BackgroundInformed consent forms are intended to facilitate research enrollment decisions. However, the technical language in institutional templates can be unfamiliar and confusing for decision-makers. Standardized language describing financial implications of participation, namely compensation for injury and costs of care associated with participating, can be complex and could be a deterrent for potential participants. This standardized language may also be misleading in the context of comparative effectiveness trials of standard care interventions, in which costs and risk of injury associated with participating (...) may not differ from regular medical care. In addition, the revised U.S. Common Rule contains a new requirement to present key information upfront; the impact of how this requirement is operationalized on comprehension and likelihood of enrollment for a given study is unknown.MethodsTwo online surveys assessed the impact of (1) changes to compensation for injury language (standard vs. tailored language form) and (2) changes to the key information page (using the tailored compensation language form with standard key information vs. modified key information vs. modified key information plus financial information) on both likelihood of enrollment in and understanding of a hypothetical comparative effectiveness trial.ResultsLikelihood of enrolling was not observed to be different between the standard and tailored language forms in Study 1 (73 vs. 75%; p = 0.6); however, the tailored language group had a higher frequency of understanding the compensation for injury process specific to the trial (25 vs. 51%; p < 0.0001). Modifications to the key information sheet in Study 2 did not affect likelihood of enrolling (88 vs. 85 vs. 85%; p = 0.6); however, understanding of randomization differed by form (44 vs. 59 vs. 46%; p = 0.002).ConclusionsThese findings suggest that refining consent forms to clarify key information and tailoring compensation for injury language to the nature of the study, especially in the context of comparative effectiveness trials, may help to improve study comprehension but may not impact enrollment. (shrink)

Black Panther, directed by Ryan Coogler, became one of the highest grossing films of all time. It also received a lot of critical attention for its direct engagement with black experience and black politics. It speaks to the legacy of slavery and the exploitation of African-Americans and the ongoing post-colonial struggle represented most starkly by the Black Lives Matter Movement. However, the film was also criticised for supposedly leaving that radical black politics behind, even demonising it in its lead antagonist, (...) Killmonger, and instead proposing a liberal, reformist agenda very much in keeping with current forms of sovereign power, bolstered under the current neoliberal regime by the charity of billionaires. To some extent this is understandable, but it is also a very limited reading of what happens in the film and does a disservice to the radical dissent that the character of Killmonger represents. To address this, the paper uses the concept of sovereignty and asks how superheroes can help us unpack this concept. It argues that rather than seeing superheroes as vigilantes, thinking of them as sovereigns helps us unpack the complex knot of law, authority and violence that is key to understanding it. In particular it draws on Agamben’s discussion of sovereignty and the politics of the exception, and how this might be relevant to Fanon’s work on counter-colonial violence to show how the film remains true to radical protest throughout. On the way it also addresses the important cultural politics of the original comic. (shrink)

Given the resurgence of eschatological thought in contemporary theology and the continued relevance of phenomenology in philosophy, this book brings together leading thinkers such as Lacoste, Romano, Kearney and Hart to explore the ways in which these two seemingly unrelated disciplines illuminate each other. Through a series of phenomenological analyses of key eschatological concepts and detailed readings in some of the key figures of both disciplines, this text reveals that phenomenology and eschatology are fundamentally inter-related, and that neither can be (...) fully understood without the other: without eschatology, phenomenology would not have developed the ethical and temporal aspects that characterize it today; without phenomenology, eschatology would remain relegated to the sidelines of serious theological discourse. Along the way, such diverse themes as time, death, parousia, and the call are re-examined and redefined. (shrink)

Protention is often understood as being equivalent to retention but functioning in the other (future) direction. This, I would argue, has prevented a full appreciation of protention’s importance to phenomenological scholarship. In this paper, I will elucidate Husserl’s positive account of protention. I will argue that the view that protention is like retention, but in the other direction, is insufficient. Abandoning this negative view, I will explain what is unique about protention, and how it helps make sense of such key (...) phenomenological concepts as fulfillment, passive intentionality, and self-constitution. (shrink)

A growing body of literature has examined managers’ use of restorative practices in the workplace. However, little is currently known about why managers use restorative practices as opposed to alternative responses. We employed a qualitative interview technique to develop an inductive model of managers’ restorative versus punitive response in the context of employee wrongdoing. The findings reveal a set of key motivating and moderating influences on the manager’s decision to respond to wrongdoing in a restorative versus punitive manner. The findings (...) also suggest that managers’ personal needs and perceived duties in the aftermath of employee wrongdoing are generally more consistent with restorative responses than punishment responses, which helps explain managers’ use of restorative workplace practices. (shrink)

The topic of moral repair in the aftermath of breaches of trust and harmdoing has grown in importance within the past few years. In this paper, we present the results of a qualitative study that offers insight into a series of key issues related to offender efforts to repair interpersonal harm in the workplace: What factors motivate offenders to make amends with those they have harmed? In what ways do offenders attempt to make amends? What outcomes emerge from attempts to (...) make amends? Drawing from the findings, we build an inductive model intended to guide future business ethics and management inquiry and research in this area. (shrink)

Some researchers maintain that one of the primary functions of religion is to help individuals develop a strong sense of connectedness with other people. However, there is little research on how a sense of connectedness arises. The purpose of this study is to examine this issue. A conceptual model is developed to test the following key hypotheses: blacks are more likely than whites to affiliate with Conservative Christian denominations; Conservative Christians attend worship services more often than individuals in other faith (...) traditions; people who go to church more often are more likely to receive informal spiritual support ; individuals who receive more spiritual support are more likely to read religious literature and watch or listen to religious programs; and people who engage in these private religious practices are more likely to feel a close sense of religiously based connectedness with others. Data from a nationwide longitudinal survey provides support for each hypothesis. (shrink)

Rediscover the Promise of Enlightenment As Western culture has embraced practices like meditation and yoga, has something been lost in translation? “What we see in America today in both the yoga boom and mindfulness fad,” writes Dr. Miles Neale, “is a presentation of technique alone, sanitized and purged of the dynamic teachings in wisdom and ethics that are essential for true liberation.” For anyone seeking a path dedicated to both authentic personal growth and the overthrow of the nihilism, hedonism, and (...) materialism that are threatening our planet, this compelling teacher presents a well-conceived, sustainable solution with Gradual Awakening. The core of this book is Tibetan Buddhism’s “gradual path”—or Lam Rim—interpreted with fresh insights from modern scientific research. Offering an illuminating new presentation of Tibet’s deep psychology, meditative techniques, and virtuous rituals, Dr. Neale presents a time-honored path of enormous transformational potential. Each chapter serves as a practical manual that will allow you to experiment with and actualize the benefits of role-modeling visualization, affirmations, contemplative themes, textual recitation, prayers, altars, offerings, and meditation. Here you’ll explore: • Uprooting the “sickness of paradigm”—why a complete spiritual practice must directly confront the fundamental human suffering caused by the modern ethos of scientific reductionism • The Lam Rim path—the history, heritage, and power of this 30-step “hero’s journey” of awakening • Evolutionary self-care—understanding the Buddhist concept of renunciation as a form of self-love and healing • Radical altruism—awakening Bodhicitta, our innate aspiration to evolve fully in service to others • Quantum vision—how the teaching of “emptiness” allows us to pierce the illusion of materialism and accurately perceive the subtlest nature of reality • Dr. Neale’s MAPS process (Maturity, Acceptance, Possibility, and Seeds) to integrate and manifest key insights and skills in your everyday life The mass-market dilutions of Eastern wisdom that focus on symptom relief and easy answers have left behind the ultimate promise of spiritual practice: enlightenment. “Enlightenment is an unfolding process—open to everyone.” writes Dr. Neale. For most of us, this path to awakening must be realized through a gradual process: building on incremental insights into who we truly are, learning to care for ourselves and others, and discovering creative ways to engage the problems we all face. Gradual Awakening will serve as a lifelong companion for anyone willing to embrace a new paradigm that integrates science with spirit, theory with practice, and personal meditation with the desire to transform the world. A portion of the proceeds from this book will benefit the Buddhist nuns of Kopan Nunnery in Nepal. (shrink)

Clinical trials in emergency situations present unique challenges, because they involve enrolling individuals who lack capacity to consent in the context of acute illness or injury. The US Department of Health and Human Services and Food and Drug Administration regulations allowing an Exception from Informed Consent in these circumstances contain requirements for community consultation, public disclosure and restrictions on study risks and benefits. In this paper, we analyse an issue raised in the regulations that has received little attention or analysis (...) but is ethically complex. This challenge is when to solicit and honour objections to EFIC trial enrolment, including from non-legally appointed representatives. We address novel questions involving whose objections should be honoured, what level of understanding is necessary for objections to be considered valid and how hard investigators should work to offer an opportunity to object. We present a set of criteria that provide conceptual and practical guidance. We argue that objections should be honoured if they undermine one of the key assumptions that allows for the permissibility of EFIC trials: that individuals would likely not object to enrolment based on their values or preferences. We then clarify the practical implications of this approach through examination of three cases of refusal in an EFIC study. (shrink)

Foucault on Politics, Society and War interrogates Foucault's controversial genealogy of modern biopolitics. By insisting on 'life' as the key referent of power in the modern age, Foucault argues that politics grounds society in war, specifically race war, in ways that come to threaten the very human existence it is pledged to promote. These essays situate Foucault's arguments, clarify the correlation of sovereign- and bio-power and examine the relation of bios, nomos and race in relation to modern war.

Researchers from diverse disciplines, including organismal and cellular physiology, sports science, human nutrition, evolution and ecology, have sought to understand the causes and consequences of the surprising variation in metabolic rate found among and within individual animals of the same species. Research in this area has been hampered by differences in approach, terminology and methodology, and the context in which measurements are made. Recent advances provide important opportunities to identify and address the key questions in the field. By bringing together (...) researchers from different areas of biology and biomedicine, we describe and evaluate these developments and the insights they could yield, highlighting the need for more standardisation across disciplines. We conclude with a list of important questions that can now be addressed by developing a common conceptual and methodological toolkit for studies on metabolic variation in animals. (shrink)

Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health researchers wishing to access medical records without written consent. The Act requires researchers to apply to the Patient Information Advisory Group for permission to access medical records without written permission. We present a (...) case study of the work required to obtain the necessary permissions from PIAG in order to conduct a large scale public health research project. In our experience it took eight months to receive permission to access basic identifying information on individuals registered at general practices, and a decision on whether we could access clinical information in medical records without consent took 18 months. Such delays pose near insurmountable difficulties to grant funded research, and in our case £560 000 of public and charitable money was spent on research staff while a large part of their work was prohibited until the third year of a three year grant. We conclude by arguing that many of the current problems could be avoided by returning PIAG’s responsibilities to research ethics committees, and by allowing “opt-out” consent for many public health research projects. (shrink)

Moral distress is a concept used to date in clinical literature to describe the experience of staff in circumstances in which they are prevented from delivering the kind of bedside care they believe is expected of them, professionally and ethically. Our research objective was to determine if this concept has relevance in terms of key health care managerial functions, such as priority setting and resource allocation. We conducted interviews and focus groups with mid- and senior-level managers in two British Columbia (...) (Canada) health authorities. Transcripts were analyzed qualitatively using constant comparison to identify key themes related to moral distress. Both mid- and senior-level managers appear to experience moral distress, with both similarities and differences in how their experiences manifest. Several examples of this concept were identified including the obligation to communicate or ‘sell’ organizational decisions or policies with which a manager personally may disagree and situations where scarce resources compel managers to place staff in situations where they meet with predictable and potentially avoidable risks. Given that moral distress appears to be a relevant issue for at least some health care managers, further research is warranted into its exact nature, prevalence, and possible organizational and personal responses. (shrink)

In this chapter I articulate the threat that time travel to the past allegedly poses to the free will of the time traveler, and I argue that on the traditional way of thinking about free will, the incompatibilist about time travel and free will wins the day. However, a residual worry about the incompatibilist view points the way toward a novel way of thinking about free will, one that I tentatively explore toward the end of the chapter.

This chapter explores the concept of judgmentalism: what it is and why it’s morally problematic. After criticizing an account offered by Gary Watson, the paper argues for a broader understanding of what it is to be judgmental, encompassing not just the overall beliefs that we form about someone else, but also the very pattern of our thoughts about those with whom we are involved in interpersonal relationships. The thesis is that to care about someone is to be oriented toward them, (...) or to see them through a particular mental lens, in a way that produces a particular pattern of salience and silence. That is: caring about someone (at least ideally) has the effect of making some features of that person particularly salient, and silencing or screening off other features from one’s consciousness. One is aptly described as judgmental when one’s thoughts do not display this sort of pattern, indicating a failure to fully adopt the orientation that constitutes properly caring about the person. (shrink)

In this paper I argue that adopting a perdurance view of persistence through time does not lead to skepticism about moral responsibility, despite what many theorists have thought.

Names, descriptions, and demonstratives raise well-known logical, ontological, and epistemological problems. Perhaps less well known, amongst philosophers at least, are the ways in which some of these problems not only recur with pronouns but also cross-cut further problems exposed by the study in generative linguistics of morpho-syntactic constraints on interpretation. These problems will be my primary concern here, but I want to address them within a general picture of interpretation that is required if wires are not to be crossed. That (...) picture will be sketched in sections 3 and 4; subsequent sections will focus on pronouns and binding, drawing heavily on what has preceded. (shrink)

In this study, we test the interactive effect on ethical decision-making of (1) personal characteristics, and (2) personal expectanciesbased on perceptions of organizational rewards and punishments. Personal characteristics studied were cognitive moral developmentand belief in a just world. Using an in-basket simulation, we found that exposure to reward system information influenced managers’ outcome expectancies. Further, outcome expectancies and belief in a just world interacted with managers’ cognitive moral development to influence managers’ ethical decision-making. In particular, low-cognitive moral development managers who (...) expected that their organization condoned unethical behavior made less ethical decisions while high cognitive moral development managers became more ethical in this environment. Low cognitive moral development managers also behaved less ethically when their belief in a just world was high. (shrink)

In this study, we test the interactive effect on ethical decision-making of (1) personal characteristics, and (2) personal expectanciesbased on perceptions of organizational rewards and punishments. Personal characteristics studied were cognitive moral developmentand belief in a just world. Using an in-basket simulation, we found that exposure to reward system information influenced managers’ outcome expectancies. Further, outcome expectancies and belief in a just world interacted with managers’ cognitive moral development to influence managers’ ethical decision-making. In particular, low-cognitive moral development managers who (...) expected that their organization condoned unethical behavior made less ethical decisions while high cognitive moral development managers became more ethical in this environment. Low cognitive moral development managers also behaved less ethically when their belief in a just world was high. (shrink)

In 1999, Neale Donald Walsch wrote three little books, each focusing on different areas of life: Neale Donald Walsch on Relationships, Neale Donald Walsch on Holistic Living, and Neale Donald Walsch on Abundance and Right Livelihood. In 2010, these three books were published in a single volume as Neale Donald Walsch's Little Book of Life. Walsch describes this book as a thousand pages of dialogue in the Conversations with God series reduced down to a few salient points and a few (...) very direct observations about how to render them functional. Readers can think of this book as either Conversations with God in a Nutshell or the Essential Conversations with God. Here are the basic principles for: Satisfying personal relationships; Living a joyful, harmonious life; Discovering authentic prosperity. Walsch's words provide hope and help for readers living in particularly challenging times. This is indeed Walsch's essential life guide for twenty-first century readers."--Back cover. (shrink)

Clinical trials for acute conditions such as myocardial infarction and stroke pose challenges related to informed consent due to time limitations, stress, and severe illness. Consent processes shou...

Despite a long period of neglect, research on emotion in organizational behavior has developed into a major field over the past 15 years, and is now seen to be part of an affective revolution in the organization sciences. In this article, we review current research on emotion in the organizational behavior field based on five levels of analysis: within person, between persons, dyadic interactions, leadership and teams, and organization-wide. Specific topics we cover include affective events theory, state and trait affect (...) and mood, emotional intelligence, emotional labor, emotional contagion, emotions and leadership, and building a healthy emotional climate. We conclude with suggestions for future research. (shrink)

This paper reports the results of a survey of ethical attitudes, values, and propensities in public sector employees in Australia. It was expected that demographic variables, personal values, and contextual variables at the individual level, and group- and organisational-level values would predict use of formal codes of ethics and ethical tolerance (tolerance of unethical behaviour). Useable data were received from 500 respondents selected at random across public sector organisations in a single Australian state. Results supported the study hypotheses, but indicated (...) that different mechanisms underlie each of the criterion variables. Use of ethical codes was determined primarily on the basis of a perception that others use the code, while ethical tolerance was determined by personal values. At an applied level, the research highlights the need for orgasnizations to establish a critical mass of code users, so that this operates as a normative influence on others in the organization. (shrink)

This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1984.

This book examines the ethical standard of the obligations of power articulated by philosophers Rabindrinath Tagore and Amartya Sen. The author argues that Tagore and Sen focused on the need to diminish all states' capacity for violence, regardless of regime type.

This book examines the ethical standard of the obligations of power articulated by philosophers Rabindrinath Tagore and Amartya Sen. The author argues that Tagore and Sen focused on the need to diminish all states’ capacity for violence, regardless of regime type.

The most prominent recent attack on compatibilism about determinism and moral responsibility is the so-called manipulation argument, which presents an allegedly responsibility-undermining manipulation case and then points out that the relevant facts of that case are no different from the facts that obtain in an ordinary deterministic world. In a recent article in this journal, however, Matt King presents a dilemma for proponents of this argument, according to which the argument either leads to a dialectical stalemate or else is dialectically (...) infelicitous. In this article I clarify the structure of the manipulation argument and construct a response to King’s dilemma. (shrink)

Jurors’ emotions, both integral and incidental, can affect their attributions of legal responsibility and blame in several, sometimes complexly interrelated ways. The article reviews the experimental research, outlining the multiple paths of emotional influence, and explains why identifying them is worthwhile. It then discusses why the modest to moderate effect sizes found in the research may understate emotions’ actual influence in some cases yet overstate it in others, and discounts moral intuitionism as a reason for believing that emotional influences in (...) real cases are stronger than the experimental data indicates. The article concludes with recommendations for further research. (shrink)

In this encyclopedia entry I sketch the way contemporary theorists understand moral responsibility -- its varieties, its requirements, and its puzzles.

In this close examination of the social and political thought of Marcus Tullius Cicero, Neal Wood focuses on Cicero's conceptions of state and government, showing that he is the father of constitutionalism, the archetype of the politically conservative mind, and the first to reflect extensively on politics as an activity.

The author defends John R. Searle's Chinese Room argument against a particular objection made by William J. Rapaport called the Korean Room. Foundational issues such as the relationship of strong AI to human mentality and the adequacy of the Turing Test are discussed. Through undertaking a Gedankenexperiment similar to Searle's but which meets new specifications given by Rapaport for an AI system, the author argues that Rapaport's objection to Searle does not stand and that Rapaport's arguments seem convincing only because (...) they assume the foundations of strong AI at the outset. (shrink)