BackgroundAs moral case deliberations (MCDs) have increasingly been implemented in health care institutions as a form of ethics support, it is relevant to know whether and how MCDs actually contribute to positive changes in care. Insight is needed on what actually happens in daily care practice following MCD sessions. This study aimed at investigating the impact of MCD and exploring how ‘impact of MCD’ should be conceptualized for future research.MethodsA multiple-case study was conducted in a care organization for people with (...) intellectual disabilities and/or acquired brain injury, by observing MCD sessions as ‘cases’, followed by interviews with health care professionals concerning the follow-up to these cases, and a focus group with involved MCD facilitators. A conceptual scheme concerning the possible impact formed the basis for analysis: (1) individual moral awareness; (2) the actions of health care professionals; (3) collaboration among health care professionals; (4) the concrete situation of the client; (5) the client’s quality of care and life; (6) the organizational and policy level.ResultsAccording to interviewees, their moral awareness and their collaboration, both among colleagues and with clients’ relatives, improved after MCD. Perceived impact on client situation, quality of care/life and the organizational level varied among interviewees or was difficult to define or link to MCD. Three aspects were added to the conceptual scheme concerning the impact of MCD: (a) preparations and expectations prior to the MCD session; (b) a translational step between the conclusions of the MCD session and practical events in the following period, and (c) collaboration with clients’ relatives. A negative impact of MCD was also found on misunderstandings among participants and disappointment about lack of follow-up.ConclusionsConcretizing and conceptualizing the ‘impact’ of MCD is complicated as many factors play a role either before or during the transition from MCD to practice. It is important to consider ‘impact’ in a broad sense and to relate it to the goals and context of the MCD in question. Future studies in this field should pay additional attention to the preparations, content and process involved in ethics support, including clients’ and relatives’ experiences. (shrink)

Natural kinds are often contrasted with other kinds of scientific kinds, especially functional kinds, because of a presumed categorical difference in explanatory value: supposedly, natural kinds can ground explanations, while other kinds of kinds cannot. I argue against this view of natural kinds by examining a particular type of explanation—mechanistic explanation—and showing that functional kinds do the same work there as traditionally recognized natural kinds are supposed to do in “standard” scientific explanations. Breaking down this categorical distinction between traditional natural (...) kinds and other kinds of kinds, I argue, delivers two goods: It provides us with a view of natural kindhood that does justice to the epistemic roles of kinds in scientific explanations. And it allows us to solve a problem that HPC theory, currently one of the more popular accounts of natural kindhood, confronts. (shrink)

Two decades of research on euthanasia in the Netherlands have resulted into clear insights in the frequency and characteristics of euthanasia and other medical end-of-life decisions in the Netherlands. These empirical studies have contributed to the quality of the public debate, and to the regulating and public control of euthanasia and physician-assisted suicide. No slippery slope seems to have occurred. Physicians seem to adhere to the criteria for due care in the large majority of cases. Further, it has been shown (...) that the majority of physicians think that the euthanasia Act has improved their legal certainty and contributes to the carefulness of life-terminating acts. In 2005, eighty percent of the euthanasia cases were reported to the review committees. Thus, the transparency envisaged by the Act still does not extend to all cases. Unreported cases almost all involve the use of opioids, and are not considered to be euthanasia by physicians. More education and debate is needed to disentangle in these situations which acts should be regarded as euthanasia and which should not. Medical end-of-life decision-making is a crucial part of end-of-life care. It should therefore be given continuous attention in health care policy and medical training. Systematic periodic research is crucial for enhancing our understanding of end-of-life care in modern medicine, in which the pursuit of a good quality of dying is nowadays widely recognized as an important goal, in addition to the traditional goals such as curing diseases and prolonging life. (shrink)

The following notes are the result of an examination of all the early Epic passages containing λλ which I made for the purposes of the lexicon of Homer and the older Epic now under preparation by the Archiv für griechische Lexikographie at Hamburg. The texts surveyed were Homer, including the Hymns, Hesiod, and the Epic fragments. I also examined Apollonius Rhodius for the purpose of comparison.

It is one of the attractions of Greek syntax that it provides an abundance of usages which require careful discrimination, if we are to appreciate their value; and which at the same time present problems of interpretation which have not been completely solved. This is particularly the case with the use of the negatives, and it is one of these constructions with which we are concerned here.

It will be best to explain here, at the start, that I do not propose new etymologies for the words εὒξεινος and πόντος. I regard, then, εὒξεινος πόντος as meaning ‘the hospitable way’. My purpose is to show how such a name came to be given to the Black Sea by the Greeks. First, the word πόντος. The familiar explanation connects it with a series of words, of which I give the most important: Gk. πάτος ‘trodden path’; Skt. pάnthā ‘way’, (...) fem. pathyā ‘id.’; Zend paθ ‘id.’; Arm. hun ‘ford, road’; Lat. pons ‘bridge’. Further, as a verb the root appears in Gk. πατεν ‘tread down’ and is given in Walde-Pokorny as *pent- ‘tread, go’: W.-P. points out that the derived nouns mean ‘way’, and particularly a way that goes over or through water, as can be seen from the Armenian and Latin. (shrink)

The root *pent-1 has achieved wide distribution in the IE. languages. In the course of its long history considerable modification of meaning has affected it, both as a primary verb and as it appears in derivative nouns, and here I refer particularly to Go. finpan ‘find’ and to Gk. πάτη ‘deceit’. With little ingenuity—against mere ingenuity, of course, the etymologist is bound to be on his guard—it is possible to trace the train of thought that connects the various forms. But (...) though the explanations here offered may well seem obvious, they have not, so far as I am aware, been previously published. The familiar dictionaries of Boisacq, Walde-Hofmann, and Walde-Pokorny do provide attempts at explanation, but these have little power of convincing. (shrink)

Etymology, especially that of an ancient language like Greek, is not as a rule a field in which one expects to get conclusive demonstration; and between rival explanations one is often provided with a choice which cannot be made with much confidence. But despite this I think that I should reply to the article by W. S. Allen on ‘The Name of the Black Sea in Greek’ , pp. 86–8), which has raised again the question dealt with in my article (...) ‘The Name of the Euxine Pontus’ , pp. 123–8). This is not so much because I do not feel satisfied with Allen's explanation , as because this particular etymology has considerable historical, in addition to linguistic, interest. (shrink)

The question of the source of the pronominal forms , and of the later fully declined forms, presents an unusual situation. It seems clear from earlier work that we should not look for the answer outside Greek, nor probably even outside colloquial Attic Greek of the fifth century. These are strong advantages, but despite them one cannot have much confidence in the solutions so far provided, and there is room for a fresh approach. In addition to this, the usage of (...) the forms does not seem to have been explained satisfactorily, and I shall attempt to clarify it. (shrink)

The overgeneration argument attempts to show that accepting second-order validity as a sound formal counterpart of logical truth has the unacceptable consequence that the Continuum Hypothesis is either a logical truth or a logical falsehood. The argument was presented and vigorously defended in John Etchemendy’s The Concept of Logical Consequence and it has many proponents to this day. Yet it is nothing but a seductive fallacy. I demonstrate this by considering five versions of the argument; as I show, each is (...) either unsound or lacks a troubling conclusion. (shrink)

The overgeneration argument attempts to show that accepting second-order validity as a sound formal counterpart of logical truth has the unacceptable consequence that the Continuum Hypothesis is either a logical truth or a logical falsehood. The argument was presented and vigorously defended in John Etchemendy’s The Concept of Logical Consequence and it has many proponents to this day. Yet it is nothing but a seductive fallacy. I demonstrate this by considering five versions of the argument; as I show, each is (...) either unsound or lacks a troubling conclusion. (shrink)

occurs in two classical contexts. They are: Alc. 320 L.-P. Democr. 156 Diels Elm. Sec. Hipp. 1. 2.

In line 1171 of Aeschylus' Agamemnon the MSS. read μ The remainder of the sentence, after μ, is much disputed, but I am not concerned with finding the true reading of it. The whole sentence runs, in the MSS., as follows: κος δ' οδν πρκεσαντ μ πλιν μν σπερ ον χει παθεν: which appears in Thomson's Oresteia as:… πρκεσεν τ μ ok χειν πλιν μν σπερ ον χει. It is the note on this passage in Thomson to which I wish (...) to draw attention. It is from Headlam, and says, in justification of reading μ οκ, that in such phrases the scribes, finding μο, constantly omitted ο as περιττν. It adds that ο should always be restored, at any rate where there is any trace of it. (shrink)

Aristotle, in chapter 22 of the Poetics , has some remarks on poetic diction. He lays it down that, while poetry should be clear in meaning, it should avoid meanness of expression, σεμν δ κα ξαλλττουσα τò διωτικòν τος ξενικος κεχρημνη—it becomes dignified and elevated above the commonplace when it employs unusual words; ξενικòν δ λγω γλτταν κα μεταφορν κα πκτασιν κα πν τò παρ τò κριον—and examples of unusual words are rare words, metaphors, lengthened forms, and everything that differs (...) from normal speech. He then gives specimens of poetry, to show how the poetic effect can be spoilt by the substitution of τ κρια for τ ξενικ, and of these the two that follow are taken from the Odyssey. The first is Od. 9. 515. (shrink)

A. C. Ewing; IX—May Can-Statements Be Analysed Deterministically?, Proceedings of the Aristotelian Society, Volume 64, Issue 1, 1 June 1964, Pages 157–176, http.

Two decades of research on euthanasia in the Netherlands have resulted into clear insights in the frequency and characteristics of euthanasia and other medical end-of-life decisions in the Netherlands. These empirical studies have contributed to the quality of the public debate, and to the regulating and public control of euthanasia and physician-assisted suicide. No slippery slope seems to have occurred. Physicians seem to adhere to the criteria for due care in the large majority of cases. Further, it has been shown (...) that the majority of physicians think that the euthanasia Act has improved their legal certainty and contributes to the carefulness of life-terminating acts. In 2005, eighty percent of the euthanasia cases were reported to the review committees. Thus, the transparency envisaged by the Act still does not extend to all cases. Unreported cases almost all involve the use of opioids, and are not considered to be euthanasia by physicians. More education and debate is needed to disentangle in these situations which acts should be regarded as euthanasia and which should not. Medical end-of-life decision-making is a crucial part of end-of-life care. It should therefore be given continuous attention in health care policy and medical training. Systematic periodic research is crucial for enhancing our understanding of end-of-life care in modern medicine, in which the pursuit of a good quality of dying is nowadays widely recognized as an important goal, in addition to the traditional goals such as curing diseases and prolonging life. (shrink)

The article analyses williams' attempt (in chapter 7 of "descartes: the project of pure enquiry", Penguin 1978) to defend the reasoning of descartes' "third meditation" against the charge of circularity. It is contended not only that this attempt fails, But that its failure is rooted in williams' own correct account of descartes' philosophical purposes in the "meditations".

This five volume Routledge Library Editions set is dedicated to the life and work of Adam Smith, the founding father of modern economics and pioneer of free markets. With individual volumes originally published between 1974 and 1988, this five volume collection looks to determine Smith’s impact and significance by placing his work within the context of the historical development of economic thought. These volumes also consider Smith’s scientific approach to the study of morality and the sociological foundation of his economic (...) theory, whilst offering pioneering insights into his life and the context of the society in which he lived. (shrink)