The purpose of this study was to explore the views of members of the general public regarding ethical issues in adult predictive genetic testing. The literature pertaining to ethical issues regarding to adult predictive genetic testing is largely restricted to the views of ‘experts’ who have emphasized informed consent, patent issues, and insurance discrimination. Occasionally the views of patients who have undergone genetic counselling and testing have been elicited, adding psychosocial and family issues. However, the general public has not had (...) the opportunity to contribute. In order to explore theatre as a health policy research tool, 1,200 audience members attended the play ‘Sarah’s Daughters’ in seven Canadian cities, following which audience discussions were audiotaped. This study performed a secondary qualitative analysis of the data to identify the ethical issues of adult predictive genetic testing important to members of the general public. The identified issues were: (1) need for public education; (2) choice to undergo genetic counselling and testing; (3) access to genetic counselling and testing; and (4) obligations regarding the handling of genetic information. Audience members emphasized public education and access to information regarding potential choices, which was different from the emphasis on informed consent and other ethical issues prominent in the literature. Members of the general public emphasized ethical issues that were different than those identified by experts and patients. It is essential that members of the public be included in complex and controversial public policy decisions. (shrink)

Because the demand for health services outstrips the available resources, priority setting is one of the most difficult issues faced by health policy makers, particularly those in developing countries. Priority setting in developing countries is fraught with uncertainty due to lack of credible information, weak priority setting institutions, and unclear priority setting processes. Efforts to improve priority setting in these contexts have focused on providing information and tools. In this paper we argue that priority setting is a value laden and (...) political process, and although important, the available information and tools are not sufficient to address the priority setting challenges in developing countries. Additional complementary efforts are required. Hence, a strategy to improve priority setting in developing countries should also include: (i) capturing current priority setting practices, (ii) improving the legitimacy and capacity of institutions that set priorities, and (iii) developing fair priority setting processes. (shrink)

Priority setting remains a big challenge for health managers and planners, yet there is paucity of literature on evaluating priority setting. The purpose of this paper is to present a framework for evaluating priority setting in low and middle income countries. We conducted a qualitative study involving a review of literature and Delphi interviews with respondents knowledgeable of priority setting in low and middle income countries. Respondents were asked to identify the measures of successful priority setting in low and middle (...) income countries. Responses were grouped as: immediate internal or external/delayed internal or external. We also identified some pre-requisites for successful priority setting. The immediate internal measures included increased efficiency in decision making, improved quality of decisions and fairer priority setting. Immediate External measures included—improved public understanding and acceptance of decisions, increased public participation, increased trust. Delayed Internal measures included increased satisfaction, understanding, compliance, balanced budget, achievement of organization goals, and improved internal accountability. Delayed External measures include impact on policy and practice, improved population health and reduction of health inequalities, achievement of health system goals and strengthening of health care systems. Identified pre-requisites for successful priority setting included; the presence of credible priority setting institutions, incentives for participation and implementation and resources, capacity and political will to implement. These would be augmented in a conducive political, social and economic context. This framework, although not exhaustive, provides a practical basis for planning and evaluating priority setting in low and middle income countries. (shrink)

The Institute of Medicine's report, the American Medical Association's project, the Open Society Institute's and the initiative sponsored by the Robert Wood Johnson Foundation have focused attention on improving the care of dying patients. These efforts include advance care planning and the use of written advance directives. Although previous studies have provided quantitative descriptions of patient preferences for life-sustaining treatment, including those documented in written ADs, to our knowledge open-ended written preferences have not been studied. Studies of these open-ended preferences (...) could highlight issues with respect to quality end-of-life care. The purpose of this study was to explore the open-ended proxy, health, and personal care preferences of people with HIV as expressed in a written AD form. (shrink)

Johnstone, H. W., Jr. Rhetoric and communication in philosophy.--Smith, C. R. and Douglas, D. G. Philosophical principles in the traditional and emerging views of rhetoric.--Wallace, K. R. Bacon's conception of rhetoric.--Thonssen, L. W. Thomas Hobbes's philosophy of speech.--Walter, O. M., Jr. Descartes on reasoning.--Douglas, D. G. Spinoza and the methodology of reflective knowledge in persuasion.--Howell, W. S. John Locke and the new rhetoric.--Doering, J. F. David Hume on oratory.--Douglas, D. G. A neo-Kantian approach to the epistomology of (...) judgment in criticism.--Bevilacqua, V. M. Lord Kames's theory of rhetoric.--Brockriede, W. E. Bentham's philosophy of rhetoric.--Anderson, R. E. Kierkegaard's theory of communication.--Macksoud, S. J. Ludwig Wittgenstein, radical operationism and rhetorical stance.--Stewart, J. J. L. Austin's speech act analysis.--Torrence, D. L. A philosophy of rhetoric from Bertrand Russell.--Clark, A. Martin Buber, dialogue, and the philosophy of rhetoric.--Bennett, W. Kenneth Burke--a philosophy in defense of un-reason.--Dearin, R. D. The philosophical basis of Chaim Perelman's theory of rhetoric. (shrink)

Working within weak subsystems of second-order arithmetic Z2 we consider two versions of the Baire Category theorem which are not equivalent over the base system RCA0. We show that one version (B.C.T.I) is provable in RCA0 while the second version (B.C.T.II) requires a stronger system. We introduce two new subsystems of Z2, which we call RCA+ 0 and WKL+ 0, and show that RCA+ 0 suffices to prove B.C.T.II. Some model theory of WKL+ 0 and its importance in view of (...) Hilbert's program is discussed, as well as applications of our results to functional analysis. (shrink)

Continuing the investigations of X. Yu and others, we study the role of set existence axioms in classical Lebesgue measure theory. We show that pairwise disjoint countable additivity for open sets of reals is provable in RCA0. We show that several well-known measure-theoretic propositions including the Vitali Covering Theorem are equivalent to WWKL over RCA0.

Recently several philosophers have claimed that miracles cannot occur or that belief in them involves a misunderstanding of the scientific enterprise. In this paper I will argue that these claims, particularly the latter, are mistaken. By examining the characteristics of the believer's conception of the miraculous I will be able to show how he can meet these sceptical challenges. In particular, I will argue that the believer can hold that certain particular events are the result of intervention by divine agency (...) and are thus not to be explained scientifically but nevertheless can grant the scientist autonomy to investigate all types of events. While I urge that belief in the miraculous does not rest on a confusion I do not argue whether or not this belief is rational or justified. (shrink)

The objective of this paper is to suggest types of analysis that can help managers effectively choose NGO partners that help them meet their international corporate sustainability and social responsibility goals. NGO partner choices should offer a good fit to corporate goals/objectives and create opportunities to reap the benefits of social responsibility and sustainability efforts, which include public image, environmental protection, customer and stakeholder satisfaction, employee morale, and the completion of work that serves a social responsibility or sustainability goal. Examples (...) of this type of goal include providing income generation activities for persons with HIV/AIDS, and educational opportunities for people who would not normally get them. The paper exploresthree lenses through which partner choice may be viewed: agency theory, transaction cost economics, and resource dependency. Areas for further exploration are suggested, and a comprehensive research agenda/model is discussed. (shrink)

The objective of this paper is to suggest types of analysis that can help managers effectively choose NGO partners that help them meet their international corporate sustainability and social responsibility goals. NGO partner choices should offer a good fit to corporate goals/objectives and create opportunities to reap the benefits of social responsibility and sustainability efforts, which include public image, environmental protection, customer and stakeholder satisfaction, employee morale, and (most importantly) the completion of work that serves a social responsibility or sustainability (...) goal. Examples of this type of goal include providing income generation activities for persons with HIV/AIDS, and educational opportunities for people who would not normally get them. The paper exploresthree lenses through which partner choice may be viewed: agency theory, transaction cost economics, and resource dependency. Areas for further exploration are suggested, and a comprehensive research agenda/model is discussed. (shrink)

Del Giudice's examination of sex differences in reproductive strategy within an attachment context is well taken. Sex has been studied as behavior within romantic relationships, but attachment styles should also be reflected in strategic behavior within relationships that are sexual. This seems particularly true within adolescence, and sex differences may be better reflected as differences in correlation patterns of process variables than as main effects models.

Children's exposure to and participation in mental state discourse contributes to their development of social understanding. Vygotsky's mechanism of internalization is used to account for this process, which has advantages of cultural and linguistic universality. If children internalize mental state discourse, however, then their own use of mental state language should be related to social understanding.

: Here is presented the functional relationship between certain prominent virtues in Dōgen (karunā and prajñā and kō) vis-à-vis the functional relationship between certain prominent virtues in Aquinas (caritas and prudentia and pietas) in order to contribute to a better understanding of Dōgen's moral vision and provide some groundwork preliminary to the task of a detailed comparison of Aquinas and Dōgen.

This essay is an analysis of Dōgen's commentary on "Nan-ch'üan's Cutting of the Cat" as found in section 1.6 of the Shōbōgenzō Zuimonki. It argues that Dōgen's conception of hishiryō ("without-thinking") is the starting point for understanding Dōgen's moral vision, and employs this idea in the interpretation of the passage.

This essay is an analysis of Dōgen's commentary on "Nan-ch'üan's Cutting of the Cat" as found in section 1.6 of the Shōbōgenzō Zuimonki. It argues that Dōgen's conception of hishiryō is the starting point for understanding Dōgen's moral vision, and employs this idea in the interpretation of the passage.

In lieu of an abstract, here is a brief excerpt of the content:Aquinas and Dōgen on Entrance into the Religious LifeDouglas K. MikkelsonComparative studies of Christianity and Buddhism have the potential to draw on a wide array of dialogic partners from their respective histories. Two promising candidates are Thomas Aquinas (1225–1274) and Dōgen (1200–1253). Aquinas was the angelic doctor whose theological thinking became normative for Roman Catholicism; Dōgen was the prominent Zen master whose influence on the intellectual development of Zen (...) Buddhism is unsurpassed. As it happens, both men "entered into the religious life," and within their respective collected works we see considerable attention to the topic. If we seek to explore what they had to say on the subject, we might benefit by identifying some texts from both thinkers that could serve as focal points for a comparative analysis. Of the massive accumulated writings of both men, the largest are Aquinas's Summa Theologiae and Dōgen's Shōbōgenzō. So it seems logical to start our search by turning our attention to these monumental works.Let us begin with the Summa Theologiae. In the secunda secundae Aquinas addresses a total of 189 topics presented in a question-and-answer format. The first 170 topics concern "themes related to all stations of life"; questions 171–189 explore "details related to particular callings" (2a2ae, Prologus). Question 189, hereinafter identified as 2a2ae q. 189, is specifically devoted to the topic of "entering the religious life" (de ingressu religionis).1When we turn to the Shōbōgenzō, we find a work titled Shukke Kudoku. "Kudoku" means "merit"; "shukke," commonly translated as "leaving home," denotes a person who has renounced home and family in order to enter monastic life. Thus "Shukke Kudoku" can be rendered in English as "The Merit of Entering the Religious Life."2Given that these texts are relatively accessible and substantive presentations of comparable length on issues pertaining to the religious life, they seem to be good focal points for this discussion. At the same time, both thinkers addressed the subject in other venues also, and we can briefly refer to this material as well. But in this article I will primarily concentrate on how a comparative analysis of these two texts illuminates the subject. Defining the discussion in this fashion has the advantage of presenting Aquinas's and Dōgen's views in a particular time and place, leaving aside the more complex issue of how their views may have changed over time. [End Page 109]Let us begin with Aquinas. Aquinas begins 2a2ae q. 189 by outlining ten points of inquiry to be pursued, in effect dividing the question into ten subquestions. The first on the list is "whether those alone should enter religious life who are practiced in keeping the commandments." The commandments he means, of course, are the precepts of the decalogue, the Ten Commandments of Exodus 20:17 and Deut. 5:6–21.Aquinas's standard modus operandi was to first entertain arguments leading to aconclusion opposing his own. In this question he outlines five lines of argument, and in each instance the arguments lead to the assertion that one should not practice the counsels "until one is practiced in keeping the commandments" (nisi prius sit exercitatus in praeceptis); by "counsels" Aquinas means the observance of poverty, chastity, and obedience that are undertaken by those who enter the religious life. As he had explained previously, "The difference between a counsel and a precept lies in this, that a precept implies necessity, while a counsel is left to the choice of the one to whom it is given" (1a2ae q. 108.4).3 Precepts such as the commandments, in other words, enjoin an obligation; counsels are optional.We will discover Aquinas's own answer soon, but we should first note how Aquinas begins his discussion of entrance into the religious life. He begins by posing a question about whether or not one practiced in keeping the commandments should enter the religious life. In the course of answering his own question, he essentially reframes it, seeking to explore whether or not one should practice the counsels before one has become adept at keeping the commandments. For Aquinas, both formulations... (shrink)

Revitalized interest in "the virtues" has affected the study of Buddhism in recent years, and in this regard we may benefit by focusing on the Zen Master Dōgen (1200-1253). Seeking to describe Dōgen's moral virtues, we might begin by a study of his primer, the "Shōbōgenzō" Zuimonki; a particularly efficacious template for this project would appear to be one provided by Edmund L. Pincoffs in his book "Quandaries and Virtues: Against Reductivism in Ethics". This "modus operandi" reveals Dōgen's exhortation of (...) a broad array of mandatory and nonmandatory virtues, partially depend- ing on whether or not the intended recipient is a layperson or one leading the religious life. If valid, this description may benefit Dōgen Studies as well as contribute to, and encourage, other "Western" efforts to articulate Buddhist ethics. (shrink)

The position advocated in the target article should be called “absurd environmentalism.” Literature showing that general intelligence is related to musical ability is not cited. Also ignored is the heritability of musical talent. Retrospective studies supporting practice over talent are incapable of showing differences in talent, because subjects are self-selected on talent. Reasons for the popularity of absurd environmentalism are discussed.