Patient safety is a central aspect of healthcare quality, focusing on preventable, iatrogenic harm. Harm, in this context, is typically assumed to mean physical injury to patients, often caused by technical error. However, some contributions to the patient safety literature have argued that disrespectful behavior towards patients can cause harm, even when it does not lead to physical injury. This paper investigates the nature of such dignitary harms and explores whether they should be included within the scope of patient safety (...) as a field of practice. We argue that dignitary harms in health care are—at least sometimes—preventable, iatrogenic harms. While we caution against including dignitary harms within the scope of patient safety just because they are relevantly similar to other iatrogenic harms, we suggest that thinking about dignitary harms can help to elucidate the value of patient safety, and to illuminate the evolving relationship between safety and quality. (shrink)

Bridging the gap between the world of science and the realm of the spiritual, B. Alan Wallace introduces a natural theory of human consciousness that has its roots in contemporary physics and Buddhism. Wallace's "special theory of ontological relativity" suggests that mental phenomena are _conditioned_ by the brain, but do not _emerge_ from it. Rather, the entire natural world of mind and matter, subjects and objects, arises from a unitary dimension of reality that is more fundamental than these dualities, (...) as proposed by Wolfgang Pauli and Carl Jung. To test his hypothesis, Wallace employs the Buddhist meditative practice of _samatha_, refining one's attention and metacognition, to create a kind of telescope to examine the space of the mind. Drawing on the work of the physicist John Wheeler, he then proposes a more general theory in which the participatory nature of reality is envisioned as a self-excited circuit. In comparing these ideas to the Buddhist theory known as the Middle Way philosophy, Wallace explores further aspects of his "general theory of ontological relativity," which can be investigated by means of _vipasyana_, or insight, meditation. Wallace then focuses on the theme of symmetry in reference to quantum cosmology and the "problem of frozen time," relating these issues to the theory and practices of the Great Perfection school of Tibetan Buddhism. He concludes with a discussion of the general theme of complementarity as it relates to science and religion. The theories of relativity and quantum mechanics were major achievements in the physical sciences, and the theory of evolution has had an equally deep impact on the life sciences. However, rigorous scientific methods do not yet exist to observe mental phenomena, and naturalism has its limits for shedding light on the workings of the mind. A pioneer of modern consciousness research, Wallace offers a practical and revolutionary method for exploring the mind that combines the keenest insights of contemporary physicists and philosophers with the time-honored meditative traditions of Buddhism. (shrink)

Although their work in the philosophy of biology is not well known, Heidegger, Merleau-Ponty, and Ruyer all offer interesting and heterodox accounts of the life and environmental sciences and the organism in particular. In this chapter, we discuss their respective views, with a focus on their shared criticisms of Neo- Darwinism and the way this tradition grasped the structural coupling between organism and environment. We also outline some significant differences between each of them concerning how to conceive of that holistic (...) relation and the extent of “captivation” of the animal to its environment. Given that there are indications that the twenty-first century might be post-genomic/epigenetic, we argue that it is worth revisiting these neglected organicist trajectories that sought to navigate between mechanism and vitalism. (shrink)

Disrespect in health care often persists despite firm commitments to respectful service provision. This conceptual paper highlights how the ways in which respect and disrespect are characterised can have practical implications for how well disrespect can be tackled. We stress the need to focus explicitly on disrespect (not only respect) and propose that disrespect can usefully be understood as a failure to relate to people as equals. This characterisation is consonant with some accounts of respect but sometimes obscured by a (...) focus on respecting people’s autonomy and dignity. Emphasising equality is consistent with connections patients draw between being (dis)respected and (in)equality. It readily accommodates microaggressions as forms of disrespect, helping to understand how and why experiences of disrespect may be unintentional and to explain why even small instances of disrespect are wrong. Our view of disrespect with an emphasis on equality strengthens the demand that health systems take disrespect seriously as a problem of social injustice and tackle it at institutional, not just individual levels. It suggests several strategies for practical action. Emphasising relational equality is not an easy or short-term fix for disrespect, but it signals a direction of travel towards an important improvement ambition. (shrink)

I analyze David Hume’s "Of Miracles". I vindicate Hume’s argument against two charges: that it (1) defines miracles out of existence; (2) appeals to a suspect principle of balancing probabilities. He argues that miracles are, in a certain sense, maximally improbable. To understand this sense, we must turn to his notion of probability as ’strength of analogy’: miracles are incredible, according to him, because they bear no analogy to anything in our past experience. This reveals as anachronistic various recent Bayesian (...) reconstructions of his argument. But it exposes him to other charges, with which I conclude. (shrink)

Theories of multiculturalism explore whether minority cultural groups have rights and claims that limit the nation-building aims of the modern state and that protect a space in which minorities can...

The Greek text used was that of the English edition of Hugh G. Evelyn-White (HESIOD, 1914). The translations of the Theogony of Ana Lúcia Silveira Cerqueira and Maria Therezinha Áreas Lyra (HESÍODO, 1986) have been consulted for comparison, José Antonio Alves Torrano (HESÍODO, 1995), Hugh G. Evelyn-White (HESIOD, 1914) and José Marcos Mariani de Macedo (MACEDO, 2010). In addition, this translation was based on the translations of the Homeric Hymns, Edvanda Bonavina da Rosa et alia (2010), and Trajano Vieira’s Odyssey (...) (HOMERO, 2011). (shrink)

Building on the advances made by feminist reconsiderations of methods, methodology and epistemology, this paper calls for an alliance between feminist social science and the emerging field of queer theory. By challenging traditional scientific approaches to research on sexual minority groups, a distinctly ‘queer’ approach is advocated that adopts a reflexive position on subjectivity and sexuality. While essentialist approaches privilege gay/lesbian, man/woman, and object/subject, this approach advances a framework of critical sexualities that moves social science into an arena of inclusivity (...) and multiple identities, rather than reductionistic categorical thought. The implications are clear: a rethinking of identity categories that transcend stagnant dualisms. (shrink)

In 1964, the American Medical Association invited liberal theologian Abraham Joshua Heschel to address its annual meeting in a program entitled “The Patient as a Person” [1]. Unsurprisingly, in light of Heschel’s reputation for outspokenness, he launched a jeremiad against physicians, claiming: “The admiration for medical science is increasing, the respect for its practitioners is decreasing. The depreciation of the image of the doctor is bound to disseminate disenchantment and to affect the state of medicine itself” [1, p. 35]. Heschel’s (...) reference to “disenchantment” suggests that he may have been familiar with the work, or at least the outlook, of sociologist Max Weber, whose 1917 address “Science as a Vocation” portrays the modern world as disenchanted by the progress of rationalism. Heschel’s life’s vocation had been to uncover the inner meaning of religious faith and to translate that faith into principled action. Heschel saw disenchantment not as an inescapable aspect of modern life but rather as the byproduct of physicians’ conscious choices to seek worldly success and material comfort. Yet, because of their privileged position as witnesses to human vulnerability, physicians possess an obligation to develop their own personhood, to re-enchant medicine, and through medicine to spark a positive transformation in all of modern life. As Heschel says, “The doctor must realize the supreme nobility of his vocation, to cultivate a taste for the pleasures of the soul. … The doctor is a major source of moral energy affecting the spiritual texture and substance of the entire society” [1, pp. 34, 38]. While Heschel’s conception of the physician’s role is romanticized and idealized, changes in the organization and practice of medicine have validated his concerns. (shrink)

We examine topological dynamical systems on the Cantor set from the point of view of the continuous model theory of commutative C*-algebras. After some general remarks, we focus our attention on the generic homeomorphism of the Cantor set, as constructed by Akin, Glasner, and Weiss. We show that this homeomorphism is the prime model of its theory. We also show that the notion of “generic” used by Akin, Glasner, and Weiss is distinct from the notion of “generic” encountered in Fraïssé (...) theory. (shrink)

If C.S. Lewis' A Grief Observed can be considered an account of a lost human relationship, then Cunsolo and Landman's Mourning Nature forms a posthuman, but nonetheless personal, examination of the losses of relationships with plants, animals, and even entire ecosystems—an ecological grief observed. In this regard, one of the motivations for this book was Cunsolo's interviews with Inuit residents who experienced profound sadness and despair at the changes in the landscape brought by climate change. Beyond this, each of the (...) contributors to Mourning Nature brought a variety of written, auditory, visual, and meaning-making experiences to their acts of mourning wild nature. The parallels to Lewis' book end here... (shrink)

The purpose of this article is to discuss the concept and the content of courses on “social ethics”. I will present a dilemma that arises in the design of such courses. On the one hand, they may present versions of “applied ethics”; that is, courses in which moral theories are applied to moral and social problems. On the other hand, they may present generalised forms of “occupational ethics”, usually professional ethics, with some business ethics added to expand the range of (...) the course. Is there, then, not some middle ground that is distinctively designated by the term “social ethics”? I will argue that there is such a ground. I will describe that ground as the ethics of “social practices”. I will then illustrate how this approach to the teaching of ethics may be carried out in five domains of social practice: professional ethics, commercial ethics, corporate ethics, governmental ethics, and ethics in the voluntary sector. My aim is to show that “social ethics” courses can have a clear rationale and systematic content. (shrink)

For English-speaking readers, this book serves as an introduction to an important French intellectual whose work, especially on the issues of antisemitism and anti-Zionism, runs counter to the hostility shown toward Jews by some representatives of contemporary critical theory. It presents for the first time in English five essays by Éric Marty, previously published in France, with a new preface by the author addressed to his American readers. The focus of these essays is the debate in France and elsewhere in (...) Europe concerning the "Jew." The first essay on Jean Genet, one of postwar France’s most important literary figures, investigates the nature of Genet’s virulent antisemitism and hatred of Israel and its significance for an understanding of contemporary phenomena. The curious reappearance of St. Paul in theological and political discourse is discussed in another essay, which describes and analyses the interest that secular writers of the far left have shown in Paul’s "universalism" placed over and against Jewish or Israeli particularism. The remaining essays are more polemical in nature and confront the anti-Israeli attacks by Alain Badiou and Gilles Deleuze. (shrink)

It has been argued, and not without emotional detachment, that the Holocaust is unlike other events in world and Jewish history. Those who offer such arguments also claim that comparisons between events of ethnic cleansing, mass murder and other sorts of criminal behavior are not meant to purvey a kind of moral one-upmanship. The suffering and harm in one instance is as morally repugnant as those in any other instance, whether it is a Jewish child gassed and cremated by the (...) Nazis, a black child lynched in the southern United States, an Armenian child deliberately poisoned in a Turkish hospital, a Ukrainian child starved to death in a Stalinist blockade, a Native American child shot to death by Conquistadors, a Rwandan child hacked to death, or a Bosnian child blown to pieces by a land mine or sniper. (shrink)

I outline a variant on the formalist approach to mathematics which rejects textbook formalism's highly counterintuitive denial that mathematical theorems express truths while still avoiding ontological commitment to a realm of abstract objects. The key idea is to distinguish the sense of a sentence from its explanatory truth conditions. I then look at various problems with the neo-formalist approach, in particular at the status of the notion of proof in a formal calculus and at problems which Gödelian results seem to (...) pose for the tight link assumed between truth and proof. (shrink)

In this wide-ranging interview Alan Norrie discusses how he became involved with Critical Realism, his work on Dialectical Critical Realism, and responses to it amongst the Critical Realist communi...