Perched on the ramparts of Volterra last July, I gaze over i dolci colli toscani, the sweet hills of Tuscany, drenched in summer sun. Warm, content and at peace, I am bemused at how much at home I feel in this strange land. I have felt this way since 1991 when I returned for the first time to la bell' Italia thirty-seven years after having lived in Rome as a young child in a Foreign Service family. In its sensuous beauty (...) and riotous disorder, Rome was stunning. My wife Eileen and I explored old childhood haunts, including the Embassy apartment residences on viale villa Graziole where my family had lived for four years in Rome—two consecutive two-year posts—in the 1950s. Memory cells exploding, I was assailed by vivid images from childhood. Once when I was five or six, my brother David and I accompanied our housemaid Marcella to her simple country home and joined villagers in the fields as they all turned out—men, women, and children—to harvest the bean crop. As dusk set in, fires were lit, simple musical instruments appeared with the wine, and the feasting and dancing began. Bonfires were soon aglow for miles up and down the sweet rolling hills. (shrink)

Perched on the ramparts of Volterra last July, I gaze over i dolci colli toscani, the sweet hills of Tuscany, drenched in summer sun. Warm, content and at peace, I am bemused at how much at home I feel in this strange land. I have felt this way since 1991 when I returned for the first time to la bell' Italia thirty-seven years after having lived in Rome as a young child in a Foreign Service family. In its sensuous beauty (...) and riotous disorder, Rome was stunning. My wife Eileen and I explored old childhood haunts, including the Embassy apartment residences on viale villa Graziole where my family had lived for four years in Rome—two consecutive two-year posts—in the 1950s. Memory cells exploding, I was assailed by vivid images from childhood. Once when I was five or six, my brother David and I accompanied our housemaid Marcella to her simple country home and joined villagers in the fields as they all turned out—men, women, and children—to harvest the bean crop. As dusk set in, fires were lit, simple musical instruments appeared with the wine, and the feasting and dancing began. Bonfires were soon aglow for miles up and down the sweet rolling hills. (shrink)

Images of the future are usually only caricatures of the present. Perhaps this picture of the future of medical care will also prove to be a caricature. Whether it does depends on choices that Americans have still to make. —Paul Starr The Social Transformation of American Medicine.

Rationing Health Care in America:Perceptions and Principles of Justice by Larry R. Churchill. American Health Care:Realities, Rights, and Reforms by Charles J. Dougherty. Should Medical Care Be Rationed by Age? edited by Timothy M. Smeeding, with Margaret P. Battin, Leslie P. Francis, and Bruce M. Landesman, Totowa, N.J., Rowman and Littlefield.

Rationing Health Care in America:Perceptions and Principles of Justice by Larry R. Churchill. American Health Care:Realities, Rights, and Reforms by Charles J. Dougherty. Should Medical Care Be Rationed by Age? edited by Timothy M. Smeeding, with Margaret P. Battin, Leslie P. Francis, and Bruce M. Landesman, Totowa, N.J., Rowman and Littlefield.

What kind of knowledge is medical knowledge? Can medicine be explained scientifically? Is disease a scientific concept, or do explanations of disease depend on values? What is ‘evidence-based’ medicine? Are advances in neuroscience bringing us closer to a scientific understanding of the mind? The nature of medicine raises fundamental questions about explanation, causation, knowledge and ontology – questions that are central to philosophy as well as medicine. In this book Paul R. Thompson and Ross E. G. Upshur introduce the (...) fundamental issues in philosophy of medicine for those coming to the subject for the first time. They introduce and explain the following key topics: Understanding the physician-patient relationship: the phenomenology of the medical encounter. Models and theories in biology and medicine: what role do theories play in medicine? Are they similar to scientific theories? Randomised controlled trials: can scientific experiments be replicated in clinical medicine? What are the philosophical criticisms levelled at RCTs? The concept of evidence in medical research: what do we mean by ‘Evidence-based medicine?’ Should all medicine be based on evidence? Causation in medicine What do advances in neuroscience reveal about the relationship between mind and body? Defining health and disease: are explanations of disease objective or do they depend on values? Evolutionary medicine: what is the role of evolutionary biology in understanding medicine? Is it relevant? Extensive use of empirical examples and case studies is made throughout the book. These include debates about smoking and cancer, the use of placebos in randomised controlled trials and controversies about research into the causes of HIV and autism. This is an indispendable introduction to those teaching philosophy of medicine and philosophy of science. (shrink)

Recent interest in the evolution of the social contract is extended by providing a throughly naturalistic, evolutionary account of the biological underpinnings of a social contract theory of morality. This social contract theory of morality provides an evolutionary justification of the primacy of a moral principle of maximisation of the opportunities for evolutionary reproductive success, where maximising opportunities does not entail an obligation on individuals to choose to maximise their ERS. From that primary principle, the moral principles of inclusion, individual (...) sovereignty and equality can be derived. The implications of these principles, within contractevolism, are explored through an examination of patriarchy, individual sovereignty and copulatory choices, and overpopulation and extinction. Contractevolism is grounded in evolutionary dynamics that resulted in humans and human societies. The most important behavioural consequences of evolution to contractevolism are reciprocity, cooperation, empathy, and the most important cognitive consequences are reason and behavioural modification. (shrink)

Humans have been modifying plants and animals for millennia. The dawn of molecular genetics, however, has kindled intense public scrutiny and controversy. Crops, and the food products which include them, have dominated molecular modification in agriculture. Organisations have made unsubstantiated claims and scare mongering is common. In this textbook Paul Thompson presents a clear account of the significant issues - identifying harms and benefits, analysing and managing risk - which lie beneath the cacophony of public controversy. His comprehensive analysis (...) looks especially at genetically modified organisms, and includes an explanation of the scientific background, an analysis of ideological objections, a discussion of legal and ethical concerns, a suggested alternative - organic agriculture - and an examination of the controversy's impact on sub-Saharan African countries. His book will be of interest to students and other readers in philosophy, biology, biotechnology and public policy. (shrink)

Paul Ricoeur was one of the foremost interpreters and translators of Edmund Husserl's philosophy. These nine essays present Ricoeur's interpretation of the most important of Husserl's writings, with emphasis on his philosophy of consciousness rather than his work in logic. In Ricoeur's philosophy, phenomenology and existentialism came of age and these essays provide an introduction to the Husserlian elements which most heavily influenced his own philosophical position.

Evolution - both the fact that it occurred and the theory describing the mechanisms by which it occurred - is an intrinsic and central component in modern biology. Theodosius Dobzhansky captures this well in the much-quoted title of his 1973 paper 'Nothing in biology makes sense except in the light of evolution'. The correctness of this assertion is even more obvious today: philosophers of biology and biologists agree that the fact of evolution is undeniable and that the theory of evolution (...) explains that fact. Such a theory has far-reaching implications. In this volume, eleven distinguished scholars address the conceptual, metaphysical and epistemological richness of the theory and its ethical and religious impact, exploring topics including DNA barcoding, three grand challenges of human evolution, functionalism, historicity, design, evolution and development, and religion and secular humanism. The volume will be of great interest to those studying philosophy of biology and evolutionary biology. (shrink)

Incredible originality of thought in areas as vast as phenomenology, religion, hermeneutics, psychoanalysis, intersubjectivity, language, Marxism, and structuralism has made Paul Ricoeur one of the philosophical giants of the twentieth century. The way in which Ricoeur approaches these themes makes his works relevant to the reader today: he writes with honesty and depth of insight into the core of a problem, and his ability to mark for future thought the very path of philosophical inquiry is nearly unmatched. In History (...) and Truth, Ricoeur investigates the antinomy between history and truth, or between historicity and meaning. He argues that history has meaning insofar as it approaches universality and system but no meaning insofar as this universality violates the singularity of individuals' lives. Imposing unity upon truth, or unifying the diversity of knowledge and opinion, creates a singular and universal history but destroys historicity and subjectivity. Allowing for singularities in history promotes a multiplicity of truths over a single, unique truth and thereby annihilates system. This volume and the other new editions of Ricoeur's texts published by Northwestern University Press have joined the canon of contemporary continental philosophy and continue to contribute to emergent discussions in the twenty-first century. Book jacket. (shrink)

Understand the challenges faced by university based EAPs and the strategies to effectively meet needs&#;and discover what works and what does not Academia is a diverse workplace unlike any other, and subsequently, employee assistance program issues are unique. Employee Assistance Programs in Higher Education focuses on the unique challenges of employee assistance service delivery in a university setting. This handy resource discusses the evolution, development, and strategies in managing an EAP in academia while comparing the substantial differences in program application (...) between academic settings and corporate settings. Discussions include outsourcing, support groups, implementation of services, and effective model frameworks. Employee Assistance Programs in Higher Education explores in depth how the difference of being an academic institution influences the administration of an EAP. Reducing costs, assessing the value of an EAP, faculty resistance to accessing EAPs, organizational and interpersonal problems, manager support groups to reduce stress, developing ’soft skills’, and addressing the deaths of faculty, staff, and students are examined in detail. This unique resource is extensively referenced and includes tables to clearly present data. Topics in Employee Assistance Programs in Higher Education include: the evolution of the IAEAPE university EAP response to traumas on campus enhancing faculty access university EAPs and outsourcing creating a specialized EAP program comparison between academic and corporate cultures case study of the University of Saskatchewan EAP _and more! _ Employee Assistance Programs in Higher Education is a comprehensive resource for academic administrators; benefit plan managers; university based EAP managers and directors; EAP, work/life, and wellness professionals; members of International Association of Employee Assistance Professionals in Education; Employee Assistance Professionals Association; Employee Assistance Society of North America; Association of Work Life Professionals; Society for Human Resource Management Schools of Social Work; educators in schools of social work, psychology, counseling education, and business. (shrink)

Among the numerous criticisms of sociobiology is the criticism that it is not genuine science. This paper defends sociobiology against this criticism. There are three aspects to the defense. First, it is argued that the testability criterion of pseudoscience is generally problematic as a criterion and that even if accepted it fails to mark sociobiology as a pseudoscience. Second, it is argued that Thagard's more comprehensive and sophisticated criterion of pseudoscience fails to mark sociobiology as a pseudoscience. Third, a positive (...) case for accepting sociobiology as genuine science is presented. (shrink)

Rolf Gruner has argued that natural selection plus time does not entail, and hence does not explain, evolution. This according to Gruner is the result of the undeniable fact that evolution involves an increase in the complexity of organisms:Since increase in complexity is part of the concept of evolution, evolution is not explained by the theory of natural selection. The Darwinian or Neo-Darwinian affirms the reality of evolution and seems to believe that it can be accounted for in terms of (...) natural selection. But it could be accounted for in this way only if the assumption were justified that generally the more complex organism is better adapted to its environment, and thus stands a better chance to survive and breed, than the less complex organism. And this assumption is not justified. “The more complex, the better adapted” will not do even as a rule of thumb, as most biologists today will be prepared to admit. (shrink)

Medical explanations of socially maladaptive behaviors most often involve an appeal to neuro-physiological models. One consequence of the appeal to such models is a lack of attention to the social character of the behaviors. It is, I argue, the social character of the behaviors that, even accepting a neuro-physiological etiology, makes classification and, hence, explanation of these disorders controversial and suspect. At the heart of the problem is the difficulty, resulting from the social aspects of the disorder, in fulfilling the (...) logical conditions of the analogical arguments employed in the explanations. The theoretical points of the paper are illustrated by a discussion of hyperactivity. CiteULike Connotea Del.icio.us What's this? (shrink)

v. 1. Raison et conscience de soi.--v. 2. Raison et histoire.

This financial, economic, and organizational behavior literatures have been reviewed in order to evaluate three competing theories regarding ownership and management of the firm: 1) firms are not affected in terms of performance and policy by control status; 2) owner-controlled firms attempt to provide larger dividend payouts; and 3) owner-controlled firms tend to have smaller dividend payouts. No generalizations regarding either the superiority or the equality of employee-owned firms to professionally-managed firms can be drawn.

Excerpt from Histoire de la Philosophie Allemande Le rapport de l'ame avec Dieu est donc un pur etat india viducl, un etat interieur, indefinissable pour la raison; et c'est bien la du subjectivisme puisque l'homme de foi est le seul vrai pretre et le seul capable d'interpreter les Ecritures; et la est le contraste que nous signalions; l'individu se depasse en quelque sorte lui-meme non pas en se rattachant a un etre de valeur universelle, a la raison ou a la (...) societe, mais grace a un etat interieur, grace a la simple force de sa conviction, qui lui est sans doute donnee d'ailleurs, mais qui reste pourtant une modification de son ame. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works. (shrink)

Scientific authorship serves to identify and acknowledge individuals who “contribute significantly” to published research. However, specific authorship norms and practices often differ within and across disciplines, labs, and cultures. As a consequence, authorship disagreements are commonplace in team research. This study aims to better understand the prevalence of authorship disagreements, those factors that may lead to disagreements, as well as the extent and nature of resulting misbehavior. Methods include an international online survey of researchers who had published from 2011 to (...) 2015. Of the 6673 who completed the main questions pertaining to authorship disagreement and misbehavior, nearly half reported disagreements regarding authorship naming; and discipline, rank, and gender had significant effects on disagreement rates. Paradoxically, researchers in multidisciplinary teams that typically reflect a range of norms and values, were less likely to have faced disagreements regarding authorship. Respondents reported having witnessed a wide range of misbehavior including: instances of hostility, undermining of a colleague’s work during meetings/talks, cutting corners on research, sabotaging a colleague’s research, or producing fraudulent work to be more competitive. These findings suggest that authorship disputes may contribute to an unhealthy competitive dynamic that can undermine researchers’ wellbeing, team cohesion, and scientific integrity. (shrink)

Authorship is commonly used as the basis for the measurement of research productivity. It influences career progression and rewards, making it a valued commodity in a competitive scientific environment. To better understand authorship practices amongst collaborative teams, this study surveyed authors on collaborative journal articles published between 2011 and 2015. Of the 8364 respondents, 1408 responded to the final open-ended question, which solicited additional comments or remarks regarding the fair distribution of authorship in research teams. This paper presents the analysis (...) of these comments, categorized into four main themes: disagreements, questionable behavior, external influences regarding authorship, and values promoted by researchers. Results suggest that some respondents find ways to effectively manage disagreements in a collegial fashion. Conversely, others explain how distribution of authorship can become a “blood sport” or a “horror story” which can negatively affect researchers’ wellbeing, scientific productivity and integrity. Researchers fear authorship discussions and often try to avoid openly discussing the situation which can strain team interactions. Unethical conduct is more likely to result from deceit, favoritism, and questionable mentorship and may become more egregious when there is constant bullying and discrimination. Although values of collegiality, transparency and fairness were promoted by researchers, rank and need for success often overpowered ethical decision-making. This research provides new insight into contextual specificities related to fair authorship distribution that can be instrumental in developing applicable training tools to identify, prevent, and mitigate authorship disagreement. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:WITTGENSTEIN: AN EXCHANGE In his review 1 of my The Argument of the 'Tractatus ': its Relevance to Contemporary Theories of Logic, Language, Mind and Phil,osophical Truth,2 John Churchill claims that my " eccentric " (C 171) 3 interpretation " does not persuade " (C 171). My interpretation is eccentric for, as Churchill himself stresses, there is a "fundamental point at which McDonough differs from virtually every (...) other reader of the Tractatus '', namely that " one can construct explicit logical argumentation, constituting a philosophical system, leading from [Wittgenstein's] 'fundamental idea' to certain explicit, systematic conclusions about ontology, mind, meaning, and so on" (C 171). In oppo· sition to my program Churchill writes, "By attributing to Wittgen· stein an argument or doctrine (in the sense just mentioned) he con· tradicts those commentators who have understood Wittgenstein to be earnestly requiring real silence about philosophy and to be asserting seriously that the Tractatus is a self-refuting treatise, to be kicked aside, once its lessons are learned" (C 166). My mistake, it seems, is to "make [LW's] system consistent" since, if we "take [LW] at genstein's "self-refuting treatise", that I sought an escape from this his word " it is " deep[ly] inconsistent " (C 171). Churchill regards himself as expressing the standard interpretation of " the plain sense of what [LW] wrote " (C 171). However, Black reports that Wittgenstein felt that the Tractatus "was misunderstood by Russell, Moore, Frege.. • and even Ramsey " 4 and so is even led to say that" there can he no question here of any definitive reading." 5 More recently, Pears has even said that the ideas in Wittgenstein's 1 Churchill, John, The Thomist 52, no. 1 (January, 1988). 2 McDonough, Richard M., The Argument of the ' Tractatus ': its Relevance to Contemporary Theories of Logic, Language, Mind, and Philosophical Tr1ith (State University of New York Press, 1986). The Thomist incorrectly stated the title of my book, substituting " Trust" for " Truth " in the subtitle. ain the text of my reply I have used the notation (Cai) and (My), respectively, to designate p. ai and p. y in Churchill's review and my book. 4 Black, Max, A Companion to Wittgensttin's 'Traotatus' (Ithaca, N.Y.: Cornell University Press, 1974), p. 1. s Ibid., p. vii. 819 320 RICHARD MCDONOUGH books do not even appear to "repeat the familiar patterns of Western thought ".6 Similar comments abound in most of the serious commentators. It is against this background, rather more pessimistic than Churchil's cheery vision of the universally acknowledged "plain sense" of Witt· genstein's "self-refuting treatise", that I sought an escape from this interpretative deadlock. If a definitive interpretation is to be established, then instead of indulging in the common practice of selectively removing remarks from the Tractatus to suit one's own fancies, one must found the interpretation on the remarks which Wittgenstein himself identified as its "fundamental ideas". Accordingly, the interpre· tative burden of my project falls on the plausibility of attributing this argument to the text. Churchill only mentions this 200+ page argument in the one dismissive sentence quoted above. But is it legitimate to dismiss the argument on such grounds? Let us assume that the Tractatus enjoins "real" silence "once its lessons are learned." The question is, when are its lessons learned? Churchill makes his own interpretative claims, and then insists (conveniently ) that one must he thereafter he silent. But perhaps its lessons are learned in digesting the argument of the Tractatus. The point is that one must still decide the correctness of the interpretation independently. Any interpreter can invoke the injunction to silence with equal justice, namely none, to enforce his own view. My interpretation is as consistent with such an injunction to silence as any other. Similar remarks apply to Churchill's dismissal of my interpretation on the grounds that it attributes a " doctrine " to Wittgenstein. Just as Churchill chooses not to view his own interpretative pronouncements as violations of the silence doctrine, while mine are violations, he also chooses not to view his own ascriptions to the Tractatus as doctrines, while, again, mine are. This kind of verhalism has infected far too much of the commentary on Tractatus. If it is... (shrink)

Money plays a powerful role in modern medicine, both in terms of how health services are organized and delivered and increasingly in how physicians understand themselves and their work. The phrase “the hegemony of money” is intended to capture that power.

This volume presents two works by Gabriel Marcel. The first, Tragic Wisdom and Beyond, a collection of his later writings, shows the impact of his encounter with the later writings of Heidegger. The second, Conversations between Paul Ricoeur and Gabriel Marcel, is a series of six conversations between Marcel and his most famous student.

In March 1996, the General Accounting Office (GAO) issued the reportScientific Research: Continued Vigilance Critical to Protecting Human Subjects.It stated that “an inherent conflict of interest exists when physician-researchers include their patients in research protocols. If the physicians do not clearly distinguish between research and treatment in their attempt to inform subjects, the possible benefits of a study can be overemphasized and the risks minimized.” The report also acknowledged that “the line between research and treatment is not always cleartoclinicians. Controversy (...) exists regarding whether certain medical procedures should be categorized as research.”This problem currently plagues gene transfer research. A few months prior to the GAO report, an ad hoc committee appointed by National Institutes of Health (NIH) Director Harold Varmus expressed similar concerns in its assessment of NIH investment in research on gene therapy. (shrink)

In March 1996, the General Accounting Office issued the report Scientific Research: Continued Vigilance Critical to Protecting Human Subjects. It stated that “an inherent conflict of interest exists when physician-researchers include their patients in research protocols. If the physicians do not clearly distinguish between research and treatment in their attempt to inform subjects, the possible benefits of a study can be overemphasized and the risks minimized.” The report also acknowledged that “the line between research and treatment is not always clear (...) to clinicians. Controversy exists regarding whether certain medical procedures should be categorized as research.”This problem currently plagues gene transfer research. A few months prior to the GAO report, an ad hoc committee appointed by National Institutes of Health Director Harold Varmus expressed similar concerns in its assessment of NIH investment in research on gene therapy. (shrink)

Being a patient and living a life -- Clinical space and traits of healing -- False starts and frequent failures -- Three journeys : A.'Ibuprofen and love', B. 'Staying tuned up', C. 'We all want the same things' -- Being a patient : the moral field -- Rethinking healthcare ethics : the patient's moral authority.