Ethics, communication skills, and the law ('practice skills') are important in all aspects of modern health care. Doctors and nurses must be sensitive to the ethical aspects of their work and understand the legal framework within which clinical decisions are made. Well developed skills of communication, with patients, their relatives and other members of the clinical team, are a key feature of good clinical practice Until recently, the important of practice skills has been relatively neglected in health care education. This (...) situation is changing. The UK General Medical Council, for example, has recently identified three aspects as part of the core of the medical course, and the move to degree courses in nursing has led to an increasing focus of practice skills in nurse education. The Oxford Practice Skills Project (OPSP) team have developed a course, within the University of Oxford Clinical School, which covers the teaching of practice skills in an integrated manner. This course is widely recognized as one of the most systematic developments of education in these areas. This manual describes the OPSP course in detail and provides teaching materials. Although developed initially for medical students, it should be helpful to all those involved in teaching ethics, communication skills, and law in health care. Each Seminar is described in detail Tutors' guides are provided Student handouts are included Contains guidelines for introducing 'practice skills' into a busy clinical curriculum Includes over forty case histories for teaching and examination Gives details of many useful sources and resources Details a variety of teaching methods together with their advantages and disadvantages Provides an ethics teaching toolkit for clinical teachers new to this area Readers are welcome to photocopy any part of this manual for their own teaching. (shrink)

This paper explores the ethical and conceptual implications of the findings from an empirical study (reported elsewhere) of decision-making capacity in anorexia nervosa. In the study, ten female patients aged thirteen to twenty-one years with a diagnosis of anorexia nervosa, and eight sets of parents, took part in semistructured interviews. The purpose of the interviews was to identify aspects of thinking that might be relevant to the issue of competence to refuse treatment. All the patient-participants were also tested using the (...) MacArthur Competence Assessment Tool—Treatment test of competence. This is a formalized, structured, interviewer-administered test of competence, which is a widely accepted clinical tool for determining capacity. The young women also completed five brief, self-administered questionnaires to assess their levels of psychopathology. The issues identified from the interviews are described under two headings: difficulties with thought processing and changes in values. The results suggest that competence to refuse treatment may be compromised in people with anorexia nervosa in ways that are not captured by traditional legal approaches. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Studying Penguins to Understand BirdsJacinta O. A. Tan (bio), Anne Stewart (bio), Ray Fitzpatrick (bio), and Tony Hope (bio)Keywordsanorexia nervosa, treatment decision-making, competence, valuesWe are grateful to Grisso, Appelbaum, Charland, and Vollmann for their thoughtful commentaries on our paper. We would like to respond by picking up on some of the points they make, although we do not address all the issues raised.Our general aims in the paper (...) are less immediately pragmatic than are the central concerns of Grisso and Appelbaum. Our interest is primarily in a number of ethical, and related conceptual, issues that arise from empirical data. In the long run, of course, we believe that these ethical and conceptual issues are important to the care of people with mental disorders, but our focus is philosophical.Our central interest is what justifies overriding treatment refusal. We are unhappy with a "status" approach according to which, for example, the mere fact that a person suffers a mental disorder provides grounds for overriding her wishes. Such an approach, it seems to us, fails to identify reasons, and discriminates against those with mental disorder, a view shared by the Law Commission (The Law Commission 1995). We are, on the other hand, attracted by the approach that grounds any overriding of treatment refusal on lack of capacity (or competence) to make treatment decisions. The concept of capacity has been well developed through legal cases and conceptual analysis, not least by Grisso and Appelbaum themselves. We were struck, however, first through clinical experience, and subsequently from the pilot study reported in our paper, that many patients with anorexia nervosa who refuse treatment do not necessarily lack capacity, using the current criteria, and yet show features or give reasons that raise serious doubts as to whether it is right to respect their refusal of treatment.To avoid reliance on a "status" approach, the issue with which we are grappling is whether the concept of capacity (and therefore lack of capacity) can be developed to encompass some of our findings, and whether it is ethically right to do so. Charland makes the important point that the concept of competence, or capacity, has both a descriptive and a prescriptive component. It is for this reason that the question of whether, for example, we should extend the criteria for capacity is part of the question of when it is morally right to override treatment refusal.Grisso and Appelbaum suggest that our work advances "our thinking about appreciation, rather than requiring that we add new elements" (2006, 297). From our perspective, and at this stage, it is a secondary issue whether we are suggesting a development of appreciation, or a new element (e.g., "pathological values"). The primary issue for us is whether the reasons for refusal to which we draw attention provide grounds for overriding refusal, and if they do how they can be characterized in [End Page 299] such a way as to avoid the ever-present danger of simply overriding autonomy in a patient's best interests.We chose to study anorexia nervosa for various reasons, but we expect that the issues raised have a more general relevance (such as to substance abuse and impulse control disorders as Grisso and Appelbaum and Charland suggest). We do not expect the results to be relevant to all, or even most, mental disorders. Our main interest is not the specific management of people with anorexia, but how the data challenge, and help to develop, the concept of capacity, and the ethical analysis of overriding patient refusal of treatment. Our paper aims to address what we understand Charland to be referring to by the "pretheoretical desiderata" (2006, 283) of the concept of capacity. One reason why we chose anorexia as the focus of this work is because it is different from many mental disorders in the issues that it raises. In this it is, perhaps, rather like studying penguins to better understand the concept of bird just because penguins, although clearly birds, have unusual features.We agree, therefore, with Grisso and Appelbaum's caution that it would be unwise to jump in and change the MacCAT-T on the basis of the results... (shrink)

ABSTRACT When is it right to enforce medical treatment on a patient who is refusing that treatment? English law recognises two ethical principles as of paramount importance: the autonomy of the patient; and the consequences of not treating compared with treating. The law, by and large, operates these principles in succession. Thus, in the case of a patient refusing treatment, the law asks first, is the patient competent? Only if the answer is no, are the consequences considered. We criticise the (...) position taken by English law and argue, first, that competence is a graded and not a binary concept, and secondly, that the two ethical principles should be applied not sequentially but at the same time. These two ideas form what we have called the balance model. This model could be used for an empirical study of individuals’ ethical beliefs, and in particular to test the hypothesis that the ethical beliefs of most individuals conform to the balance model rather than to the position taken by English law. (shrink)

As a growing number of faculty use constructivist and constructionist approaches to teaching in SL, little research exists on the many ethical considerations and legal implications that affect course development. Following the experiences of the instructor and five students, their 12-week journey is documented through interviews, journals, blogs, weekly course activities, SL class dialogs, and in-world assignments. Additionally, five faculty and staff experts who taught or trained in SL at this university were also interviewed and consulted. Ethical considerations in constructivist (...) and constructionist teaching were time, appearance, skills, scaffolded instruction, playful exploration, vicarious experience, self-directed project development, construction of objects, constructivism and constructionism balance, social networking and collaboration, harassment and griefing, false identities and alternate avatars, chat log sharing, and copyright and trademark violations. Lessons learned included developing scaffolded pedagogical approaches that moved from direct teaching to constructivism and constructionism, and required faculty and student adherence to the SL TOS, Community Standards, and Intellectual Property policy. (shrink)

Intervention studies with developmental samples are difficult to implement, in particular when targeting demographically diverse communities. Online studies have the potential to examine the efficacy of highly scalable interventions aimed at enhancing development, and to address some of the barriers faced by underrepresented communities for participating in developmental research. During the COVID-19 pandemic, we executed a fully remote randomized controlled trial language intervention with third and fourth grade students from diverse backgrounds across the United States. Using this as a case (...) study, we discuss both challenges and solutions to conducting an intensive online intervention through the various phases of the study, including recruitment, data collection, and fidelity of intervention implementation. We provide comprehensive suggestions and takeaways, and conclude by summarizing some important tradeoffs for researchers interested in carrying out such studies. (shrink)

We apply an online optimization process based on machine learning to the production of Bose-Einstein condensates. BEC is typically created with an exponential evaporation ramp that is optimal for ergodic dynamics with two-body s-wave interactions and no other loss rates, but likely sub-optimal for real experiments. Through repeated machine-controlled scientific experimentation and observations our ’learner’ discovers an optimal evaporation ramp for BEC production. In contrast to previous work, our learner uses a Gaussian process to develop a statistical model of the (...) relationship between the parameters it controls and the quality of the BEC produced. We demonstrate that the Gaussian process machine learner is able to discover a ramp that produces high quality BECs in 10 times fewer iterations than a previously used online optimization technique. Furthermore, we show the internal model developed can be used to determine which parameters are essential in BEC creation and which are unimportant, providing insight into the optimization process of the system. (shrink)

This series of responses was commissioned to accompany the article by Singer et al, which can be found at http://www.biomedcentral.com/1472-6939/2/1. If you would like to comment on the article by Singer et al or any of the responses, please email us on [email protected].

We critically evaluate the ways in which competence in medical ethics has been evaluated. We report the initial stage in the development of a relevant, reliable and valid instrument to evaluate core critical thinking skills in medical ethics. This instrument can be used to evaluate the impact of medical ethics education programmes and to assess whether medical students have achieved a satisfactory level of performance of core skills and knowledge in medical ethics, within and across institutions.

On December 15, 2011, a final report was issued by the Committee on the Use of Chimpanzees in Biomedical and Behavioral Research, which had been convened by the U. S. Institute of Medicine (IOM) in collaboration with National Research Council (NRC) of the National Academies. Within a month of its release, this report was designated by Wired Science one of the “top scientific discoveries of 2011” (Wired Science Staff 2011). The ad hoc Committee responsible for this report was formed at (...) the request of the National Institutes of Health (NIH) in response to congressional inquiry that had been prompted by expressions of public concern.1 The issues addressed in the report are profoundly ethical, despite NIH’s .. (shrink)

Aim: Patients with advanced cancer need information about end-of-life treatment options in order to make informed decisions. Clinicians vary in the frequency with which they initiate these discussions.Patients and methods: As part of a long-term longitudinal study, patients with an expected 2-year survival of less than 50% who had advanced gastrointestinal or lung cancer or amyotrophic lateral sclerosis were interviewed. Each patient’s medical record was reviewed at enrollment and at 3 months for evidence of the discussion of patient wishes concerning (...) ventilator support, artificial nutrition and hydration , resuscitation and hospice care. A Kaplan–Meier analysis was also performed and 2-year survival calculated.Results: 60 cancer and 32 ALS patients were enrolled. ALS patients were more likely than cancer patients to have evidence of discussion about their wishes for ventilator support , ANH , DNR and hospice care . At 6 months, 91% of ALS patients were alive compared with 62% of cancer patients; at 2 years, 63% of ALS patients were alive compared with 23% of cancer patients .Conclusions: Cancer patients were less likely than ALS patients to have had documented advanced care planning discussions despite worse survival. This may reflect perceptions that ALS has a more predictable course, that advanced cancer has a greater number of treatment options, or differing views about hope. Nevertheless, cancer patients may be less adequately prepared for end-of-life decision-making. (shrink)

In the relatively short time since 2006—when Theoretical Medicine and Bioethics published an issue on moral issues relevant to the use of nonhuman animals in research [1]—significant changes have occurred for nonhuman animals in many quarters. Public sentiment, new policy initiatives, and scientific studies of nonhuman animals’ capacities have all influenced the ways in which nonhuman animals are perceived and treated in research. Today, a large body of information is available for use in decision making about the acceptability of using (...) nonhuman animals in research. The articles in this issue assess how moral argument and empirical studies stand to guide animal research policies and practices in future years.Many in bioethics have come to regard issues of animal research as a subfield of research ethics, bringing it closer to human research ethics. Animal ethics, like public health ethics, has struggled for recognition in bioethics. As the contributions to this issue show, some in bioe. (shrink)

Recent proposals to test Bell’s inequalities with entangled pairs of pseudoscalar mesons are reviewed. This includes pairs of neutral kaons or B-mesons and offers some hope to close both the locality and the detection loopholes. Specific difficulties, however, appear thus invalidating most of those proposals. The best option requires the use of kaon regeneration effects and could lead to a successful test if moderate K0 and k̄0 detection efficiencies are achieved.

The catch 22 situation in psychiatry is that for precise diagnostic categories/criteria, we need precise investigative tests, and for precise investigative tests, we need precise diagnostic criteria/categories; and precision in both diagnostics and investigative tests is nonexistent at present. The effort to establish clarity often results in a fresh maze of evidence. In finding the way forward, it is tempting to abandon the scientific method, but that is not possible, since we deal with real human psychopathology, not just concepts to (...) speculate over. Search for clear-cut definitions/diagnostic criteria in psychiatry must be relentless. There is a greater need to be ruthless and blunt in this, rather than being accommodative of diverse opinions. Investigative tests - psychological, serum, CSF, or neuroimaging - are only corroborative at present; they need to become definitive. Medicalisation appears most prominent in psychiatry; so, diagnostic proliferation and fuzziness appear inevitable. And yet, the established diagnostic entities need to forward greater and conclusive precision. Also, the need for clarity and precision must outweigh pandering to and mollifying diverse interests, moreso in the upcoming revision of diagnostic manuals. This is specially because the DSM-5, being an Association manual, may need to accommodate powerful member lobbies; and ICD-11 may similarly need to cater to diverse country lobbies. Finding precise biological correlates of psychiatric phenomena, whether through neuroimaging, molecular neurobiology and/or neurogenomics, is the right way forward. It is in the 1.5-kg structure in the cranium that all secrets of psychiatric conditions lie. Social forces, behavioural modification, psychosocial restructuring, study of intrapsychic processes, and philosophical insights are not to be discounted, but they are supplementary to the primary goal - studying and deciphering those brain processes that result in psychiatric malfunction. Experimental breakthroughs, both in psychiatric aetiology and therapeutics, will come mainly from biology and its adjunct, psychopharmacology; while supplementary and complementary breakthroughs will come from the psychosocial, cognitive and behavioural approaches; the support base will come from phenomenology, epidemiology, nosology and diagnostics; while insights and leads can hopefully come from many fields, especially the psychosocial, the behavioural, the cognitive and the philosophical. Major energies must now be marshalled towards finding biomarkers and deciphering the precise phenotype-genotype-endophenotype axis of psychiatric disorders. Energies also need to be focussed on unravelling those critical processes in the brain that tip the scale towards psychiatric disorders. At how those critical processes are set into motion by forces de novo, in utero, in the genes and their expression, by the environment's psychopathological social forces - stress, peer pressure, poverty, deprivation, alienation, malnutrition, discrimination of various types (caste, gender, race, etc.), mass conflicts (war, terror attacks, etc.), disasters (natural and man-made), religious/ideological fascism - or social institutions like marriage, family, work place, political governance, etc. Ultimately, we must decipher how the brain goes into malfunction when such varied forces impinge on it, which precise cortical areas and neuronal cellular and molecular processes are involved in such malfunction and its manifestation, as also which of these are involved when malfunction ceases and health is restored, and the psychosocial processes and institutions which aid such health restoration, as also those which promote well-being and help in primary prevention. Emphasis on the brain and its intimate neurological and molecular mechanisms will not impinge on, or nullify, importance of the 'mind,' wherein subtle and gross brain functions in the form of behaviour, thought and emotions in all their ramifications will continue to be the focus of psychological, cognitive, sociological, psychopharmacological, behavioural and philosophical research. Progress in brain research must move in tandem with progress in 'mind' research. (shrink)

Establishing acceptable norms of behavior and consistent standards of conduct has been part of the human enterprise since the dawn of time. Without principles of ethics and the moral rules that affect individual behavior, humankind would plunge into a state of chaotic indifference, insecurity, and unending fear. But while few question the need for moral guidance, a growing number of people believe that the only ethic worth considering must rest on a biblical foundation. Is morality dependent upon God and "revealed (...) truths" found in scripture? Must this claim be accepted without question lest we risk the torment of eternal damnation for questioning it? Without critical evaluation and careful scrutiny, there is little hope of distinguishing truth from unfounded belief. How valuable is the Bible as a source for ethical truth? Do the scriptures truly have the insight needed to guide humankind safely through the moral dilemmas of modern society? What constitutes a biblical ethic? Should the Bible be construed as the only basis for moral teaching? Is it really the final authority on moral issues, or are there secular alternatives that can serve as guides to acceptable conduct within the human community? A distinguished group of social philosophers, biblical scholars, and ethicists met at the University of Richmond, Virginia, under the aegis of the Committee for the Scientific Examination of Religion and its Biblical Criticism Research Project, to address these and related questions. The essays in this provocative work demonstrate a diversity of perspective and breadth of insight that will shed much needed light on the nature of ethics. The contributors to this volume include: Robert S. Alley, Joe Edward Barnhart, Joseph L. Blau, Frank E. Eakin, Jr., Lewis S. Feuer, Joseph Fletcher, Theodor H. Gaster, James H. Hall, R. Joseph Hoffmann, Paul Kurtz, Gerald A. Larue, John Priest, Ellis Rivkin, Richard L. Rubenstein, and Richard Taylor. (shrink)

The volume opens with selections from Descartes and proceeds in chronological order through the contributions of forty other authors to the philosophy of mind, ending with J. Shaffer's "Could mental states be brain processes?" Other recent contributors include Ryle, Vesey, Smart, Strawson, Wisdom, Campbell, and MacKay. For the combination of the period and perspectives covered, the book is as exhaustive as could be hoped. Vesey's analytical index makes the volume an even more valuable tool for the beginning student.—E. A. R.

This is Volume I of a new series entitled Aquinas Scripture Commentaries. With the exception of the nineteenth century Oxford translation of Aquinas' Gospel Commentaries, Aquinas the exegete has not been available in English. It is hoped that this Magi Books series will fill this gap soon, though no definite prospectus of further titles other than this and the one mentioned below has been set forth by the publisher. Aquinas' Scripture Commentaries, like his Commentaries on the Aristotelian corpus, follow the (...) lectio form of line by line and structural interpretation of the entire text. This literal approach to Biblical exegesis is mediated, however, by the systematic philosophical and theological perspective Aquinas brings to bear on the text. The result of this union is a Commentary which has quite a bit more than simply historical importance. The translation is smooth and the book has been turned out in a reasonably scholarly fashion.—E. A. R. (shrink)

This book of readings would make a superb ancillary text for an advanced or even graduate course in "existential phenomenology." Twelve of the twenty-two selections have been translated for the first time into English. This includes Sartre's defense of the major theses of Being and Nothingness before the Société française de philosophie and Ric£ur's similar defense of La Philosophie de la Volonté, I before the same body. As with Merleau-Ponty's similar defense, "The Primacy of Perception," also included in this volume, (...) the discussion which followed these defenses is presented. Integral texts in the form of articles rather than extracts from books are presented in most cases, including the first appearance of an essay by Marcel entitled "Desire and Hope." Where this is not done, as is partly the case for Strasser and wholly the case for Scheler, Dufrenne, Wild, and Ingarden, lengthy and context-faithful excerpts are given. There are four sections in the book: I. Existence in the Modalities of Consciousness, II. Existence as Embodied, III. Existence and Value, and IV. Existence and the Human Sciences. Each of these sections is skillfully laid out and effectively introduced. In addition to the philosophers mentioned, work by Buytendijk, May, Schutz, Van Kaam, Berger, Bollnow, Minkowski, Straus, and de Waelhens is included. Husserl is missing, as is Heidegger, but these gaps can be supplemented easily enough.—E. A. R. (shrink)

The essay on abstraction provides an historical review of the notion of abstraction with an attempt being made to show that there is a basic similarity between the doctrines of Aristotle and Aquinas, on the one hand, and Locke on the other. The conclusion that is then drawn is that the nominalistic critique initiated by Berkeley and refined by Hume in direct answer to the Lockean theory of general ideas is effective against all doctrines of abstraction which hope to (...) end up in a moderate realism. Other concerns are 1) to show the basic affinities between Berkeleyean and Humean nominalism, and late medieval nominalism, in particular that of Ockham, 2) to show that such a nominalism is inadequate and must be replaced by, what has been termed in contemporary analytical circles, psychological nominalism. The essay on relation shows the continuity in the history of the doctrine of relations from the time of Melissus to the Rusellian critique of the substance-accident ontology, critique which Weinberg thinks definitively replaced the unilateral-attribute doctrine of relations. The essay on induction attempts to show how the medieval commentators modified Aristotle's intuitionistic and vestigally [[sic]] Platonic doctrine of induction into a doctrine of covert inference, and anticipated, in part, Bacon's and Mill's theories.—E. A. R. (shrink)

Context: The past few years have presented us with a growing amount of theoretical research (yet that is often based on neuroscientific developments) in the field of enactive music cognition. Problem: Current cognitivist and embodied approaches to music cognition suffer, in our opinion, from a too firm commitment to the explanatory role of mental representations in musical experience. This particular problem can be solved by adopting an enactive approach to music cognition. Method: We present and compare cognitivist, embodied and enactive (...) approaches to music cognition and review the current research in enactive music cognition. Results: We find that, in general, the enactive approaches to human musicality are capable of explaining the basic relationship between a musical subject and a musical object according to a pre-conceptual and pre-linguistic form of understanding related to bodily motor expertise. This explanation does not rely on on sophisticated forms of representation. Implications: Proponents of enactive music cognition should, in our opinion, focus on providing a consistent explanation of the most basic level of musical understanding. Constructivist content: We hope to invite the constructivist community to engage with the discussions on the intersection between music and enactivism. (shrink)

A study of Blake's poetry and its use of Kabalistic imagery to depict the fall of man to selfhood and the hope of regeneration through the "sweet science" of imagination.--A. R.

An application of Einsteinian physics to biology and psychology, in the hope of developing a "unified ethical theory."--A. R.

In this, the Aquinas Lecture for 1966, Johann has set for himself the formidable task of showing how belief in God makes a difference within the humanistic climate of contemporary philosophy. Johann draws heavily on the philosophy of experience of Dewey, but concludes with an attempt to show that the wholeness and integrity of experience which Dewey said it is the task of philosophy to advance cannot be conceived even in intention without acknowledging God as the Transcendental Initiative which grounds (...) the possibility of the humanistic ideal. As Johann presents his argument it smacks of a pragmatic transcription of the Ontological argument: as such, it shares the fascinating persuasiveness of the latter argument, but also its logical shortcomings. Of course, it is open to Johann to stigmatize entire frameworks of "logical considerations" as disguised congealings of atrophied metaphysics: the more senescent forms of the latter for Johann would be those which have not yet grasped that thought, hence philosophy, only has meaning insofar as it is related to action. The Lecture is systematically insightful but cries out for a more highly articulated metaphysics upon which to base its conclusions: Johann hints that this metaphysics is to be found in Blondel and John Macmurray. But something even more radical seems required. If this be Hegel, then one hopes Johann will make the most of it in future work.—E. A. R. (shrink)

Following the socialist revolution, a colossal shift in everyday realities began in the 1920s and '30s in the former Russian empire. Faced with the Siberian North, a vast territory considered culturally and technologically backward by the revolutionary government, the Soviets confidently undertook the project of reshaping the ordinary lives of the indigenous peoples in order to fold them into the Soviet state. In Agitating Images, Craig Campbell draws a rich and unsettling cultural portrait of the encounter between indigenous Siberians and (...) Russian communists and reveals how photographs from this period complicate our understanding of this history. Agitating Images provides a glimpse into the first moments of cultural engineering in remote areas of Soviet Siberia. The territories were perceived by outsiders to be on the margins of civilization, replete with shamanic rituals and inhabited by exiles, criminals, and "primitive" indigenous peoples. The Soviets hoped to permanently transform the mythologized landscape by establishing socialist utopian developments designed to incorporate minority cultures into the communist state. This book delves deep into photographic archives from these Soviet programs, but rather than using the photographs to complement an official history, Campbell presents them as anti-illustrations, or intrusions, that confound simple narratives of Soviet bureaucracy and power. Meant to agitate, these images offer critiques that cannot be explained in text alone and, in turn, put into question the nature of photographs as historical artifacts. An innovative approach to challenging historical interpretation, Agitating Images demonstrates how photographs go against accepted premises of Soviet Siberia. All photographs, Campbell argues, communicate in unique ways that present new and even contrary possibilities to the text they illustrate. Ultimately, Agitating Images dissects our very understanding of the production of historical knowledge. (shrink)

This article aimed to explore issues of concern related to quarantine, its social consequences and influences, challenging its effects on human behavioral expressions during social isolation. The advent of the coronavirus disease 2019 (COVID-19) pandemic impacted human lives in multifarious ways, threatening the meaning of normalcy. Quarantine, lockdown, isolation, and other terms reflecting conditions limiting human freedoms have become synonymous in importance to safety, security, and survival. To understand human defiance in the face of maintaining limited mobility during the COVID-19 (...) pandemic, reimagining situations of “unfreedoms” is explained as thinking of changes to inspire and improve the meaning of living lives meaningfully. During the pandemic, issues regarding healthcare practices and social behaviors focused much attention on interactive challenges that enhance ways to mitigate the spread of contagious diseases. Illuminating these issues, discussing concerns and highlighting recommendations to engage in alternative approaches and practices, heightens the declaration of efficiency of quarantine outcomes and effectiveness. Implications are proposed with the hope that they may lead the way forward in exercising contemporary healthcare practices. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:130 HISTORY OF PHILOSOPHY To establish the chronology of the posthumous fragments of 1875-1879 in IV, 4 was of no crucial significance and presented few difficulties. The fragments of 18871888 in VIII, 2 are another matter. When Nietzsche's sister Elizabeth first published them she simply disregarded chronology in favor of a topical arrangement. Karl Schlechta proceeded more methodically. But in eliminating everything he felt Nietzsche had not intended to (...) publish, he also withdrew from scrutiny much of Nietzsche's late thinking. What to do? The editors examined the manuscripts and hit upon a new and eminently sensible arrangement. In The Genealogy of Morals Nietzsche had mentioned that he was planning a philosophical treatise entitled Will to Power. An outline of 1888 bearing the same title organized 372 of the late aphorisms both by number and key-word. Although Nietzsche in a letter to Peter Gast clearly stated that this outline was not intended for publication, the editors determined to let it serve as their guide, in the justifiable assumption that here, nonetheless, was an arrangement that was truly Nietzsche's, one that came as close as one could come to arranging the fragments as Nietzsche himself might ultimately have done. As for the remaining 100-odd fragments in the pertinent notebooks, which Nietzsche had not included in his outline, the editors decided to include them also, since their chronology was easy to establish and they were of interest despite their unpolished and incomplete form. But does not such publication do Nietzsche a real injustice as Schleehta asserted? Are not the earlier selective editions superior? Although the editors obviously don't think so, they have given the reader the opportunity to draw his own conclusions. To this end, they have compiled a concordance relating Nietzsche's outline and their own edition with the other major editions of the late fragments, showing in each case which fragments were published and in what order. The last 140 pages of VIII, 2 present unpublished fragments of the same period containing quotations and excerpts which Nietzsche had taken from his readings. Although again the principle of completeness was no doubt paramount in the decision to include these fragments, the editors feel that the excerpts from Tolstoi and Dostoyevski throw new light on the genesis of the Antichrist. It is difficult in a few paragraphs to do justice to an edition containing thousands of pages. We have said nothing about the content or the attractive and functional format. We trust, however, that our limited comments have made it clear that this edition, whether in the original German or in the Italian, French, or Japanese translations, should be in every major library and in the hands of every Nietzsche scholar. It is to be hoped that the edition will soon be completed and that translations into English and Spanish will be undertaken also. HERBERT W. REICHERT University of North Carolina Russell and Moore: The Analytical Heritage. By A. J. Ayer. (Cambridge: Harvard University Press, 1971. Pp. x+254. $8.75) It would be easy to take the view, on reading this book, that philosophical problems are never solved, people just tire of them. Ayer is at great pains to re-capture the sense of what philosophers in the earlier half of this century regarded as important issues, significant arguments and proper method. And indeed, he is so successful that one cannot help thinking from time to time that his book must have been written no later than the 1940's. Perhaps that was his intent--to relive the philosophical atmosphere BOOK REVIEWS 131 of pre-war English philosophy by recounting the views on logic and language, epistemology and metaphysics of the two major figures of that era. This is not mere recounting, nor would it be so successful a reliving if it were. Ayer offers his own counterarguments, and extensions of themes and theses propounded by Russell and Moore, but the curious thing is how of a piece these critical comments are with the expository passages. No doubt this is because Ayer is himself a relic of that age. This is not intended to be superior or sneering; in the spirit of the opening remark... (shrink)

The philosophical papers comprising this volume range from process metaphysics and theology, through the phenomenological study of intentionality, to the foundations of geometry and of the system of real numbers. New light, it is thought, is shed on all these topics, some of them being of the highest interest and under intensive investigation in contemporary philosophical discussion. Metaphysi cians, process theologians, semanticists, theorists of knowledge, phenomenologists, and philosophers of mathematics will thus find in this book, it is hoped, helpful materials (...) and methods. The categoreal scheme of Whitehead's Process and Reality is discussed rather fully from a logical point of view in the first paper [I] in the light of the author's previous work on the logico-metaphysical theory of events. The clarification that results is thought to provide a new depth and precision to the problem of interpreting one of the most difficult books in the recent history of metaphysics and cosmol ogy. A detailed examination of some aspects of Hartshorne's recent Creative Synthesis and Philosophic Method is given in II. This book is perhaps the most significant work on process philosophy since Process and Reality itself, and its logical underpinnings thus merit a full critical discussion. (shrink)

Brain, Mind and Consciousness are the research concerns of psychiatrists, psychologists, neurologists, cognitive neuroscientists and philosophers. All of them are working in different and important ways to understand the workings of the brain, the mysteries of the mind and to grasp that elusive concept called consciousness. Although they are all justified in forwarding their respective researches, it is also necessary to integrate these diverse appearing understandings and try and get a comprehensive perspective that is, hopefully, more than the sum of (...) their parts. There is also the need to understand what each one is doing, and by the other, to understand each other's basic and fundamental ideological and foundational underpinnings. This must be followed by a comprehensive and critical dialogue between the respective disciplines. Moreover, the concept of mind and consciousness in Indian thought needs careful delineation and critical/evidential enquiry to make it internationally relevant. The brain-mind dyad must be understood, with brain as the structural correlate of the mind, and mind as the functional correlate of the brain. To understand human experience, we need a triad of external environment, internal environment and a consciousness that makes sense of both. We need to evolve a consensus on the definition of consciousness, for which a working definition in the form of a Consciousness Tetrad of Default, Aware, Operational and Evolved Consciousness is presented. It is equally necessary to understand the connection between physical changes in the brain and mental operations, and thereby untangle and comprehend the lattice of mental operations. Interdisciplinary work and knowledge sharing, in an atmosphere of healthy give and take of ideas, and with a view to understand the significance of each other's work, and also to critically evaluate the present corpus of knowledge from these diverse appearing fields, and then carry forward from there in a spirit of cooperative but evidential and critical enquiry - this is the goal for this monograph, and the work to follow. (shrink)

The ‘Bolivarian Revolution’ in Venezuela under Hugo Chávez has reignited debate in Latin America and internationally on the questions of socialism and revolution. This forum brings together six leading intellectuals from different revolutionary traditions and introduces their reflections on class-struggle, the state, imperialism, counter-power, revolutionary parties, community and communes, workplaces, economy, politics, society, culture, race, gender, and the hopes, contradictions, and prospects of ‘twenty-first-century socialism’ in contemporary Venezuela.

T. M. Scanlon's magisterial book What We Owe to Each Other is surely one of the most sophisticated and important works of moral philosophy to have appeared for many years. It raises fundamental questions about all the main aspects of the subject, and I hope and expect that it will have a decisive influence on the shape and direction of moral philosophy in the years to come. In this essay I shall focus on four sets of issues raised by (...) Scanlon's systematic argument, with the aim of clarifying some of Scanlon's central assumptions and presenting alternatives at several key points. The perspective from which I offer these comments is that of a reader who is sympathetic to Scanlon's general approach but not yet convinced on various points of detail. (shrink)

There is a growing interest in comparison of international health care data with the hope that such studies will enable individual systems to learn from other systems. Such comparisons, however, presuppose that there exist common criteria for evaluating health care systems. The main thesis of this paper is that these comparative studies are misleading because they employ inappropriate operationalizations of these criteria because the operarionalizations are based upon mistaken global conceptualizations of the criteria in question. The essay provides a (...) methodological critique of what has been done and sets a new agenda for future research. (shrink)

This article looks at Colossians 2-3:17 and John 17:13-26 as the base texts to see the commonalities between Johannine and Pauline conceptions of Theosis. First, the article looks at indwelling and participation as the methods of Theosis in the two traditions. Second, the role of mimesis is seen to be integral in these texts' concepts of Theosis. Third, the article looks at hope and glory that believers have and look forward to as indicative of their deification. The study begins (...) by defining the term Theosis and its cognate terms - deification and divinisation - properly, within an Orthodox Christian context. CONTRIBUTION: The goal is to see and detail the concept of Theosis in Pauline and Johannine literature, looking at Colossians 2-3:17 and John 17:13-26 specifically. As such, the present study will broaden the discussion the doctrine of Theosis as it appears in the Christian scriptures. (shrink)

This paper aims to examine how specific aspects of Bakhtin's theoretical perspective might inform our understanding of improvisation. Moreover, it outlines the possible educational implications of such a perspective. Specifically, a sketch of a Bakhtinian conception of improvisation is proposed, a sketch which emphasizes the cultivation of an attitude of consciousness that leads to an understanding of improvised music making as an obligation to explore the unknown, to search for freedom through the responsibility to attend to the uniqueness of irrevocable (...) musical acts. Moreover, emphasis is given to the potential of improvisation to create a music-making context that counters monologic musical discourses, providing a site of resistance to fixity and closure. It is argued that improvisation is dialogic exactly because it creates a very special sense of interaction, which is characterized by unfinalizability and openness. At the same time, improvisation is in need of temporary finalizations which occur through the presence of the audience and the musicians' struggle to raise their minds 'above' their playing, looking at their music from outside and getting 'back in' again. It is hoped that such a perspective might provide the necessary theoretical tools for re-thinking the role of improvisation in music education. A Bakhtinian view on the experience of improvisation would, it is suggested, be educationally valuable exactly because it regards improvisation not as a problem-solving method but a problem-positing approach: as a musical practice that involves children and young people in the experiential pursuit of freedom and the understanding of the "ought" of imagining ways forward, countering monologue by allowing the flourishing of a polyphony of unmerged voices, constituting a distinctive chronotope which provides the possibility of an enactment of everyday living in musical terms. The decision to improvise marks the initiation of a search for a public musical space which is marked by the absence of fear, where exploration of musical freedom is pursued, where everything might happen but not anything goes. (shrink)

Anselm’s ontological argument for the existence of God is examined. It is concluded that Anselm errs in assuming the greatest "thing" must be a sentient being. The existence of God, then, is not established by Anselm’s argument, and is concluded to be unlikely for other reasons as well, one being that a perfected sentient being would be a logical impossibility. An afterlife and personal immortality are not precluded however; these goals could be reached by future scientific means. For now cryonics (...) is advocated as a means to reach a more advanced future when death may be physically overcome. (shrink)

The first stage of the break-up of the empire of Alexander the Great has not been a popular subject in recent years. Yet despite this lack of attention, a wholly satisfactory exposition of the source material relating to the political events of the period has not yet been written. Earlier writers, with rare exceptions, have been hamstrung in their interpretations by an over-rigid or static view of Macedonian Staatsrecht, elucidation of which was thought to be the key to the problems. (...) This article returns to the sources. And while the condition of our sources may preclude a final definitive interpretation, I hope to show that a more realistic account can be written than has been produced so far. (shrink)

The current study aims to examine the hope levels of theology students in the context of their education level. The correlational (relational) screening method was used in this study. The sample of the study consists of a total of 429 students (328 girls, 101 boys) studying at the Faculty of Theology at Erzincan Binali Yildirim University. Hope levels of the students were determined by Karaca-Kandemir Hope Scale developed by Karaca and Kandemir. The scale consists of three sub-dimensions: (...) goal-oriented, hope and significance, and stability. One-way analysis of variance (ANO-VA) was used for data analysis. According to the findings obtained as a result of the analysis, it is seen that the education levels of the Theology Faculty students cause differentiation in terms of goal-oriented and stability which are sub-dimensions of hope; however, it was found that the scale did not cause any difference in terms of hope and meaningfulness subscale and total hope levels. This finding did not corroborate the research hypothesis that the higher the education level of theology faculty students, the higher their hope level. The results, however, give an idea that theology education can have a positive effect on students' hope levels.Summary: Hope, which is a fundamental feature of human existence, has many functions, both individually and socially. Hope, which is one of the main characteristics that distinguish human beings from other beings, is one of the most powerful tools that help create and implement future designs of individuals and societies. It is possible to see this powerful effect of hope in the object of all human works and actions such as art, literature, and architecture. However, despite the expressed impact of hope, religion, which accompanies it in the existential journey of humanity and is one of its most influential sources of motivation, has the potential to produce a highly useful function on hope. Because religion demands the individual to be future-oriented rather than the past. This demand of religion does not mean that the past actions of the individual and society have no importance. While building the future of the individual and society on lessons learned from the past, religion orders that he should not be a prisoner of his past and that he hopes for the energy he has produced by taking shelter in the attributes of Allah, Most Gracious and Merciful. For this reason, the Qur'an equates despair of Allah's mercy with coming out of religion (Yusuf 12 / / 87).Despite the strong relations between religion and hope, empirical studies on the issue are not yet adequate. However, in recent times, especially with the effect of Positive Psychology, it is a fact that empirical studies have been carried out to determine the relationship of these emotions with religiosity about positive emotions such as patience, optimism, empathy, and self-regulation. One of the positive emotions expressed is hope. However, it is seen that some empirical studies have been conducted on the relationship between hope and religiosity. However, apart from these studies, empirical studies on higher education levels are needed in order to reveal the relationship between hope and religiosity in a healthier way. Because of the strong relationship between religion and hope, it is expected that there will be an increase in parallel with the religious education taken in higher education. From this point of view, this study primarily aims to reveal the strong connection between religion and hope. The main problem of this study, which is based on the primary hypothesis that learning religion at a higher education level, will increase the level of hope of students, is the relationship between theology education and hope. In this study, which was conducted to determine the hope levels of the students of the Faculty of Theology, the method of collecting information related to the questionnaire technique used in the screening model was used.The population of the study consists of 744 students enrolled in Erzincan Binali Yıldırım University Theology Faculty in the fall semester of 2018-2019 academic year. The sample group of the research is 429 students in the faculty during the application period. Accordingly, 144 (33.6%) of the total students in the sample group were in the “preparatory class,” 79 (18.4%) were in the “first grade”, and 78 (18.2%) were in the “second grade,” while 60 (14.0%) were in the “third grade,” 68 (15.9%) were in the “fourth grade.”“Personal Data Questionnaire” and “Karaca-Kandemir’s Hope Scale” were used as data collection instruments. In the “Personal Data Questionnaire,” there are questions about the learning levels of the working group.Karaca-Kandemir’s Hope Scale, which is used in the study, is a scale developed by Karaca and Kandemir based on their cultural codes to determine the hope levels of individuals.The scale is a 5-point Likert type and consists of three sub-dimensions: “goal-oriented,” “hope and meaningfulness,” and “stability.” Of the 13 items in the scale, 8 (1, 2, 4, 5, 7, 9, 10 and 12) had a positive sentence structure such as “Dreaming about the future excites me,” 5 of them (3, 6, 8, 11 and 13) it has a negative sentence structure such as “I cannot bring the end of a job easily after starting a job.” In the scoring phase of the hope scale, negative sentences were reversed. While the lowest score that can be obtained from the “goal-oriented” dimension of the scale is 5, the highest score is 25; the lowest score that can be obtained from the dimension of “hope and meaningfulness” is 4, the highest score is 20; the lowest score that can be obtained from the “stability” sub-dimension is 4, while the highest score is 20. As a result, the lowest score that can be obtained from the total of the scale is 13, and the highest score is 65. Low scores from the scale indicate that the individual's level of hope is low, and high scores indicate high levels of hope.In order to determine the differentiation between class levels, Single Factor Analysis of Variance-ANOVA was applied to the data set. As a result of the analysis, multiple comparisons were made between the means with statistically significant differences. For this purpose, Post Hoc LSD and Tukey HSD tests were used to determine the source of the difference. The significance level of “.05 “ was taken as a criterion for all these operations. In the research, it was seen that the education they received from the Faculty of Theology students caused a differentiation in the “goal-oriented and stability” sub-dimension of hope; however, “hope and meaningfulness” subscale and “total hope” did not cause any differentiation. This result did not confirm the research hypothesis that “the level of hope differs according to class (education) level and the level of hope increases as the level of education (education) increases hope. However, in the “goal-oriented” dimension of hope, the second and third-grade students of fourth-grade students; In terms of “stability” dimension, the fact that the first-grade students scored significantly higher than the preparatory class students gives an important idea that the education received in the Faculty of Theology can have an effect on hope. However, it is thought that similar studies that will be conducted with a large sample group and centering on all dimensions and hopes of religiosity will produce remarkable results. (shrink)

This article challenges the claim that Friedrich Nietzsche is a good reader of the French moralist, Chamfort, when it comes to Chamfort's politics. Chamfort is a meritocrat rather than the bitter egalitarian Nietzsche protrays him to be. Moreover, the moralist's meritocratic beliefs, his hopes for a new social order and the emergence of a new aristocracy resemble many of Nietzsche's own values. Had Nietzsche read Chamfort as a meritocrat, he could have found much to stimulate and clarify his own thoughts (...) about the aristocracy of the future. (shrink)

While the notion of establishing a value for human life may be uncomfortable for some, we argue that it is a fundamental requirement for many aspects of public policy. We compare a number of approaches which have been traditionally relied on to make estimations. Also, we provide an exercise which provides an unusual, but we hope provocative, perspective on the evaluation of human life.

Fyodor Dostoyevsky expressed a strange and surprising sentiment through one of the characters of The Brothers Karamazov. A dying young man named Markel declares: Every one of us has sinned against all men, and I more than others." He later says: "...every one of us is answerable for everyone else and for everything." Markel's absurd claims have engendered many reflections on the nature of suffering and what it means to be responsible for someone else's suffering. The world has no shortage (...) of pain and evil; what exactly is the relationship between suffering and responsibility? Markel's declarations press forward a question that drives this essay collection: how responsible should we consider ourselves for the suffering of the world? This volume is a collection of essays that struggle in various ways to understand and respond to several philosophical, theological and practical problems. In each case the authors grapple with issues surrounding suffering, immorality, evil, exploitation and oppression. The contributors share a clear concern for the ways that philosophers and theologians should respond to the problems of suffering and evil. They also share a conviction that these remain intense and central problems for philosophy and theology. Evil is an obstacle for belief, for morality, for hospitality, and for hope. This book struggles to address the particular and strong sense of responsibility that falls on Christians when it comes to understanding and, more importantly, responding to the problems of suffering and evil in the world. (shrink)

Rapid developments in Artificial Intelligence are leading to an increasing human reliance on machine decision making. Even in collaborative efforts with Decision Support Systems (DSSs), where a human expert is expected to make the final decisions, it can be hard to keep the expert actively involved throughout the decision process. DSSs suggest their own solutions and thus invite passive decision making. To keep humans actively ‘on’ the decision-making loop and counter overreliance on machines, we propose a ‘reflection machine’ (RM). This (...) system asks users questions about their decision strategy and thereby prompts them to evaluate their own decisions critically. We discuss what forms RMs can take and present a proof-of-concept implementation of a RM that can produce feedback on users’ decisions in the medical and law domains. We show that the prototype requires very little domain knowledge to create reasonably intelligent critiquing questions. With this prototype, we demonstrate the technical feasibility to develop RMs and hope to pave the way for future research into their effectiveness and value. (shrink)

An evaluation of a health condition-specific hope scale adapted from the more general dispositional Hope Scale (Snyder et al., 1991) is provided. Participants (N = 202) with a rare, debilitating, and potentially stigmatising health condition were recruited from readers of the Anal Fissure Self Help Page. Data were gathered anonymously using an online survey linked to the website. Consistent with hope theory, this new measure yielded a pathways factor (perceived capacity to find ways to achieve desired goals) (...) and an agency factor (perceived motivation to pursue goals energetically). Respondents with stronger pathways thoughts reported greater benefits from website information for understanding and generating strategies for managing anal fissures. Stronger agency beliefs were related to more frequent website visits, more rereading of first-hand patient accounts, and shorter duration of fissure symptoms. Results offer preliminary support for validity of this scale and for using web-based methodologies to study conditions, such as anal fissure. (shrink)