OBJECTIVE: To describe the issues faced, and how they were addressed, by the University of Toronto Critical Care Medicine Program/Joint Centre for Bioethics Task Force on Appropriate Use of Life-Sustaining Treatment. The clinical problem addressed by the Task Force was dealing with requests by patients or substitute decision makers for life-sustaining treatment that their healthcare providers believe is inappropriate. DESIGN: Case study. SETTING: The University of Toronto Joint Centre for Bioethics/Critical Care Medicine Program Task Force on Appropriate Use of Life-Sustaining (...) Treatment. PARTICIPANTS: The 24-member Task Force included physician and nursing leaders from five critical care units, bioethicists, a legal scholar, a health administration expert, a social worker, and a hospital public relations professional. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Our specific lessons learned include a) a policy focus on process; b) use of a negotiation and mediation model, rather than a hospital ethics committee model, for this process; and c) the policy development process is itself a negotiation, so we recommend equal involvement of interested groups including patients, families, and the public. CONCLUSIONS: This article describes the key issues faced by the Task Force while developing its policy. It will provide a useful starting point for other groups developing policy on appropriate use of life-sustaining treatment. (shrink)

Tragedy and Citizenship provides a wide-ranging exploration of attitudes toward tragedy and their implications for politics. Derek W. M. Barker reads the history of political thought as a contest between the tragic view of politics that accepts conflict and uncertainty, and an optimistic perspective that sees conflict as self-dissolving. Drawing on Aristotle's political thought, alongside a novel reading of the Antigone that centers on Haemon, its most neglected character, Barker provides contemporary democratic theory with a theory of tragedy. He sees (...) Hegel's philosophy of reconciliation as a critical turning point that results in the elimination of citizenship. By linking Hegel's failure to address the tragic dimensions of politics to Richard Rorty, John Rawls, and Judith Butler, Barkeroffers a major reassessment of contemporary political theory and a fresh perspective on the most urgent challenges facing democratic politics. Derek W. M. Barker is a program officer at the Kettering Foundation. (shrink)

Organized into easy-to-follow thematic sections, it allows the student to explore Foucault's work without overly technical vocabulary. Barker carefully explains the major strands of Foucault's thought on power and knowledge, discipline and punishment, history and the subject, in a clear and engaging style, providing an easy entry into the complexities of Foucault's thinking for the non-specialist reader. Also included is a chronology of Foucault's life and a bibliography for further study.

The Tidal Model represents a significant alternative to mainstream mental health theories, emphasizing how those suffering from mental health problems can benefit from taking a more active role in their own treatment. Based on extensive research, The Tidal Model charts the development of this approach, outlining the theoretical basis of the model to illustrate the benefits of a holistic model of care which promotes self-management and recovery. Clinical examples are also employed to show how, by exploring rather than ignoring a (...) client's narrative, practitioners can encourage the individual's greater involvement in the decisions affecting their assessment and treatment. The Tidal Model 's comprehensive coverage of the theory and practice of this model will be of great use to a range of mental health professionals and those in training in the fields of mental health nursing, social work, psychotherapy, clinical psychology and occupational therapy. (shrink)

This work provides an overview of traditional and contemporary ethical perspectives and critically examines a range of ethical and moral challenges present in ...

Is string theory a futile exercise as physics, as I believe it to be? It is an interesting mathematical specialty and has produced and will produce mathematics useful in other contexts, but it seems no more vital as mathematics than other areas of very abstract or specialized math, and doesn't on that basis justify the incredible amount of effort expended on it.

Senior lecturers/lecturers in mental health nursing (11 in round one, nine in round two, and eight in the final round) participated in a three-round Delphi study into the teaching of health care ethics (HCE) to students of nursing. The participants were drawn from six (round one) and four (round three) UK universities. Information was gathered on the organization, methods used and content of HCE modules. Questionnaire responses were transcribed and the content analysed for patterns of interest and areas of convergence (...) or divergence. Findings include: the majority (72.8%) of the sample believed that insufficient time was allocated to the teaching of HCE; case studies were considered a popular, although problematic, teaching method; the ‘four principles’ approach was less than dominant in the teaching of HCE; and virtue ethics was taught by only 36.4% of the participants. The Delphi technique proved adequate and worth while for the purposes of this study. Further empirical research could aim to replicate or contradict these findings, using a larger sample and recruiting more university departments. Reflection is required on several issues, including the depth and breadth to which ethics theory and, more controversially, meta-ethics, are taught to nursing students. (shrink)

One day in 1938, John Dewey addressed a room of professional educators and urged them to take up the task of “finding out just what education is.” Reading this lecture in the late 1940s, Philip W. Jackson took Dewey’s charge to heart and spent the next sixty years contemplating his words. The stimulating result of a lifetime of thinking about educating,_ What Is Education?_ is a profound philosophical exploration of how we transmit knowledge in human society and how we (...) think about accomplishing that vital task. Most contemporary approaches to education follow a strictly empirical track, aiming to discover pragmatic solutions for teachers and school administrators. Jackson argues that we need to learn not just how to improve on current practices but also how to think about what education means—in short, we need to answer Dewey by constantly rethinking education from the ground up. Guiding us through the many facets of Dewey’s comments, Jackson also calls on Hegel, Kant, and Paul Tillich to shed light on how a society does, can, and should transmit truth and knowledge to successive generations. Teasing out the implications in these thinkers’ works ultimately leads Jackson to the conclusion that education is at root a moral enterprise. At a time when schools increasingly serve as a battleground for ideological contests, _What Is Education?_ is a stirring call to refocus our minds on what is for Jackson the fundamental goal of education: making students as well as teachers—and therefore everyone—better people. (shrink)

How have sociologists responded to the emergence of environmentalism? What has sociology to offer the study of environmental problems? This uniquely comprehensive guide traces the origins and development of environmental movements and environmental issues, providing a critical review of the most significant debates in the new field of environmental sociology. It covers environmental ideas, environmental movements, social constructionism, critical realism, "ecocentric" theory, environmental identities, risk society theory, sustainable development, Green consumerism, ecological modernization and debates around modernity and post- modernity. (...) class='Hi'>Philip Sutton adopts a long-term view, which focuses on the relationship between ideas of nature and environment, ecological identities and social change, providing a framework for future research. Bringing environmental issues into contact with sociological theories, Nature, Environment and Society provides an up-to-date introduction to this important new field. It will be essential reading for all students of sociology, environmental studies and anyone interested in understanding environmental problems. (shrink)

I am afraid that Nancy Cartwright and I will have to agree to disagree, on the whole. If my review comes through as harsh, it is perhaps the natural response of a quantum theorist who has worked in economics to a book in which physics and economics are treated as epistemically identical.

This volume examines general ethical principles and controversies in the social sciences by looking specifically at the recent three-year revision process to the American Anthropological Association’s code of ethics. The book’s contributors were members of the task force that undertook that revision and thus have first-hand knowledge of the debates, compromises, and areas of consensus involved in shaping any organization’s ethical vision. The book -reflects the broad diversity of opinion, approach, and practice within anthropology and the social sciences; -develops ethical (...) principles that reflect core values rather than the latest ethical controversies; -crafts clear, broad statements, increasing the likelihood that the ethical code will be a meaningful part of the daily discourse of practicing anthropologists; -develops the ethical code as a living document, or a process of experience and debate, subject to future revision and amplification; -provides explanation through internet links and other resources, ensuring that the finished product be relevant and vibrant. (shrink)

The author critically examines and rejects alvin plantinga's defense of the free will theodicy, As presented in chapter six of plantinga's "god and other minds". If the author's arguments are correct, Then any attempt on the part of the rational apologist to explain evil by reference to man's free will must be considered futile. Since the arguments presented will be seen as supporting natural atheology (which, For plantinga, Is "the attempt...To show that, Given what we know, It is impossible or (...) unlikely that God exists"), The article ends with the claim that both rational apologetics and natural atheology are conceptually confused, And that this confusion can be traced to their failure to understand the nature of religious belief. (shrink)

Scholars of Arabic dialects have long noted the occurrence of a morpheme in a widespread number of dialects, realized -ən or -an, frequently suffixed to morphologically indefinite nouns, especially when followed by an adjective. Separately, another morpheme, realized -un or -u, is attested with a slightly different distribution in the dialects of western Yemen. Traditionally, scholars have interpreted both morphemes as reflexes of an etymological case vowel + tanwīn, traditionally labeled “dialectal tanwīn.” In this paper, I offer a new reconstruction (...) of the origin and diachronic development of this morpheme. Throughout I integrate data and insights from comparative Semitics, as well as recently studied pre-Islamic epigraphic and textual materials, in order to break the familiar Classical Arabic / dialectal Arabic dichotomy and reframe the way in which historiography of features in the dialects is conducted. (shrink)