Most healthcare providers work from ethical principles based on a Western model of practice that may not adhere to the cultural values intrinsic to Indigenous peoples. Breaking bad news is an important topic of ethical concern in health research. While much has been documented on BBN globally, the ethical implications of receiving bad news, from an Indigenous patient perspective in particular, is an area that requires further inquiry. This article discusses the experiences of Māori lung cancer patients and their families, (...) in order to investigate the ethical implications of receiving bad news. Data collection occurred through 23 semistructured interviews and nine focus groups with Māori lung cancer patients and their families in four districts in the Midland Region of New Zealand: Waikato, Bay of Plenty, Lakes and Tairāwhiti. The findings of this study were categorised into two key themes: communication and context. Avenues for best practice include understanding the centrality of the HCP–patient relationship and family ties in the healthcare journey, and providing patients with the full range of viable treatment options including hope, clear advice and guidance when the situation calls for it. Overall, the findings of this study hold implications for providing culturally safe and humanistic cancer care when BBN to Māori and Indigenous patients. (shrink)

McCarthy et al. rightly point out many of the ways in which theological traditions can complement secular bioethics and correct for some of its biases. These predispositions include an overl...

In the work of Nietzsche, sacrifice can only sacrifice itself over and over because what it seeks to overcome makes this sacrifice of itself both necessary and useless . The truth is eternally postponed in a necessary sacrificial gesture that can only sacrifice itself, thereby rendering itself useless . In the attempt to step beyond nihilism, that is, in the attempt to negate nihilism, one repeats the negation characteristic of nihilism. One becomes inextricably implicated in the move of nihilistic sacrifice. (...) The sacrifice of the sacrifice characteristic of nihilism , that is, the sacrifice of sacrifice, can only take place as the impossibility of its realization. One, therefore, produces or performs an interminable step/not beyond, an incessant step beyond that eternally returns. (shrink)

How is a disease contracted, and how does it progress through the body? Answers to these questions are fundamental to understanding both basic biology and medicine. Advances in the biomedical sciences continue to provide more tools to address these fundamental questions and to uncover questions that have not been thought of before. Despite these major advances, we are still facing conceptual and technical challenges when learning about the etiology of disease, especially for genetic diseases. In this review, we illustrate this (...) point by discussing the causal links between molecular mechanisms and systems-level phenotypes in molecular diseases. We begin with an examination of sickle cell anemia, and how mechanisms of the disease have been comprehended over the last century. While sickle cell anemia involves a mutation in a single protein in a single cell type, other diseases involve mutations in networks with many protein interactions and in diverse cell types. We introduce the challenges that result from these differences and illustrate the current obstacles by discussing the RASopathies, a recently discovered class of developmental syndromes that result from mutations in signaling networks. Methods to study mutant genotypes that lead to mutant phenotypes are discussed, particularly the use of model organisms and mutant proteins to study protein interactions that may be important for development of disease. These studies will point toward the future of diagnosing and treating genetic disease. (shrink)

The dispute between two of Princeton Theological Seminary's leading Barth scholars concerning theological ontology invites engagement from the contemporary Thomistic tradition. On the one hand, McCormack argues that, in a fully Barthian theological ontology, divine triunity is constituted by the pretemporal election of Jesus Christ. On the other hand, Hunsinger contends that this election is expressive of an antecedent trinity. In the light of scholastic disputes between Dominican and Franciscan theologians, McCormack's proposal is seen to resemble aspects of the Bonaventurean (...) account of triune relationality, particularly the account of procession as constitutive of personal distinction and the affirmation of a primordial ‘primity’ adhering to the Father's innascibility. Whilst McCormack seeks to avoid an undetermined originary plenitude, his treatment of the divine attributes as logically consequent to election risks attributing to pretemporality a status akin to originary primity. Affirming, with Hunsinger, an eternal trinity antecedent to election, the Thomistic tradition nonetheless contains the resources necessary to prevent this antecedence becoming a dissociative antecedence. As such, Thomism preserves divine aseity whilst equally safeguarding against the disconnection of logos asarkos from logos incarnandus that McCormack regards as an unwarranted metaphysical speculation that bypasses the particularity of revelation in Jesus Christ. (shrink)

Predicting future trends in bioethics depends on the recognition of contemporary innovations. Because of the extraordinary challenges brought on by the HIV/AIDS pandemic, bioethics has had to undergo a critical examination of its own effectiveness. This essay examines 10 developments that have helped shape the future of bioethics in a time of HIV/AIDS.

Leaders and managers of today's multinational corporations face a plethora of problems and issues directly attributable to the fact that they are operating in an international context. With work-sites, plants and/or customers based in another country, or even several countries, representing a vast spectrum of cultural differences, international trade and offshore operations, coupled with increased globalisation in respect to political, social and economic realities, contribute to new dilemmas that these leaders must deal with. Not the least of these being a (...) Code of Ethics and ethical decision making.This paper examines the differences in culture between a group of managers from the United States and similar group from Croatia using Hofstede's theory of International Cultures. The study explores how these cultural dimensions may help in our understanding of the differences in reported whistleblowing. The authors then postulate four hypotheses regarding various aspects of whistleblowing. These Hypotheses were than tested using a survey administered to a sample of U.S.A. and Croatian managers. Finally, the paper discusses the findings and practical implications for contemporary managers in the international arena. (shrink)

Response to wrongdoing is modeled as a decision process in an organizational context. The model is grounded in theory of risk, ambiguity, and informational influences on decision making. Time pressure, inadequate information and coworker influences are addressed. Along the way, a handful of propositions are provided which emphasize influences on the actual choice between response options.

Localizing the self in the brain has been the goal of consciousness research for centuries. Recently, there has been an increase in attention to the localization of the self. Here we present data from patients suffering from a loss of self in an attempt to understand the neural correlates of consciousness. Focusing on delusional misidentification syndrome , we find that frontal regions, as well as the right hemisphere appear to play a significant role in DMS and DMS related disorders. These (...) data are placed in the context of neuroimaging findings. (shrink)

This fascinating volume will be invaluable to neuroscientists, psychologists, psychiatrists, neurologists, and philosophers of mind, and to their students and ...

We develop a formal semantic analysis of the alarm calls used by Campbell’s monkeys in the Tai forest and on Tiwai island —two sites that differ in the main predators that the monkeys are exposed to. Building on data discussed in Ouattara et al. :e7808, 2009a; PNAS 106: 22026–22031, 2009b and Arnold et al., we argue that on both sites alarm calls include the roots krak and hok, which can optionally be affixed with -oo, a kind of attenuating suffix; in (...) addition, sentences can start with boom boom, which indicates that the context is not one of predation. In line with Arnold et al., we show that the meaning of the roots is not quite the same in Tai and on Tiwai: krak often functions as a leopard alarm call in Tai, but as a general alarm call on Tiwai. We develop models based on a compositional semantics in which concatenation is interpreted as conjunction, roots have lexical meanings, -oo is an attenuating suffix, and an all-purpose alarm parameter is raised with each individual call. The first model accounts for the difference between Tai and Tiwai by way of different lexical entries for krak. The second model gives the same underspecified entry to krak in both locations, but it makes use of a competition mechanism akin to scalar implicatures. In Tai, strengthening yields a meaning equivalent to non-aerial dangerous predator and turns out to single out leopards. On Tiwai, strengthening yields a nearly contradictory meaning due to the absence of ground predators, and only the unstrengthened meaning is used. (shrink)

Linguists rely on intuitive conceptions of structure when comparing expressions and languages. In an algebraic presentation of a language, some natural notions of similarity can be rigorously defined (e.g. among elements of a language, equivalence w.r.t. isomorphisms of the language; and among languages, equivalence w.r.t. isomorphisms of symmetry groups), but it tums out that slightly more complex and nonstandard notions are needed to capture the kinds of comparisons linguists want to make. This paper identihes some of the important notions of (...) structural similarity, with attention to similarity claims that are prominent in the current linguistic tradition of transformational grammar. @ 2002 Elsevier Science B.V. All rights reserved. (shrink)

Differentiating self from other has been investigated at the neural level, and its incorporation into the model proposed Hurley is necessary for the model to be complete. With an emphasis on the feed-forward model in layer 2, we examine the role that self and other disruptions, including auditory verbal hallucinations (AVHs), may have in expanding the model proposed by Hurley.

Answering the call of the Second Vatican Council for moral theology to 'draw more fully on the teaching of Holy Scripture, ' the authors examine the virtues that both flow from Scripture and provide a lens by which to interpret Scripture.

Research on whistleblowing has not yet provided a finite set of variables which have been shown to influence an employee's decision to report wrongdoing. Prior research on business ethics suggests that ethical business decisions are influenced by both organizational as well as intrapersonal variables. As such, this paper attempts to predict the decision to whistleblow using organizational and intrapersonal variables. External whistleblowing was found to be significantly related to supervisor support, informal policies, gender, and ideal values. External whistleblowing was not (...) found to be significantly predicted by formal policies, organizational tenure, age, education, satisfaction, or commitment. (shrink)

In sentences like Every teacher laughed we think of every teacher as a unary (=type (1)) quantifier - it expresses a property of one place predicate denotations. In variable binding terms, unary quantifiers bind one variable. Two applications of unary quantifiers, as in the interpretation of No student likes every teacher, determine a binary (= type (2)) quantifier; they express properties of two place predicate denotations. In variable binding terms they bind two variables. We call a binary quantifier Fregean (or (...) reducible) if it can in principle be expressed by the iterated application of unary quantifiers. In this paper we present two mathematical properties which distinguish non-Fregean quantifiers from Fregean ones. Our results extend those of van Benthem (1989) and Keenan (1987a). We use them to show that English presents a large variety of non-Fregean quantifi ers. Some are new here, others are familiar (though the proofs that they are non-Fregean are not). The main point of our empirical work is to inform us regarding the types of quantification natural language presents - in particular (van Benthem, 1989) that it goes beyond the usual (Fregean) analysis which treats it as mere iterated application of unary quantifiers. Secondarily, our results challenge linguistic approaches to "Logical Form" which constrain variable binding operators to "locally" bind just one occurrence of a variable, e.g., the Bijection Principle (BP) of Koopman and Sportiche (1983). The BP (correctly) blocks analyses like For which x, x's mother kissed x? for Who did his mother kiss? since For which x would locally bind two occurrences of x. But some of our irreducible binary quantifiers are naturally represented by operators which do locally bind two variables. This paper is organized as follows: Section 1 provides an explicit formulation of our questions of concern. Section 2 classifies the English constructions which we show to be non-Fregean. Section 3 presents the mathematical properties which test for non-Fregean quantification and applies these tests to the constructions in Section 2. Proofs of the mathema tical properties are given in the Appendix. (shrink)

New Blackfriars, Volume 102, Issue 1101, Page 795-814, September 2021.

Answering the call of the Second Vatican Council for moral theology to 'draw more fully on the teaching of Holy Scripture,' the authors examine the virtues that both flow from Scripture and provide a lens by which to interpret Scripture. By remaining true to both the New Testament's emphasis on the human response to God's gracious activity in Jesus Christ and to the ethical needs and desires of Christians in the twenty-first century, the authors address key topics such as discipleship, (...) the Sermon on the Mount, love, sin, politics, justice, sexuality, marriage, divorce, bioethics, and ecology. (shrink)