The purpose of this article is to provide a critical examination of two aspects of culture and biomedicine that have helped to shape the meaning and practice of genetic testing for breast cancer. These are: the cultural construction of fear of breast cancer, which has been fuelled in part by the predominance of a ‘risk’ paradigm in contemporary biomedicine. The increasing elaboration and delineation of risk factors and risk numbers are in part intended to help women to contend with their (...) fear of breast cancer. However, because there is no known cure or foolproof prevention for breast cancer, risk designations bring with them recommendations for vigilant surveillance strategies and screening guidelines. We argue that these in effect exacerbate women’s fears of breast cancer itself. The volatile combination of discourses of fear, risk and surveillance have significant ethical and social consequences for women’s lives and well-being. Genetic testing decisions are made within this context; if nurses understand this context they can play an important role in helping women to cope with the anxiety and fear of breast cancer risk. (shrink)

The purpose of this article is to provide a critical examination of two aspects of culture and biomedicine that have helped to shape the meaning and practice of genetic testing for breast cancer. These are: (1) the cultural construction of fear of breast cancer, which has been fuelled in part by (2) the predominance of a ‘risk’ paradigm in contemporary biomedicine. The increasing elaboration and delineation of risk factors and risk numbers are in part intended to help women to contend (...) with their fear of breast cancer. However, because there is no known cure or foolproof prevention for breast cancer, risk designations bring with them recommendations for vigilant surveillance strategies and screening guidelines. We argue that these in effect exacerbate women’s fears of breast cancer itself. The volatile combination of discourses of fear, risk and surveillance have significant ethical and social consequences for women’s lives and well-being. Genetic testing decisions are made within this context; if nurses understand this context they can play an important role in helping women to cope with the anxiety and fear of breast cancer risk. (shrink)

For over 40 years, J. I. Packer's classic has been an important tool to help Christians around the world discover the wonder, the glory and the joy of knowing God. Explaining both who God is and how we can relate to him, this thought-provoking work seeks to transform and enrich the Christian understanding of God.

Educational efforts in bioethics are prevalent, but little is known about their efficacy. Although previous work indicates that courses in bioethics have a demonstrable effect on medical students, it has not examined their effect on health care professionals. In this report, we describe a study designed to investigate the effect of bioethics education on health care professionals. At the Intensive Bioethics Course, a six-day course held annually at Georgetown University, we administered a questionnaire requiring open-ended responses to vignettes both before (...) and after the course. Following the course, respondents defended their responses more carefully and articulated their thoughts more clearly. In addition, after the course respondents seemed to have a more subtle understanding of the relevant issues in the cases and applied theory to these cases more frequently. These findings help to formulate an understanding of the effect of bioethics education on health care professionals. (shrink)

Ashley and Stack couple their claim that Hume holds a logical-construction theory with the remarkable suggestion that, so understood, his views yield "... at least a recognizable facsimile of the identity most of us believe in." The highly implausible suggestion that the non-philosopher regards his self as a logical construct should be enough to provide a motive for re-examining the arguments Ashley and Stack offer for their interpretation. These arguments make use of the distinction Hume develops between perfect and imperfect (...) identity and lead, first of all, to the conclusion that, contrary to some interpretations, Hume does not refuse the self all identity, but only perfect identity, that is, identity defined as the "idea of an object, that remains invariable and uninterrupted through a supposed variation of time." Finding the self to be not such an object, Hume says it cannot be said to have such identity. It can, however, be said to have imperfect identity, constituted by the "uninterrupted progress of thought" over a succession of objects, namely our perceptions. (shrink)

The first comprehensive treatment of the relationship between biblical interpretation and Christian ethics.

The object of this paper is to argue that the relationship between intentions and meaning has been misconstrued by some influential recent theories of meaning. The theories I have in mind derive from earlier work by H. P. Grice, but have undergone extensive development and modification in the hands of Grice himself,, Stephen Schiffer, Jonathan Bennett and others. There have been, during much the same period, developments of Austin’s work on speech acts in which the same Gricean influence is unmistakable; (...) indeed, such influence has affected interpretations of Austin’s work itself, by such writers as Strawson, Searle, and Vendler. (shrink)

Women are making a substantial impact on the employment market, both in terms of overall numbers as well as by appointment to male-dominated organizational roles. Research on women in leadership positions within organizations has concentrated on two main foci. Firstly, the identification of relevant individual and organizational characteristics and secondly, on the impact of these variables on the women in management roles. This paper presents the findings from a series of studies in relation to these broad dimensions.

Definition and Meaning of the Islamic Philosophy of Religion Difference between Islamic Philosophy and Muslim Philosophy There is a difference between ...