Physicians generally recommend that patients resuscitated with naloxone after opioid overdose stay in the emergency department for a period of observation in order to prevent harm from delayed sequelae of opioid toxicity. Patients frequently refuse this period of observation despiteenefit to risk. Healthcare providers are thus confronted with the challenge of how best to protect the patient’s interests while also respecting autonomy, including assessing whether the patient is making an autonomous choice to refuse care. Previous studies have shown that physicians (...) have widely divergent approaches to navigating these conflicts. This paper reviews what is known about the effects of opioid use disorder on decision-making, and argues that some subset of these refusals are non-autonomous choices, even when patients appear to have decision making capacity. This conclusion has several implications for how physicians assess and respond to patients refusing medical recommendations after naloxone resuscitation. (shrink)

Since 1995, students, researchers, and professionals have turned to The Craft of Research for clear and helpful guidance on how to conduct research and report it effectively. Now, master teachers Wayne C. Booth, Gregory G. Colomb, and Joseph M. Williams have completely revised and updated their classic handbook. The new edition will continue to help thousands of students and writers plan, carry out, and report on research to produce effective term papers, dissertations, articles, or books -- in any field, (...) at any level. (shrink)

Specialists and primary care physicians play an integral role in treating the twin epidemics of pain and addiction. But inadequate access to specialists causes much of the treatment burden to fall on primary physicians. This article chronicles the differences between treatment contexts for both pain and addiction — in the specialty and primary care contexts — and derives a series of reforms that would empower primary care physicians and better leverage specialists.

Those inclined to believe in the existence of propositions as traditionally conceived might seek to reduce them to some other type of entity. However, parsimonious propositionalists of this type are confronted with a choice of competing candidates – for example, sets of possible worlds, and various neo-Russellian and neo-Fregean constructions. It is argued that this choice is an arbitrary one, and that it closely resembles the type of problematic choice that, as Benacerraf pointed out, bedevils the attempt to reduce numbers (...) to sets – should the number 2 be identified with the set Ø or with the set Ø, Ø? An “argument from arbitrary identification” is formulated with the conclusion that propositions (and perhaps numbers) cannot be reduced away. Various responses to this argument are considered, but ultimately rejected. The paper concludes that the argument is sound: propositions, at least, are sui generis entities. (shrink)

In 1960, E. P. Wigner, a joint winner of the 1963 Nobel Prize for Physics, published a paper titled On the Unreasonable Effectiveness of Mathematics in the Natural Sciences [61]. This paper can be construed as an examination and affirmation of Galileo's tenet that “The book of nature is written in the language of mathematics”. To this effect, Wigner presented a large number of examples that demonstrate the effectiveness of mathematics in accurately describing physical phenomena. Wigner viewed these examples as (...) illustrations of what he called the empirical law of epistemology, which asserts that the mathematical formulation of the laws of nature is both appropriate and accurate, and that mathematics is actually the correct language for formulating the laws of nature. At the same time, Wigner pointed out that the reasons for the success of mathematics in the natural sciences are not completely understood; in fact, he went as far as asserting that “… the enormous usefulness of mathematics in the natural sciences is something bordering on the mysterious and there is no rational explanation for it.”. (shrink)

Joseph G. Ramsey argues that Richard Wright’s 1940 novella “Bright and Morning Star” has been consistently misunderstood. What has been almost universally read as a narrative of communist heroism stages instead a heroic mistake. “Bright and Morning Star” is not a story primarily about heroic individual sacrifice, but about the ways collective struggle can fail.

Since the passage of Title VII of the Civil Rights Act of 1964 and more recent Federal legislation, managers, regulators, and attorneys have been busy in sorting out the legal meaning of fairness in employment. While ethical managers must follow the law in their hiring practices, they cannot be satisfied with legal compliance. In this article, we first briefly summarize what the law requires in terms of fair hiring practices. We subsequently rely on multiple perspectives to explore the ethical meaning (...) of fairness in hiring. Ethical fairness underlies the law and regulations in this area, but goes beyond them as well. We conclude by demonstrating that ethical hiring practices enable managers to make better hiring decisions. (shrink)

ABSTRACTAs sports fans, we often experience what seem to be strong garden-variety emotions—everything from joy and euphoria to anger, dread and despair. In self-description, in physiology and even in phenomenology, these reactions to sporting events present themselves as genuine emotions. But we don’t act on these ‘sporting emotions’ in the ways one might expect. This is because these reactions are not genuine emotions. Or so I argue. Johan Huizinga suggested that play has a pretend ‘set aside’ ‘extra-ordinary’ character. And Kendall (...) Walton has argued that make-believe is involved in our emotional responses to fiction, as well as to sport. Here I articulate and extend the idea that sporting emotions centrally involve pretense and make-believe in ways that can meet some forceful objections. These extensions draw on a ‘double-consciousness’ I claim to find in the pretense of play. I end by saying why the proper characterization of our sporting emotions is important. (shrink)

In this book, Joseph G. Morgan examines the career of Wesley Fishel, a political scientist who vigorously supported American intervention in the Vietnam War, which he deemed a "great, and tragic, American experiment." Morgan demonstrates how Fishel continued to champion the prospect of an independent South Vietnam, even when Vietnamese resistance and infighting among American and Vietnamese leaders undermined this effort. Morgan also analyzes how opponents of the war questioned Fishel's scholarly integrity and his academic collaboration with the US (...) government in implementing Cold War policies. (shrink)

This exploratory study of ethical decision making by individuals in organizations found moral intensity, as defined by Jones (1991), to significantly influence ethical decision making intentions of managers. Moral intensity explained 37% and 53% of the variance in ethical decision making in two decision-making scenarios. In part, the results of this research support our theoretical understanding of ethical/unethical decision-making and serve as a foundation for future research.

Der folgende Artikel ist im Jahr 2003 unter dem Titel „Clinical Pragmatism: A Method of Moral Problem Solving“ in dem Sammelband „Pragmatic bioethics“ erschienen, welcher sich mit der Bedeutung der pragmatistischen Philosophie für die Praxis befasst. In dem vom Internisten und Bioethiker Joseph J. Fins, dem Thoraxchirurgen Matthew D. Bacchetta und dem Philosophen und Medizinethiker Franklin G. Miller verfassten Beitrag wird der pragmatistische Ansatz in der klinischen Ethik anhand eines Fallbeispiels gleichzeitig beschrieben, begründet und demonstriert. Obgleich die Denkrichtung der (...) pragmatistischen Philosophie sowohl wissenschaftstheoretisch wie praktisch hoch bedeutsam ist – ohne diese ist weder die heutige sozialwissenschaftliche Forschung noch die angewandte, insbesondere die klinische Ethik denkbar –, werden pragmatistische Ansätze im deutschsprachigen Raum bis heute eher rudimentär rezipiert. (shrink)

: This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in (...) moral problem solving are discussed. (shrink)

Conscientious objection in the health care field—that is, refusal on the part of a medical professional to perform or cooperate in a procedure when it violates his or her conscience—is a growing concern for international legislators and a source of contentious debates among ethicists and the general public. Recognizing a general right to conscientious objection based on individual liberty, and thus a subjective right, could have negative consequences. Conscientious objection in health care settings should be fully protected, however, when the (...) objection is based on principles that are fundamental to the medical profession and the legal system. Examples from Italy and other nations show how protections there safeguard conscientious objection when a health professional objects to taking a human life. National Catholic Bioethics Quarterly 12.4 (Winter 2012): 611–620. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Eternal Life and Human Happiness in Heaven: Philosophical Problems, Thomistic Solutions by Christopher M. BrownElizabeth C. Shaw and Staff*BROWN, Christopher M. Eternal Life and Human Happiness in Heaven: Philosophical Problems, Thomistic Solutions. Washington, D.C.: The Catholic University of America Press, 2021. xiii + 487 pp. Cloth, $75.00The contents of the book are straightforwardly announced by the title. Christopher Brown entertains four apparent problems about eternal life in heaven (...) considered by contemporary philosophers and theologians and offers solutions to them from the thought of St. Thomas Aquinas. The book consists of seventeen chapters together with an introduction and conclusion and is divided into four parts. In the first part Brown lays out the problems and the solutions to them proposed by contemporary philosophers and theologians. In the second part he explains St. Thomas's distinction between essential and accidental reward in heaven and goes on to treat of the former—which consists in the beatific vision, that is, our beholding of God—and its proper accidents—which are delight, joy, and charity. In the third part he then deals with the accidental reward, which has to do with the perfected condition of our glorified bodies, society with other persons, and so on. Finally, in the fourth part Brown, drawing on his expositions of St. Thomas's doctrine in the two previous parts, details Thomistic solutions to the four problems discussed in the first part and argues that these solutions are superior to those proposed by the contemporary philosophers and theologians he has engaged.So, what are the four problems that Brown addresses? Let's present them as questions. (1) Is heaven just a private communion between a human person and God, or is it a perfect community centered on God that also involves angels, other human persons, and other creatures? (2) Is heaven just a spiritual affair, or are our resurrected bodies a part of it? (3) Is heaven a static or dynamic reality? (4) Is heaven boring?The answers are as follows. Ad primum: Heaven is a perfect community centered on God that also involves angels, other human persons, and other creatures. Ad secundum: Heaven is a spiritual and physical affair that includes our souls and our resurrected bodies. Ad tertium: Heaven is a dynamic reality. Ad quartum: Heaven is not boring!I cannot cover here all of the specifics of the way Brown shows how St. Thomas arrives at these answers. People who know St. Thomas well, even if they have not reflected much on these problems before, probably will [End Page 135] not have great difficulty thinking through how he might get to the first and second answers, at least in general terms. But the third and fourth, I think, call for further comment. My comments will necessarily be brief.If I understand Brown correctly, he wants to say (and contends that St. Thomas holds) that heaven is dynamic insofar as in heaven we are in act. But we can be in act in two senses: We can be in act in an unchanging way or in a changing way. In heaven my capacities to know God and to love him are both fully perfected, that is, they are fully actualized and undergo no change. But in heaven we will enjoy our resurrected bodies as well, and our bodies will also be active and interacting with other bodies. This activity will entail change. So, either way we will be active in heaven and, therefore, heaven will be something dynamic.What, then, about the problem of boredom? Because we will be perfectly happy in heaven, argues Brown (interpreting St. Thomas), heaven won't be boring. But the matter doesn't end there. Brown points out that Brian Ribeiro, developing an idea of Bernard Williams, objects that a person who is perfectly happy in the way that we are supposed to be in heaven, cannot be personally identical with any person in this life because the conditions of the beatified person and the nonbeatified person are just too radically different for there to be continuity between the two. Brown replies that St. Thomas convincingly shows that God can, by grace, prepare persons in this... (shrink)

We question Baumard's underlying assumption that humans have a propensity to innovate. Affordable transportation and energy underpinned the Industrial Revolution, making mass production/consumption possible. Although we cannot accept Baumard's thesis on the Industrial Revolution, it may help explain why complexity and innovation increase rapidly in the context of abundant energy.

Jean-Luc Marion proposes what he calls the “phenomenology of givenness” (phénoménologie de la donation) as the true “first philosophy.” In this paper I consider his critique of previous first philosophies and his argument for the phenomenology of givenness as their replacement. I note several problems with the phenomenology of givenness and conclude that it does not seem ready yet to assume the title of “first philosophy.”.

One way to work toward intercultural understanding is through interreligious dialogue, given the centrality that religion often has in a culture. David Burrell has suggested that Maimonides and Aquinas can offer us principles for interreligious dialogue. In particular, he argues that their negative theology shows us the impossibility of one tradition claiming a better understanding of God than those advanced by other traditions. This should lead religious traditions away fromcompetition and toward dialogue. In my paper, I propose a critique of (...) Burrell’s thesis, arguing for a different interpretation of Maimonides and Aquinas and adifferent understanding of interreligious dialogue. While it is true that Maimonides and Aquinas have a well-developed sense of the limits of our theological knowledge, they do not draw the conclusion that these limitations necessarily make all understandings of God equal. I think Maimonides and Aquinas show us instead that the firmest basis for interreligious dialogue is the recognition that some genuine knowledge of the divine is available to all, regardless of religious tradition. (shrink)

: This response to Lynn Jansen's critique of clinical pragmatism concentrates on two themes: (1) contrasting approaches to moral epistemology and (2) the connection between theory and practice in clinical ethics. Particular attention is paid to the status of principles and the role of consensus, with some closing speculations on how Dewey might view the current state of bioethics.

There is a certain conventional interpretation of Aristotle's argument, inMetaphysicsΛ.7, for the identification of the first unmoved mover as God, according to which that argument has the following outline.

In the Metaphysics Aristotle explicitly identifies first philosophy, the science of "being qua being," with theology . But the treatise never explains how theology could also be a universal science of being. This dissertation will attempt to provide such an explanation. Its procedure will differ from past approaches by attempting to understand the programmatic remarks of VI.1 in the light of Aristotle's actual conception of god, his theology proper. ;Chapter two examines Aristotle's notion of god as a self-thinker. It argues (...) that the god of Metaphysics XII is not narcissistically engaged in self-contemplation. Rather, Aristotle's statements that god "thinks himself" are meant to express the fact that he is an essentially active mind and therefore a pure actuality. ;Chapter three examines what it means for something to be a pure actuality, and in particular, a purely actual mind. It argues, based on a comparison between god and the fullest actuality of human thought, that the content of the divine thinking is just the principles of "being qua being." ;Chapter four addresses directly Aristotle's conception of first philosophy. It argues that the conception of theology as a universal science of being is grounded in the application of two kinds of priority relations. Substance is the focal meaning ) of being, while god is the first of the series of three kinds of substance. ;In concluding, I first review Aristotle's conception of substance in Metaphysics VII. Following Frede , I contend that Aristotle understands sensible substance in its primary sense to be form. Accordingly, there are two grounds on which Aristotle may consistently and intelligently identify metaphysics with theology. As a pure form god is the first kind of substance. He is therefore the best example of a being, knowledge of which is necessary to understand being in general. As an essentially self-thinking, and therefore purely actual mind, god possesses the most universal knowledge. He is therefore the most appropriate object for a science of being qua being, for one comes to have knowledge of god by coming to know the principles of being qua being. (shrink)

Psychobiography has been a topical area and an applied research specialty in psychology since Freud’s influential psychoanalytic psychobiography of Leonardo da Vinci. Throughout the last century, psychobiographers have emphasized the importance of anchoring interpretations of life histories in established psychological theories and rigorous historiographic research methods. One topical area receiving less attention in psychobiography is the critical relationship between the psychobiographer and her or his subject as it relates to the process of psychobiographical writing. The present article explores the phenomenology (...) and challenges of this relationship in order to ultimately propose practical strategies for navigating countertransference issues throughout the subject selection, research and publication phases of psychobiography. Freud’s psychobiography of Leonardo da Vinci is used as a model of the stages of psychobiography, the evolution of the psychobiographer-subject relationship, and the challenges of countertransference. (shrink)

Since 2000, research within positive psychology has exploded, as reflected in dozens of meta-analyses of different interventions and targeted processes, including strength spotting, positive affect, meaning in life, mindfulness, gratitude, hope, and passion. Frequently, researchers treat positive psychology processes of change as distinct from each other and unrelated to processes in clinical psychology. This paper presents a comprehensive framework for positive psychology processes that crosses theoretical orientation, links coherently to clinical psychology and its more dominantly “negative” processes, and supports practitioners (...) in their efforts to personalize positive psychological interventions. We argue that a multi-dimensional and multi-level extended evolutionary approach can organize effective processes of change in psychosocial interventions, by focusing interventions on context-appropriate variation, selection, and retention of processes, arranged in terms of key biopsychosocial dimensions across psychological, biophysiological, and sociocultural levels of analysis. We review widely studied positive psychology constructs and programs and show how this evolutionary approach can readily accommodate them and provide a common language and framework for improving human and community flourishing. We conclude that Interventions should start with the person, not the protocol. (shrink)

This book describes the development of the scientific article from its modest beginnings to the global phenomenon that it has become today. The authors focus on changes in the style, organization, and argumentative structure of scientific communication over time. This outstanding resource is the definitive study on the rhetoric of science.

“Perfect Day” by Lou Reed and “Village Ghetto Land” by Stevie Wonder are prime examples of “melic” irony in song—cases in which expressive irony is achieved through the interplay and tension between a song’s lyrics and its musical accompaniment. But how exactly can a song achieve this ironic effect, especially if, as formalists maintain, music on its own is incapable of meaning, much less communicative irony? In this paper, I illuminate this type of irony by applying a Gricean account of (...) verbal irony to song. I explore the complexities of this application, and suggest that, through ironic interplay with lyrics, the music of a song can acquire semantic capacities of its own. (shrink)

Many decisions involve multiple stages of choices and events, and these decisions can be represented graphically as decision trees. Optimal decision strategies for decision trees are commonly determined by a backward induction analysis that demands adherence to three fundamental consistency principles: dynamic, consequential, and strategic. Previous research found that decision-makers tend to exhibit violations of dynamic and strategic consistency at rates significantly higher than choice inconsistency across various levels of potential reward. The current research extends these findings under new conditions; (...) specifically, it explores the extent to which these principles are violated as a function of the planning horizon length of the decision tree. Results from two experiments suggest that dynamic inconsistency increases as tree length increases; these results are explained within a dynamic approach–avoidance framework. (shrink)