It has been the subject of major policy reports. Indeed, caring for the unbefriended has even been described as the “single greatest category of problems” encountered in bioethics consultation. Moreover, the scope of the problem continues (...) to expand, especially with rapid growth in the elderly population and with an increased prevalence of dementia.Unfortunately, most U.S. jurisdictions have failed to adopt effective healthcare decision-making systems or procedures for the unbefriended. “Existing mechanisms to address the issue of decision making for the unbefriended are scant and not uniform.” Most providers are “muddling through on an ad hoc basis.” Still, over the past several months, a number of state legislatures have finally addressed the issue. These developments and a survey of the current landscape are grouped into the following 14 categories. The first two define the problem of medical decision making for the unbefriended. The remaining 12 categories describe different solutions to the problem. The first six of these solutions are discussed in this article (Part 1). The last eight solutions will be covered in the Summer 2012 issue of JCE (Part 2). 1. Who are the unbefriended?2. Risks and problems of the unbefriended3. Prevention: advance care planning, diligent searching, and careful capacity assessment4. Decision-making mechanisms and standards5. Emergency exception to informed consent6. Expanded default surrogate lists: close friends7. Private guardians8. Volunteer guardians9. Public guardians10. Temporary and emergency guardians11. Attending physicians12. Other clinicians, individuals, and entities13. Institutional committees14. External committees. (shrink)

The English Franciscan, William of Ockham (c. 1285-1349), was one of the most important thinkers of the later middle ages. Summoned to Avignon in 1324 to answer charges of heresy, Ockham became convinced that Pope John XXII was himself a heretic in denying the complete poverty of Christ and the apostles and a tyrant in claiming supremacy over the Roman empire. Ockham's political writings were a result of these personal convictions, but also include systematic discourses on the basis and (...) functions of spiritual and secular power as well as exhaustive discussions of Franciscan poverty and the general problem of papal heresy. Ockham emerges in this study as a man deeply committed to natural and Christian human rights, who found these fundamental values so seriously menaced in his time that their survival could be assured only by radical, even revolutionary, personal action and by a basic reworking of traditional political thought. (shrink)

Die Absicht dieses Buches ist, systematisch so weit in das Wesen der modernen Subjektivitätsgedanken einzudringen, dass die eigentümliche Frage der Metaphysik selber wieder als eine sinnvolle hervortreten kann. Dazu werden zwei Schlüsseltexte der philosophischen Tradition einander gegenübergestellt: die ersten Teile von Kants "Kritik der reinen Vernunft" und Hegels "Phänomenologie des Geistes". Beide Schriften stellen die Frage nach dem Absoluten, die in der vorliegenden Monographie nicht nur rekonstruiert, sondern vorurteilslos weiterverfolgt wird. Die sowohl für Kant als auch für Hegel notwendige Verwissenschaftlichung (...) der Metaphysik verknüpfen beide Philosophen mit einer "Wende zum Subjekt", die zum neuen Grundschema für das Verhältnis von "Sein" und "Nichts" überhaupt wird. Beide Denker entwickeln allerdings unterschiedliche Ansichten darüber wie das "Nichts" verstanden werden soll. Dieses Buch widmet sich jenen Ansichten in einer eigenen systematischen These, sodass die volle Bedeutsamkeit der "Wende zum Subjekt" und die daraus resultierende Frage der Metaphysik hervortreten können. (shrink)

What I have tried to do here is to provide a historical example of the interdependence between nature and culture that is one of the themes of this conference. To sum up: Scientific descriptions of the world emerge out of a complex interaction between nature, economic production, and the legal system. “Science” consists of a struggle among scientists, and between scientists and citizens, over what counts as “reality.” Lawmaking, in turn, consists of a struggle between people who want to allocate (...) access to resources for particular purposes, whether for commercial use, recreational use, or “natural” uses. Production, for its part, is a complicated function of technology, the sociology of user groups, the structure of legal entitlements to access, and the availability of resources. Nature, finally, is at any point, to no small degree, the product of past and present human impacts on it — which impacts, in turn, are determined in no small way by the sociology and the legal structure of the market.Each process takes place in continual conversation with all the others. As John Muir put it, “When we try to pick out anything by itself, we find it hitched to everything else in the universe.”45 Historically, resource managers have gotten into trouble when they have unconsciously assumed that such is not the case — yet such, assumptions are powerful because they are made instinctively, unthinkingly, at the level of people's basic understanding of the world and their place in it. Lots of them persist.On the other hand, in a few experimental cases in the United States and Canada where government and users have shared power and responsibility for resources management, including long-range planning for recovery and enhancement, here have been some notable improvements. The strategy goes under the name of “co-management” and involves negotiated agreements for shared decision-making between central authority and local groups. Typically, both government and industry resist such arrangements because they involve restructuring the power relations between different sectors in the industry; the result is that the few experiments in co-management that we have seen in the United States have come in areas, typically fisheries and wildlife, where the resource is in serious crisis and all of the parties to the agreement have had to abandon the positions they held previously.Examples of successful co-management regimes include those among American tribes in the Pacific Northwest, among commercial salmon fishers in Alaska, and in a project to rehabilitate the clam industry in New Jersey. Government employees and local groups share responsibility for gathering scientific data about the resources, for developing plans to manage them, and for enforcing regulations. Successful experiments at co-management seem to generate better scientific data about their resources than traditional management regimes do; they significantly reduce enforcement costs; and they enhance the economic power of the resource users. Most importantly, they nurture among the user groups a sense of control over their own destinies, and a willingness to share both costs and benefits of managing the resources rationally and to develop lasting, stable mechanisms for conflict resolution. The process is both democratic and ecologically rational. The key is to link the day-to-day work of producers to their long-range interests as residents in their communities and as working parts of the ecological systems in which they live.45At a minimum, it is clear that objective certainty about the state of the resources or the likely effect of whatever regulations we do impose is simply not attainable. This is partly because of the important role that random shocks play in the environment (and should play in our thinking about it), and also because of the sheer complexity of the system in which we are embedded. There will always be something that even the most complete model leaves out; and in any event the total system of ecology, production, and management will change every time something changes in any part of it.The policy lesson to be derived from all of this, finally, is that what we ought to sustain when we approach conservation problems is not the size of a particular resource, or even the prosperity of a particular harvesting group, but the long-term health of the interaction between nature, the economy, and the political system. We can recognize that the balance of the system, our attempted insurance against an uncertain future, democracy among user groups, and our moral duty to avoid extinguishing species — all of these things being difficult to quantify — do play integral roles in the conversation between nature and humankind, and perhaps more significant roles than the more objective measures to which we usually look for guidance. We can recognize, as John Muir did, that because everything in the universe is hitched to everything else, every step we take will change the total system in some way. When we make choices, then, we can keep an eye on what kind of conversation we want to have with the rest of Creation and make our choices accordingly. *** DIRECT SUPPORT *** A8402064 00014 *** DIRECT SUPPORT *** A8402064 00015. (shrink)

1m Studienjahr 1953/54 hielt ich an der Universitat Wien als Gast­ professor Vorlesungen und Seminare uber die gegenwartige analytische Philosophie in USA und England. Auf Grund einer Einladung durch die philosophische Fakultat, die hauptsachlich der Initiative von em. o. o. Professor Dr. VICTOR KRAFT zu verdanken war, wurde mir zu diesem Zweck yom amerikanischen State Department ein "Fulbright"­ Stipendium gewahrt. Das vorliegende Buch entsprang dieser Tatigkeit. Es ware jedoch ohne die sachverstandige und enthusiastische Mitarbeit von Dr. PAUL FEYERABEND, dem ich (...) hiermit meinen herzlichen Dank aussprechen will, kaum in so kurzer Zeit zustandegekommen. Fragmente eines Vorlesungsmanuskriptes lagen nur fUr die ersten drei Kapitel vor. Dr. FEYERABEND verfertigte die fehlenden Partien ex post facto auf Grund der N otizen, die er sich, als auBergewohnlich aktiver "Horer", bei den Vorlesungen und Seminaren machte. Ich unterzog sein Manuskript einer grundlichen Revision, hier und dort auch Erweiterungen anbringend; der groBte Teil des Buches entstand auf diese Weise. Auch die anregenden Diskussionen mit Dr. FEYERABEND, innerhalb und auBerhalb der Vor­ lesungen und Seminare, waren ein betrachtlicher Ansporn zum Schreiben dieses Buches. (shrink)

This issue’s “Legal Briefing” column covers recent legal developments involving the Patient Self-Determination Act . Enacted in the wake of the U.S. Supreme Court’s Cruzan decision in 1990, the PSDA remains a seminal event in the development of U.S. bioethics public policy, but the PSDA has long been criticized as inadequate and ineffective. Finally, recent legislative and regulatory changes promise to revitalize and rejuvenate it. The PSDA has been the subject of recent articles in The Journal of Clinical Ethics.I categorize (...) new legal developments concerning the PSDA into the following eight sections:1. Background and History2. Rules and Requirements3. Criticism and Challenges4. Failed Efforts to Amend the PSDA5. Personalize Your Care Act of 20136. New Regulations7. New Regulatory Guidance8. Expanded Enforcement. (shrink)

I.-II. bd. Die welt als wille und vorstellung.--III. bd. Der satz vom grunde. Über den willen in der natur. Die beiden grundprobleme der ethik.--IV.-V. bd. Parerga und Paralipomena kleine philosophische schriften.--VI. bd. Über das sehn und die farben. Theoria colorum physiologica. Balthazar gracians hand-drakel. Über das interessante. Eristische dialektik. Über die verhunzung der deutschen sprache.

Institutions receiving federal funding for research from the U.S.Public Health Service need to have policies and procedures to both prevent research misconduct and to adjudicate it when it occurs. The person who is designated to handle research misconduct is typically referred to as the research integrity officer (RIO). In this interview study we report on 79 RIOs who describe how they would handle allegations of research misconduct. Their responses were compared to two expert RIOs. The responses to the allegations in (...) the scenarios demonstrated that RIOs are not uniformly well prepared to handle activities associated with reported allegations of research misconduct. We recommend greater preparation through directed training, use of check lists of possible behaviors necessary to consider when situations arise, being involved in a network of RIOs so one can discuss options, and the possible need to certify RIOs. (shrink)

1. Bd. Schriften zur Erkenntnislehre. 1948.--2.-3. Bd. Die Welt als Wille und Vorstellung. 1949-61--4. Bd. Schriften zur Naturphilosophie und zur Ethik: Ueber den Willen in der Natur. Die beiden Grundprobleme der Ethik. 1950.--5.-6. Bd. Parerga und Paralipomena. 1960-61.--7. Bd. Über die vierfache Wurzel des Satzes vom zureichenden Grunde (Dissertation 1813) Gestrichene Stellen. Zitate und fremdsprachige Stellen. Namen- und Sachregister. 1950.

While eleven U.S. jurisdictions have authorized medical aid in dying (MAID), it remains inaccessible to terminally ill patients who have physical disabilities that make them unable to complete self...

Ueber Schriftstellerei und Stil.--Ueber Lesen und Bücher.--Ueber Sprache und Worte.--Selbstdenken.--Ueber Urtheil, Kritik, Beifall und Ruhm.

2. Teil. Metaphysik der Natur -- 3. Teil. Metaphysik des Schönen -- 4. Teil. Metaphysik der Sitten.

This issue’s “Legal Briefing” column covers legal developments pertaining to informed consent. Not only has this topic been the subject of recent articles in this journal, but it also been the subject of numerous public and professional discussions over the past several months.Legal developments concerning informed consent can be usefully grouped into nine categories: 1. General disclosure standards in the clinical context2. Shared decision making3. Staturorily mandated abortion disclosures4. Staturorily mandated end-of-life counseling5. Other staturorily mandated subject-specific disclosures6. U.S. Food and (...) Drug Administration (FDA) labeling and federal pre-emption of state informed consent law7. Relaxed informed consent for HIV testing8. General disclosure standards in the research context9. Issues on the horizon. (shrink)

It is plainly absurd to wish that Odysseus, who has been on Phrygian soil these ten years, should perish in the future before he even treads upon it. Paley gets some sense by supplying ‘as a conqueror or permanent settler,’ but obviously we have no right to supply all that: nor indeed would any Greek poet have ever said such a thing as έπí γâν îχνος βαλεîν ώς νικŵν or εìσαεí. See also Mr. Porter's note in C.Q. XI. 160. My (...) explanation may be hazardous, but such as it is it would be somewhat as follows: In the first place, it is notorious that in early Greek poetry the optative, present and aorist, is used in constructions which in strict Attic require imperfect or aorist indicative. I need say nothing of Ȅνθα ŵεν αѷт àπÓλοιτο and the like. But consider optatives after εì Not only does Homer use εì with present optative instead of indicative, e.g. B 780 ώς εȉ τε νέμοιτο, ۸ 467 ώς έȉ β ςιώατο X 411 ώς έί δμύχοιτο, ψ 274 εȉ νȗν άεθλεύοιµεν but he even does at least once so use aorist optative for indicative, a fact which I have not seen noticed, κ 416 ώς εί ίκοατο ‘as if they had come.‘ At N 343 ôς is substituted for εί in the sentence μάλα κε θρασυκρδιςεȉ ηôς ȍϚ τότε ηθήσειεƲ = ήν άν ός έγήθσεν. And the important point for my purpose is that this use of ει with present optative is occasionally found in Attic, as everybody knows. (shrink)

I have never been able to swallow the explanation that this means οίσθ' ὃ τɩ ἒστɩ τ⋯ν κακ⋯ν ⋯ποῖον κ.τ.λ. The order of words is dead against it, since Zεύς ought to be in the ⋯ποῖον clause; it may be safely said that there is no shadow of a parallel to such an order in Sophocles, and probably not in anyone else either. Look at line 2 by itself and consider whether any hearer could possibly suppose that δτɩ Ζεὺς could (...) mean anything but ‘that Zeus’ is doing or will do something or other. So Aristophanes seems to have thought; in a passage crammed with reminiscences of tragedy he declaims :ἆρ' οἶσθ' ὃτɩ Ζεύς εἳ με λυπήσεɩ πέρα μέλαθρα μ⋯ν αύτο⋯ κα⋯ δόμοѵς' AμΦ⋯ονος καταɩθαλώσω πυρΦόροɩσѵν ⋯ετοῖς;Moreover, I flatly deny that οἶσθ' ⋯ τɩ κακ⋯ν όποῖον ού τελεῖ is possible Greek even when the order has been corrected. οὐĸ οἶδα ὃστɩς τ⋯ν ‘Eλλήνων όποῖος ούκ ᾀπαρνοῖτ’ ἂѵ τοȖτο μ⋯ οὺκ εἶναɩ ⋯ληθ⋯ς. Just look at it! (shrink)

This is a qualitative examination of ethics consultation requests, outcomes, and ethics committee recommendations at a tertiary/quaternary pediatric hospital in the U.S. The purpose of this review of consults over an 18-year period is to identify specific trends in the types of ethical dilemmas presented in our pediatric setting, the impact of consultation and committee development on the number and type of consults provided, and any clinical features and/or challenges that emerged and contributed to the nature of ethical situations and (...) dilemmas. Furthermore, in reviewing clinical ethics consultation trends for nearly two decades, we can identify topic areas for further ethics education and training for ethics consultants, ethics committee members, and pediatric healthcare teams and professionals based on our experiences. Our study with nearly two decades of data prior to the COVID-19 pandemic can serve as groundwork for future comparisons of consultation requests and ethics support for pediatric hospitals prior to, during, and following a pandemic. (shrink)

Excerpt from Wie Ist Kritische Philosophie Überhaupt Möglich?: Ein Beitrag zur Systematischen Phaenomenologie der Philosophie Fur den Zweck der allgemeinen Übersicht und Orientierung sei ein gedrängtes Bild, ein zusammen fassender Aufriß des ganzen Gedankenganges, wie dieser sich auf die einzelnen Punkte verteilt, gegeben. Die folgenden Angaben bieten also im wesentlichen nur eine etwas ausgeführte und verdeutlichte Inhalts angabe, der natürlich jede genauere Entwicklung und Begründung der Grundfrage und ihrer Ausstrahlun gen fehlt. About the Publisher Forgotten Books publishes hundreds of thousands (...) of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works. (shrink)

This issue’s “Legal Briefing” column covers recent legal developments involving coerced treatment and involuntary confinement for contagious disease. Recent high profile court cases involving measles, tuberculosis, human immunodeficiency virus, and especially Ebola, have thrust this topic back into the bioethics and public spotlights. This has reignited debates over how best to balance individual liberty and public health. For example, the Presidential Commission for the Study of Bioethical Issues has officially requested public comments, held open hearings, and published a 90-page report (...) on “ethical considerations and implications” raised by “U.S. public policies that restrict association or movement (such as quarantine).” Broadly related articles have been published in previous issues of JCE. We categorize recent legal developments on coerced treatment and involuntary confinement into the following six categories: 1. Most Public Health Confinement Is Voluntary 2. Legal Requirements for Involuntary Confinement 3. New State Laws Authorizing Involuntary Confinement 4. Quarantine Must Be as Least Restrictive as Necessary 5. Isolation Is Justified Only as a Last Resort 6. Coerced Treatment after Persistent Noncompliance. (shrink)

1. T. Wilhelm Wundt als deutscher Denker, von Felix Krueger. Wundts Prinzip der schöpferischen Synthese, von Friedrich Sander. Wundt und die Relativität, von August Kirschmann. Die Völkerpsychologie in Wundts Entwicklungsgang, von Hans Volkelt. Zur Geschichte des Leipziger Psychologischen Instituts, von Otto Klemm.--2. T. Die Stellung der Philosophie Wilhelm Wundts im 19. Jahrhundert, von Peter Petersen. Wundts Aktualitätstheorie, von Willi Nef. Die mechanische Naturerklärung und das Naturgesetz, von Friedrich Lipsius. Über die psychischen Elemente und ihre Bedeutung in der Lehre Wundts, von (...) Friedrich Kiesow. Stellung und Aufgabe von Wundts Völkerpsychologie und der Begriff des Volkes, von Walther Schmied-Kowarzik. (shrink)

1. Preisschrift über die Freiheit des Willens.--2. Preisschrift über die Grundlage der Moral.

Aforizmy dli︠a︡ usvoenii︠a︡ zhiteĭskoĭ mudrosti -- O fizionomike -- O zhenshchinakh -- K uchenii︠u︡ o stradanii︠a︡kh mira -- V dopolnenie k ėtike -- O kritike, suzhdenii, odobrenii i slave -- Ob uchenosti i uchenykh -- O samostoi︠a︡telʹnom myshlenii.

Is it time to leave the non-professional aspects of personal life at the door and face patients as medical professionals and no more?Ever wondered about the appropriateness of Christian doctors displaying pictures of Pope Benedict, Muslim doctors displaying pictures of Osama son of Laden or former PLO leader Yassir Arafat, or gay doctors proudly flying the rainbow flag in their rooms? I suggest that we should be concerned about such display of religious, political, or other allegiance to non-professional causes (...) in loci of health care delivery.Let us take a step back, however, and ask why we seek health care professionals’ help or assistance. Our reasons have, of course, primarily to do with doing our fair share by way of enabling health care delivery services to achieve their primary objectives for being in existence, namely to ensure that we live as long as is feasible at as high a quality of life as is possible. While legitimate questions may be asked about acceptable trade-offs between length and quality of life, broadly speaking, that is what we expect health care providers to do for us. Importantly, we expect them to do so in a professional manner. This is very much in line with the historical roots of the idea of professionalism, meaning essentially to profess publicly to serve the public good.1 The public …. (shrink)

The U.S. rejected isolationism during the standoff with the Soviet Union during the Cold War because of the perceived direct threat to U.S. security. Schlesinger argues that we must now both reexamine the Wilsonian doctrine of collective security and focus on preventive diplomacy.

Morality and Moral Controversies, 10th Edition challenges students to critically assess today's leading moral, social, and political issues. And as a comprehensive anthology, it provides students with the tools they need to understand philosophical ideas that are currently shaping our world. The 10thEditionincludes classic and contemporary readings in moral theory, the most current topics in applied ethics, and updated debates in social and political philosophy. As in the previous nine editions, the materials were selected for balance, timeliness, and accessibility after (...) reviewing a vast range of possible articles from leading scholarly journals, mainstream periodicals, online posts, and book chapters. Hallmarks include carefully edited and philosophically relevant U.S. Supreme Court decisions, compelling readings, and contrasting points of view that reflect a broad ethical and political spectrum. Upon completing this book, readers will be able to: Understand philosophical ideas that are shaping the world today. Apply various philosophical ideas to politics, religion, ethics, economics, personal relationships, medicine, the environment and climate change, warfare, and other areas. Appreciate how to construct, apply, and evaluate basic philosophical arguments. Key updates to the 10th Edition include: Publishing all material in the actual book (in contrast to placing sections online behind a paywall, as was the case in earlier editions with a different publisher). New readings on: autonomous warfare self-driving cars the right to health care technology and privacy the value of democracy racial equality immigration. ethical and political spectrum. Upon completing this book, readers will be able to: Understand philosophical ideas that are shaping the world today. Apply various philosophical ideas to politics, religion, ethics, economics, personal relationships, medicine, the environment and climate change, warfare, and other areas. Appreciate how to construct, apply, and evaluate basic philosophical arguments. Key updates to the 10th Edition include: Publishing all material in the actual book (in contrast to placing sections online behind a paywall, as was the case in earlier editions with a different publisher). New readings on: autonomous warfare self-driving cars the right to health care technology and privacy the value of democracy racial equality immigration. >the right to health care technology and privacy the value of democracy racial equality immigration. (shrink)