BackgroundIn this study, medical errors are defined as unintentional patient harm caused by a doctor’s mistake. This topic, due to limited research, is poorly understood in Malaysia. The objective of this study was to determine the proportion of doctors intending to disclose medical errors, and their attitudes/perception pertaining to medical errors.MethodsThis cross-sectional study was conducted at a tertiary public hospital from July- December 2015 among 276 randomly selected doctors. Data was collected using a standardized and validated self-administered questionnaire intending to (...) measure disclosure and attitudes/perceptions. The scale had four vignettes in total two medical and two surgical. Each vignette consisted of five questions and each question measured the disclosure. Disclosure was categorised as “No Disclosure”, “Partial Disclosure” or “Full Disclosure”. Data was keyed in and analysed using STATA v 13.0.ResultsOnly 10.1% intended to disclose medical errors. Most respondents felt that they possessed an attitude/perception of adequately disclosing errors to patients. There was a statistically significant difference when comparing the intention of disclosure with perceived disclosures. Most respondents were in common agreement that disclosing an error would make them less likely to get sued, that minor errors should be reported and that they experienced relief from disclosing errors.ConclusionMost doctors in this study would not disclose medical errors although they perceived that the errors were serious and felt responsible for it. Poor disclosure could be due the fear of litigations and improper mechanisms/procedures available for disclosure. (shrink)

BackgroundIn this study, medical errors are defined as unintentional patient harm caused by a doctor’s mistake. This topic, due to limited research, is poorly understood in Malaysia. The objective of this study was to determine the proportion of doctors intending to disclose medical errors, and their attitudes/perception pertaining to medical errors.MethodsThis cross-sectional study was conducted at a tertiary public hospital from July- December 2015 among 276 randomly selected doctors. Data was collected using a standardized and validated self-administered questionnaire intending to (...) measure disclosure and attitudes/perceptions. The scale had four vignettes in total two medical and two surgical. Each vignette consisted of five questions and each question measured the disclosure. Disclosure was categorised as “No Disclosure”, “Partial Disclosure” or “Full Disclosure”. Data was keyed in and analysed using STATA v 13.0.ResultsOnly 10.1% intended to disclose medical errors. Most respondents felt that they possessed an attitude/perception of adequately disclosing errors to patients. There was a statistically significant difference when comparing the intention of disclosure with perceived disclosures. Most respondents were in common agreement that disclosing an error would make them less likely to get sued, that minor errors should be reported and that they experienced relief from disclosing errors.ConclusionMost doctors in this study would not disclose medical errors although they perceived that the errors were serious and felt responsible for it. Poor disclosure could be due the fear of litigations and improper mechanisms/procedures available for disclosure. (shrink)

Examining the costs and motivations of warfare is key to conundrums concerning the relevance of this troubling phenomenon to the evolution of social attachment and cooperation, particularly during adolescence and young adulthood—the developmental time period during which many participants are first recruited for warfare. The study focuses on Samburu, a pastoralist society of approximately 200,000 people occupying northern Kenya’s semi-arid and arid lands, asking what role the emotionally sensitized, peer-driven adolescent life stage may have played in the cultural and genetic (...) coevolution of coalitional lethal aggression. Research in small-scale societies provides unparalleled opportunities for sharply defined variables, particularly in age generation societies in which all young men are initiated into “warriorhood.” Proposing an epigenetic and component behavior approach, we examine whether raiding activities such as number of raids, killing, and sparing enemy lives associate with DNA methylation in two candidate genes: MAOA, linked to mood and arousal, and NR3C1, linked to stress and immune response. We report statistically significant associations between the epigenetic variables and the combat variables of overall raiding activity and reportedly showing mercy to enemies. In contrast, epigenetic variables did not associate with post-traumatic stress disorder symptom scores, and the only combat variable associated with PTSD was losing one’s own livestock in a raid. These findings raise important questions concerning the mechanisms driving warfare’s paradoxical mix of violent and altruistic behaviors. (shrink)

The Second Amendment is accepted as protecting a right, but it is commonly accepted that the right is not unrestricted. I will explore the most commonly suggested restrictions proposed by gun control advocates and show why these restrictions to the Second Amendment are unjustifiably high, especially when compared with restrictions we accept for other Constitutional rights. I argue that these restrictions violate a central function of the Second Amendment—to enable the people to protect themselves against a tyrannical government. The three (...) restrictions I will be discussing are: licensing requirements for gun ownership, gun tracing with a national database of gun owners, and concealed carry restrictions. (shrink)

The conventional wisdom that influences university policy on what is considered valid sexual consent has undergone radical change over the past twenty years. Valid consent being the criteria that makes subsequent sexual behavior morally justified because the consent is morally transformative in the way that matters. Affirmative consent policies are now being used increasingly at universities across the country, as well as forming the basis for legislation in some U.S. states. University policies that define affirmative consent are varied, but policies (...) generally require the consent to be voluntary, conscious, unambiguous, and ongoing. The consent can be communicated verbally or behaviorally as long as it is clear and continues throughout the sexual encounter. I will argue against both the unambiguous and ongoing requirements of sexual consent. I contend that we should reject the affirmative model of sexual consent because of the problems with these requirements and I then offer some reasons in favor of returning to a lack of dissent model of sexual consent. (shrink)

My dissertation develops a defense of a right to self-defense against the state. I set aside anarchist theories and grant for the sake of argument that the state has legitimate political authority. My goal is to convince non-anarchists that the right to self-defense extends to individuals against the state and the state’s agents. I argue that the right to self-defense is a fundamental, negative, claim right. The right to self-defense has these characteristics: (1) it is fundamental, meaning that it is (...) not derivative of any other right—it doesn’t appeal to any other right for its justification (2) it is negative, meaning that it simply requires others to refrain from certain action, and (3) it is a claim right, rather than a permission right, which means that it logically entails correlative duties on others. I also challenge some basic tenets of the orthodox account of justified defensive force, including the imminence, necessity, and proportionality conditions. My argument is a controversial one; many will resist the idea that an individual could be justified in self-defense against the state for a variety of reasons, ranging from thinking the idea is absurd or dangerous, to thinking that even if it is morally permissible, it is impractical. I aim to rebut these objections and to provide strong moral reasons to show why individuals do in fact have this right. -/- This research explores the relationship between one of our most basic rights—the right to self-defense—with our most basic political relationship—the relationship between the individual and the state. Part of my aim is to convince non-anarchist readers of philosophical claims that are usually only supported by anarchists. The reason this is important, beyond being academically interesting, is that if I am successful, it could allow a great majority of individuals to rethink their relationship with the state; not just at a basic level, but also in other applied areas such as gun rights, drug laws, and issues surrounding punishment and imprisonment. (shrink)

Linguists have habitually phrased their accounts of language knowledge as sound/meaning correspondences about which no mention need be made of differences that might exist between knowledge of how to analyze input versus knowledge of how to construct output . However, evidence from many sources increasingly indicates that the dissimilarities between language as comprehension versus language as production are so profound that they nullify attempts to describe language in a 'non-directional' manner, 'neutral' with respect to interpretive versus expressive functions. A two-component (...) model of idealized linguistic performance can be devised on the basis of much past and present linguistic scholarship. Elements needed for the comprehension component are derivable from 'taxonomic' distributional analyses of phonotactics, morphosyntax, and lexical semantics, as well as from recent cognitive psychological work on 'perceptual strategies', while the production component can be formulated in terms of 'generative-semantic' and 'generative-phonological' rules recast as meaning-to-sound transformational processes. Interaction between these two components may well be the crucial determinant of the 'creative aspect of language use'. (shrink)

Social service professionals use a unique set of principles to guide their decisions within a broad and complex array of situations. Straight Talk about Professional Ethics provides readers with the guidelines that will help them make decisions in a manner that is clinically and ethically effective. This book explains the seven core concepts that guide ethical practice in the helping professions: self-determination, informed consent, competence, confidentiality and privacy, attention to conflicts of interest, maintenance of professional boundaries, and professionalism and (...) integrity. Developing a commitment to the ethics of a profession and an understanding of how those ethics apply to commonly occurring workplace situations is a major element of professional preparation. (shrink)

In writing this book I have received a considerable variety of assistance, which I am glad to acknowledge.

In writing this book I have received a considerable variety of assistance, which I am glad to acknowledge.

Part of a symposium on *The Rationality of Perception* by Susanna Siegel (2017 Oxford University Press).

The paper analyzes the two types of self-deception, usually labeled straight and twisted self-deception. In straight cases the self-deceptive belief coincides with the subject’s desire. In twisted cases, by contrast, the self-deceptive belief opposes the subject’s desire as in the example of Othello’s conviction of Desdemona’s infidelity. Are both these contrasting types of deceptive beliefs cases of SD? The argument of this paper shall answer this question in the positive, yet in different way from the unitary explanation of (...) straight and twisted SD proposed by Alfred Mele. The causal account of SD claims to provide a unitary and simple explanation for both straight and twisted SD, and considers such a unitary explanation as a specific virtue of the causal view. Within the same causal model, the difference between straight and twisted self-deception is explained by a difference in the motivational state that in twisted cases is dominated by emotions. The paper will critically examine this claim, and advance an alternative explanation based on a different view of self-deception where emotions play a role alongside wishes both in straight and in twisted case. (shrink)

A guide to developing logical thought and expression through discussion and exercises.

Major psychoanalytic thinkers from Freud to Ricoeur to Lacan considered the Oedipus complex the key to explaining the human psyche and human sexuality, even culture itself. But, in fact, they were merely theorizing males. In this title, originally published in 1993, the author reassesses the benchmark concepts of Freudian thought, building on feminist criticisms of psychoanalysis and the new history of sexuality. The psychoanalytic questions become political questions: How do the norms of heterosexuality and masculinity themselves emerge within modern society (...) and culture? How do the institutions of compulsory heterosexuality and modern patriarchy shape identity and desire? What make heterosexuality compulsory in our society? Brenkman argues that the larger social world is part and parcel of the Oedipus complex. He challenges psychoanalysis to reinvent its cultural project, as a therapeutics and an ethics, by recovering the moral-political dimension in its approach to family, sexuality and gender. Straight Male Modern casts a new light on psychoanalysis’s contribution to modern life, revealing the richness of the Freudian tradition’s encounter with modern politics and culture, and the poverty of its response. (shrink)

This chapter contains sections titled: New Frontiers for College Sex “I'm no queer!” The Paradox within Identity and Practice “You just might like it”: The Straight Sex Experiment Challenges to College Sex Experimentation Toward Alternative Notions of Sexual Experimentation.

Drawing upon feminist, queer, and crip phenomenology, this essay argues that the distinct temporality of the lived, stuttering body disturbs the normalized “choreography” of communication and thereby threatens the disabled speaker's recognition as a speaking subject. Examined through the phenomenology of Maurice Merleau-Ponty and Alfred Schutz, the disabled speaking body is temporally “out of step” with the normalized bodily rhythms and pace of communicative practices in relation to both lived and objective time. Disciplined for his incalculable and therefore irrational bodily (...) choreography, the disabled speaker is foregrounded against an objective, instrumentally ordered world constituted by a disembodied and hegemonic “straight-masculine” time. Although dominant communicative choreographies may often be unlivable for disabled speakers, cripping communicative time rejects the cardinal value of futurity and invites interlocutors to gather in a noninstrumentalized and nonproductive present. This reshaping of communicative space enacts new modes of relationality and opens up an array of communicative futures suppressed or cut off by straight-masculine time. (shrink)