As improvements in neuroscience have enabled a better understanding of disorders of consciousness as well as methods to treat them, a hurdle that has become all too prevalent is the denial of coverage for treatment and rehabilitation services. In 2011, a settlement emerged from a Vermont District Court case, Jimmo v. Sebelius, which was brought to stop the use of an “improvement standard” that required tangible progress over an identifiable period of time for Medicare coverage of services. While the use (...) of this standard can have deleterious effects on those with many chronic conditions, it is especially burdensome for those in the minimally conscious state, where improvements are unpredictable and often not manifested through repeatable overt behaviors. Though the focus of this paper is on the challenges of brain injury and the minimally conscious state, which an estimated 100,000 to 200,000 individuals suffer from in the United States, the post-Jimmo arguments presented can and should have a broad impact as envisioned by the plaintiffs who brought the case on behalf of multiple advocacy groups representing patients with a range of chronic care conditions. (shrink)

With the growth of precision medicine research on health data and biospecimens, research institutions will need to build and maintain long-term, trusting relationships with patient-participants. While trust is important for all research relationships, the longitudinal nature of precision medicine research raises particular challenges for facilitating trust when the specifics of future studies are unknown. Based on focus groups with racially and ethnically diverse patients, we describe several factors that influence patient trust and potential institutional approaches to building trustworthiness. Drawing on (...) these findings, we suggest several considerations for research institutions seeking to cultivate long-term, trusting relationships with patients: Address the role of history and experience on trust, engage concerns about potential group harm, address cultural values and communication barriers, and integrate patient values and expectations into oversight and governance structures. (shrink)

The ethical principle of ‘respect for persons’ in clinical research has traditionally focused on protecting individuals’ autonomy rights, but respect for participants also includes broader, although less well understood, ethical obligations to regard individuals’ rights, needs, interests and feelings. However, there is little empirical evidence about how to effectively convey respect to potential and current participants. To fill this gap, we conducted exploratory, qualitative interviews with participants in a clinical genomics implementation study. We interviewed 40 participants in English or Spanish (...) about their experiences with respect in the study and perceptions of how researchers in a hypothetical observational study could convey respect or a lack thereof. Most interviewees were female, identified as Hispanic/Latino or non-Hispanic white, reported annual household income under US$60 000 and did not have a Bachelor’s degree ; 30% had limited health literacy. We identified four key domains for demonstrating respect: personal study team interactions, with an emphasis on empathy, appreciation and non-judgment; study communication processes, including following up and sharing results with participants; inclusion, particularly ensuring materials are understandable and procedures are accessible; and consent and authorisation, including providing a neutral informed consent and keeping promises regarding privacy protections. While the experience of respect is inherently subjective, these findings highlight four key domains that may meaningfully demonstrate respect to potential and current research participants. Further empirical and normative work is needed to substantiate these domains and evaluate how best to incorporate them into the practice of research. (shrink)

Hastings Center Report, Volume 52, Issue 3, Page 9-17, May–June 2022.

Background: Clinical genomic implementation studies pose challenges for informed consent. Consent forms often include complex language and concepts, which can be a barrier to diverse enrollment, and these studies often blur traditional research-clinical boundaries. There is a move toward self-directed, web-based research enrollment, but more evidence is needed about how these enrollment approaches work in practice. In this study, we developed and evaluated a literacy-focused, web-based consent approach to support enrollment of diverse participants in an ongoing clinical genomic implementation study. (...) Methods: As part of the Cancer Health Assessments Reaching Many (CHARM) study, we developed a web-based consent approach that featured plain language, multimedia, and separate descriptions of clinical care and research activities. CHARM offered clinical exome sequencing to individuals at high risk of hereditary cancer. We interviewed CHARM participants about their reactions to the consent approach. We audio recorded, transcribed, and coded interviews using a deductively and inductively derived codebook. We reviewed coded excerpts as a team to identify overarching themes. Results: We conducted 32 interviews, including 12 (38%) in Spanish. Most (69%) enrolled without assistance from study staff, usually on a mobile phone. Those who completed enrollment in one day spent an average of 12 minutes on the consent portion. Interviewees found the information simple to read but comprehensive, were neutral to positive about the multimedia support, and identified increased access to testing in the study as the key difference from clinical care. Conclusions: This study showed that interviewees found our literacy-focused, web-based consent approach acceptable; did not distinguish the consent materials from other online study processes; and valued getting access to testing in the study. Overall, conducting empirical bioethics research in an ongoing clinical trial was useful to demonstrate the acceptability of our novel consent approach but posed practical challenges. (shrink)

Volume 19, Issue 5, May 2019, Page 34-36.

Identifying the determinants of reproductive success in small-scale societies is critical for understanding how natural selection has shaped human evolution and behavior. The available evidence suggests that status-accruing behaviors such as hunting and prosociality are pathways to reproductive success, but social egalitarianism may diminish this pathway. Here we introduce a mixed longitudinal/cross-sectional dataset based on 45 years of research with the Batek, a population of egalitarian rain forest hunter-gatherers in Peninsular Malaysia, and use it to test the effects of four (...) predictors of lifetime reproductive success: foraging return rate, sharing proclivity, cooperative foraging tendency, and kin presence. We found that none of these factors can explain variation in lifetime reproduction among males or females. We suggest that social egalitarianism, combined with strikingly low infant and juvenile mortality rates, can mediate the pathway between foraging, status-accruing behavior, and reproductive success. Our approach advocates for greater theoretical and empirical attention to quantitative social network measures, female foraging, and fitness outcomes. (shrink)

As understanding of the human microbiome improves, novel therapeutic targets to improve human health with microbial therapeutics will continue to expand. We outline key considerations of balancing risks and benefits, optimising access, returning key results to research participants, and potential conflicts of interest.

The target articles in this issue advance our understanding of bioethical considerations in pragmatic trials (Garland, Morain, and Sugarman 2023; Morain and Largent 2023). Both articles appreciate...

Epistemological disjunctivism, as defended by, for example, McDowell, Neta and Pritchard, is the view that epistemic justification can be – and in paradigmatic cases of perceptual knowledge actually is – both factive and reflectively accessible. One major problem for this view is the access problem: apparently, epistemological disjunctivism entails that ordinary external world propositions can be known by reflection alone. According to epistemological disjunctivism, seeing that the sun is shining is reflectively accessible and seeing that the sun is shining entails (...) that it is. Assuming closure of reflective knowledge under known entailment it is also reflectively knowable that the sun is shining. Drawing on joint work with Neta, Pritchard replies that disjunctivism is not committed to this absurdity, but only to the possibility of reflective access to empirical reasons. In this article I offer an interpretation of this reply, but also an objection to it: my interpretation is based on applying the source/content distinction to epistemic reasons. My objection is based on arguing that the access problem is a problem for any version of access internalism. Although Pritchard's reply solves the general access problem, it does not solve the access problem that is generated by the specific commitments of epistemological disjunctivism. Due to the transparency of self-knowledge of propositional perception, epistemological disjunctivism cannot meet a central requirement for applying the source/content distinction. (shrink)

In this essay I describe seven central characteristics of Philip Quinn's approach to the epistemic challenge of religious diversity as they surface in his responses to other contemporary approaches. In the process an assessment is given of Quinn's contribution, and continued relevance, to the contemporary discussions about this topic. The first three sections describe Quinn's confrontations with Alvin Plantinga, William Alston, and John Hick. The next section presents critical comments on Quinn's unique notion of thinning.

ABSTRACT:A wide range of research uses patterns of genetic variation to infer genetic similarity between individuals, typically referred to as genetic ancestry. This research includes inference of human demographic history, understanding the genetic architecture of traits, and predicting disease risk. Researchers are not just structuring an intellectual inquiry when using genetic ancestry, they are also creating analytical frameworks with broader societal ramifications. This essay presents an ethics framework in the spirit of virtue ethics for these researchers: rather than focus on (...) rule following, the framework is designed to build researchers’ capacities to react to the ethical dimensions of their work. The authors identify one overarching principle of intellectual freedom and responsibility, noting that freedom in all its guises comes with responsibility, and they identify and define four principles that collectively uphold researchers’ intellectual responsibility: truthfulness, justice and fairness, anti-racism, and public beneficence. Researchers should bring their practices into alignment with these principles, and to aid this, the authors name three common ways research practices infringe these principles, suggest a step-by-step process for aligning research choices with the principles, provide rules of thumb for achieving alignment, and give a worked case. The essay concludes by identifying support needed by researchers to act in accord with the proposed framework. (shrink)

A summary and brief discussion of the pedagogical usefulness of Hilary Putnam’s classic thought experiment from Reason, Truth, and History.

Putnam's argument that we are not brains in a VAT has recently seen a resurgence in interest. Although objections to it are legion, an emerging consensus seems to be that even if it successfully refutes one version of the brain in a VAT scenario, lifelong envatment, it is powerless against a different one, recent envatment. Although initially appealing, I argue in this paper that this response-merely replacing lifelong envatment by recent envatment-is a bad response to Putnam's argument. Yet there is (...) a different version of the brain in a VAT scenario, recent memory-altering envatment, that Putnam's argument does not refute and is also sufficiently radical. The crucial issue turns out to be which epistemic sources sceptical scenarios may attack. I argue that there's no convincing reason for exempting memory from the sceptical attack: Sceptical scenarios must target memory to be sufficiently radical and they can do so without violating any constraint on sceptical scenarios. In the end Putnam's argument doesn't fail because of some 'deep' philosophical mistake, but because it overlooks how flexible and adjustable sceptical scenarios are. (shrink)

The opponent in either an ordinary or religious disagreement asserts you have made a mistake. To avoid mistakes we strive to have good justification for beliefs which holds us connected to them during difficult challenges, similar to how a good boat tether, pictured on this book's front cover, holds a valuable boat throughout the many stresses placed on it. The problem is that an equivalently informed and capable opponent shows a possible mistake as relevant, and this ought to reduce confidence (...) in the justification of the religious belief. The Epistemology of Religious Disagreement develops, by looking at foundational issues in the theory of knowledge, an understanding of justification specifically designed to describe exactly why this reduction happens. (shrink)

On a common view of scenario-based sceptical arguments sceptical scenarios are error-possibilities, i.e. their point is to introduce the possibility of having only false beliefs. However, global error is impossible for purely logical/conceptual reasons: Even if one’s beliefs are consistent, the negations of one’s beliefs need not be consistent as well. My paper deals with the question of what the consequences of this result are. Two attempts at repairing scenario-based sceptical arguments within the framework of understanding sceptical scenarios as error-possibilities (...) are found wanting. Instead, what should be given up is the assumption that sceptical scenarios are error-possibilities. What is thought-provoking about the scenario of the brain in a vat is not that none of its empirical beliefs are true, but that all of its empirical beliefs fall short of knowledge at the same time. Hence, sceptical scenarios are not error-possibilities, but ignorance possibilities. If this is so, both the closure argument and the underdetermination argument commit a subtle mistake and should be replaced by slightly different arguments. The principle of excluded ignorance-possibilities turns out to be an epistemological principle that is faithful to scepticism’s tenets without misinterpreting sceptical scenarios as error-possibilities. (shrink)

Personnel Decision Making of Chosen Czech Banking Subjects During the Economic Recession The article focuses on personnel decision making of important banking subjects during the ongoing economic recession with the specialization on financial crisis in 2008. Main objective of the article is to verify the implicit contract theory and to answer the question of how the selected banks solve problem of reducing labour costs during the crisis. Four important banks in years 2005 - 2010 are examined. To identify the economic (...) crisis, is used model, which is based on the model, indicating the U. S. business cycle, which uses analytical team in Raiffeisenbank. Model used in this article is based on three variables. Employment rate is separate variable. The values of business sales are adjusted to the values of basis indices, for which the year 2005 is the basis. The development of all those three variables is similar and it is possible to determine the period from the graphical representation, in which all variables reached their maximum and reversed their trend. To support this, a trend line was added to the graphs. The trend line was determined as a moving average for the four seasons. Based on the model, the beginning of the economic recession was indentified to the turn of 2007 and 2008. The biggest slumps can be seen during the year 2009. The investigated periods are therefore the years 2008 and 2009.The calculations of other variables, describing the current condition of the studied subject, are adjusted to the values of basis indices in the same way as the business sales. The year 2005 is set as a basis. Data from chosen banks' annual reports were used to study their current condition. The basic monitored data are: labour costs, number of employees and earnings after tax. This article focuses attention on the personal decisions of banks, especially on the monitoring of costs of employees and their evolution over time in the context of economic recession. The essential conclusion is the confirmation of the implicit contract theory of the new Keynesian economics, which appeared at all observed subject. It is possible to see a year delay between the reduction of the employees and reduction of salary costs. This delay causes further costs. The reduction was observed in all subjects. (shrink)

A summary and brief discussion of the pedagogical usefulness of Hilary Putnam’s classic thought experiment from Reason, Truth, and History.

One of the unconventional features of Wittgenstein’s _Tractatus Logico-Philosophicus_ is its use of an elaborated and detailed numbering system. Recently, Bazzocchi, Hacker und Kuusela have argued that the numbering system means that the _Tractatus_ must be read and interpreted not as a sequentially ordered book, but as a text with a two-dimensional, tree-like structure. Apart from being able to explain how the _Tractatus_ was composed, the tree reading allegedly solves exegetical issues both on the local and the global level. This (...) paper defends the sequential reading against the tree reading. After presenting the challenges generated by the numbering system and the two accounts as attempts to solve them, it is argued that Wittgenstein’s own explanation of the numbering system, anaphoric references within the _Tractatus_ and the exegetical issues mentioned above do not favour the tree reading, but a version of the sequential reading. This reading maintains that the remarks of the _Tractatus_ form a sequential chain: The role of the numbers is to indicate how remarks on different levels are interconnected to form a concise, surveyable and unified whole. (shrink)

What is the role of sceptical scenarios—dreams, evil demons, brains in a vat—in scep- tical arguments? According to the error view, sceptical scenarios illustrate the possibil- ity of massive falsity in one’s beliefs, whereas according to the ignorance view, they illustrate the possibility of massive ignorance not necessarily due to falsity. In this paper, the ignorance view is defended by surveying the arguments in favour of it and by replying to two pressing objections against it. According to the first objection, (...) the ignorance view illicitly introduces the kk-principle into sceptical arguments. In reply I argue that kk is not less plausible than its main rival, the closure principle. According to the second objection, relying on veridical ignorance-possibilities contradicts the transparency of belief. In reply I introduce a version of transparency that is consistent with the ignorance view. (shrink)

This paper concentrates on the issue of what happens to the confidence one has in the justification of one's belief when one discovers an epistemic peer with conflicting higher and/or lower order evidences. Certain symmetries surface during epistemic peer disagreement, which tend to make one less confident. The same happens in religious disagreements. Mostly externalist perspectives are considered. The epistemology of ordinary disagreements and that of religious ones behave similarly, such that principles used in the former can be seen to (...) apply also in the latter. (shrink)

This paper concentrates on the issue of what happens to the confidence one has in the justification of one's belief when one discovers an epistemic peer with conflicting higher and/or lower order evidences. Certain symmetries surface during epistemic peer disagreement, which tend to make one less confident. The same happens in religious disagreements. Mostly externalist perspectives are considered. The epistemology of ordinary disagreements and that of religious ones behave similarly, such that principles used in the former can be seen to (...) apply also in the latter. (shrink)

In Knowledge and its Limits (2000) Williamson defends not only the negative claim that knowledge cannot be analysed, but also the positive claim that knowledge is the most general factive mental state. In this paper two objections to the positive claim are presented: First, knowledge is not more general than e. g. seeing. After discussing several alleged examples of seeing without knowing a new example is offered. Although both seeing and knowing are incompatible with luck, they are incompatible with different (...) kinds of luck. Secondly, factive mental states that are more general than knowledge are conceivable. Williamson's characterisation of knowledge as being the most general factive mental state is not substantial enough to pick out exactly one state. The idea that there is such a thing as a maximal factive mental state cannot be sustained merely on the assumption that knowledge is unanalysable. (shrink)

In “A Case Study in Unethical Transgressive Bioethics” Laurence McCullough and colleagues (2010) call for signers to disavow the Letter of Concern (LoC) regarding Maria New's ongoing work with and...

Background Standard interpretations of the ethical principle of respect for persons have not incorporated the views and values of patients, especially patients from groups underrepresented in research. This limits the ability of research ethics scholarship, guidance, and oversight to support inclusive, patient-centered research. This study aimed to identify the practical approaches that patients in community-based settings value most for conveying respect in genomics research. Methods We conducted a 3-round, web-based survey using the modified Delphi technique to identify areas of agreement (...) among English-speaking patients at primary care clinics in Washington State and Idaho who had a personal or family history of cancer. In Round 1, respondents rated the importance of 17 items, identified in prior qualitative work, for feeling respected. In Round 2, respondents re-rated each item after reviewing overall group ratings. In Round 3, respondents ranked a subset of the 8 most highly rated items. We calculated each item’s mean and median rankings in Round 3 to identify which approaches were most important for feeling respected in research. Results Forty-one patients consented to the survey, 21 (51%) completed Round 1, and 18 (86% of Round 1) completed each of Rounds 2 and 3. Two sets of rankings were excluded from analysis as speed of response suggested they had not completed the Round 3 ranking task. Respondents prioritized provision of study information to support decision-making (mean ranking 2.6 out of 8; median ranking 1.5) and interactions with research staff characterized by kindness, patience, and a lack of judgment (mean ranking 2.8; median ranking 2) as the most important approaches for conveying respect. Conclusions Informed consent and interpersonal interactions are key ways that research participants experience respect. These can be supported by other approaches to respecting participants, especially when consent and/or direct interactions are infeasible. Future work should continue to engage with patients in community-based settings to identify best practices for research without consent and examine unique perspectives across clinical and demographic groups in different types of research. (shrink)

This essay employs strategies drawn from the emergent field of everyday aesthetics to explore the pleasures of reading Daniel Defoe’s Robinson Crusoe and Samuel Richardson’s Sir Charles Grandison. As a fictional paradigm, Crusoe has been a paradoxical inspiration, inviting critique as a seductive representative of colonial power, on the one hand, and eliciting admiration for his ability to provoke meaningful artistic and intellectual engagement from a diverse group of writers and thinkers, on the other hand. To many ordinary readers, he (...) has proved company worth keeping as a source of inspiration and personal pleasure primarily through his aesthetic approach to the structuring of everyday life. The fiction of Samuel Richardson continues the focus on the everyday, placing even greater emphasis on the relationship between the ethical and the aesthetic. In his final novel, Sir Charles Grandison, pleasure can scarce be felt without some commentary outlining the contours of moral significance, and the very act of moral reasoning is demonstrably affective for characters and readers alike. The essay ends with consideration of the power of literature, especially the realistic novel, to shape the ordinary lives of everyday readers. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 21.1 (2001) 155-157 [Access article in PDF] Book Review Buddhist Peacework: Creating Cultures of Peace Buddhist Peacework: Creating Cultures of Peace. Edited by David W. Chappell. Somerville, Massachusetts: Wisdom Publications, 1999. 253 pp. This earnest book demonstrates the continuing vitality of Buddhism in many parts of the world. The contributing authors are the leading figures of contemporary engaged Buddhism, and they write from firsthand experience. The Dalai (...) Lama outlines methods for promoting harmony among different religious traditions. Thich Nhat Hanh shows how the principle of nonviolence was tested in the rescue ofVietnamese boat people during the 1970s. A.T. Ariyaratne presents the work of the influential Sarvodaya movement in Sri Lanka. Shih Cheng-yen, sometimes called "the Mother Theresa of Asia," describes the relief work ofTzu Chi, the largest charitable organization in Taiwan. Dhammachari Lokamitra documents the impact of an adopted Buddhism among former "untouchables" in India. Robert Aitken surveys engaged Buddhist activity in North America, including hospice work, prison reform, and sustainable farming. Many of the writers have personally suffered the deprivations of war and oppression; in some cases they continue their work amid threats of violence or arrest.An aim ofBuddhist Peacework is to offer a Buddhist response to a declaration that emerged from a 1994 meeting of world religious leaders organized by UNESCO. This document, "Declaration of the Role of Religion in the Promotion of a Culture of Peace," is included as an appendix. Two of the book's contributors, the Dalai Lama and the senior Cambodian monk Maha Ghosananda, participated in the UNESCO meeting. Indeed, some of the declaration's language has an engaged Buddhist ring: "We must be at peace with ourselves; we strive to achieve inner peace through personal reflection and spiritual growth, and to cultivate a spirituality which manifests itself in action."One of Buddhism's distinctive teachings on the subject of peace is the practice of "internal disarmament," the term used by the Dalai Lama in his essay. Unless individuals are able to tame the forces of greed, anger, and delusion in their own minds, the prospects for peace between communities and between nations are slim. For an engaged Buddhist, there must be alignment between "inner" and "outer" disarmament. One cannot work for peace--or any other worthy social goal--in an agitated, antagonistic way. In this collection, peacework is something one does as spiritual practice.Shakyamuni Buddha approached the existential problem of suffering by analyzing the causes of suffering. In a similar spirit, engaged Buddhists have embarked on a Buddhistic analysis of the causes of war and peace. Contributor José Ignacio Cabezón writes: "Peace cannot arise simply by wishing it into existence, but only by the cultivation of its causes.Viewing peace in this way has the salutary effect of shifting the emphasis of peacework from result to causes." Somewhere in that mix of causes we [End Page 155] eventually encounter ourselves. If the world is truly interdependent, we share responsibility for violence and atrocities occurring "elsewhere."Thich Nhat Hanh, in his essay, declares: "If we look deeply, we will observe that the roots of war are in the unmindful ways we have been living. We have not sown enough seeds of peace and understanding in ourselves and others, therefore we are co-responsible: 'Because I have been like this, they are like that.'" The notion of sowing "seeds of peace" is reinforced in the image on the book's cover: two hands tenderly plant a seedling in receptive soil.But internal disarmament is not enough. As editor David Chappell asserts, "Today there is a new urgency for that [inner] peacework to be manifest socially, ecologically, and materially."Witness the plight of several Buddhist (and formerly Buddhist) nations in Asia. "Recently, Buddhist countries have become notorious arenas of genocide and brutality," writes Karma Lekshe Tsomo. Citing Burma, Cambodia, China, Sri Lanka, and Tibet, Tsomo asks, "What went wrong?" Peacework also has new meanings in an age of ecocrisis. For Stephanie Kaza, "a first step in keeping peace with nature calls for contact with ecological suffering." Kaza highlights four ways to... (shrink)

Diese Abhandlung ist eine Ergänzung zum Abschnitt IIB meiner Abhandlung über "Die Giltigkeit von Aussagen" , S. 54-80). Die Giltigkeit von Normen bedarf einer ausführlicheren Begründung, weil sie problematisch erscheint. Eine Begründung von Normen wird durch den teleologischen Gesichtspunkt möglich: Wenn ein allgemein angestrebtes Ziel vorliegt, dann ergeben die Bedingungen für seine Erreichung Normen des Verhaltens, die von jedem anerkannt werden müssen, der das Ziel erreichen will. Das wird für die Normen gezeigt, welche das Verfahren der Erkenntnisbildung bestimmen; für die (...) moralischen Normen, deren Begründung gegenüber der im zweiten Teil der "Grundlagen der Erkenntnis und der Moral"* verbessert wird; für die Normen des Rechts und schließlich für ästhetische Normen. (shrink)

Choo and Pittard recently have presented new attractive incommensurability arguments for remaining steadfast in religious beliefs even when disagreeing with sophisticated disputants. This article responds to the latest iteration of this genre in the work of Choo, and does double duty evaluating more generally the merits of this genre, which is becoming increasingly more popular since originally championed by Alston. Both Choo and Alston argue that it is reasonable to stay steadfast in one’s religious beliefs when there are no commensurable (...) ways of evaluating the disputant’s claims. This paper first describes four views about disagreement that inform Choo’s conclusion, one of which is the incommensurability argument similarly championed by Alston. Incommensurability arguments are attractive, but, when deployed in the most challenging disagreements, ultimately complacent. (shrink)

Although the underrepresentation of women in academic philosophy is well-known and hard to overlook, philosophers started to pay more attention to the actual data on and potential explanations of the underrepresentation of women in philosophy only in the last decade and predominately in anglophone countries. The data I present in this paper deal with introductory logic courses at German universities (gender of textbook authors, gender of logic course instructors, student grades by gender at one university). Two results are particularly noteworthy: (...) For one, logic teaching in Germany is currently predominantly male and even more male than philosophy teaching as a whole. For another, there is no evidence for any differences between grades of female and male students. The student grade data, however, illustrate how statistical phenomena like Simpson's paradox can explain how male students can appear to achieve better grades than female students even if there is no underlying difference: When correcting for students’ major (philosophy vs. STEM), logic grades of male and female students are remarkably similar. Although the scope of the data presented here is limited, they allow to add further details to an emerging map of the profession. I close with some suggestions for avoiding stereotyping logic as “male”. (shrink)

Christians working cross-culturally to bring about change in other societies desire to conduct their interventions ethically. What seems ethical and endorsed by God from the donor's point of view, however, may not be perceived as ethical in terms of the cultural values of the receptors. The nature of this problem is discussed and guidelines suggested to assist us in recognizing and overcoming the problem. The primary guideline in the application of the Golden Rule in terms of the culturally conditioned perception (...) of the receptors. (shrink)