BackgroundThere are numerous ethical challenges that can impact patients and families in the health care setting. This paper reports on the results of a study conducted with a panel of clinical bioethicists in Toronto, Ontario, Canada, the purpose of which was to identify the top ethical challenges facing patients and their families in health care. A modified Delphi study was conducted with twelve clinical bioethicist members of the Clinical Ethics Group of the University of Toronto Joint Centre for Bioethics. The (...) panel was asked the question, what do you think are the top ten ethical challenges that Canadians may face in health care? The panel was asked to rank the top ten ethical challenges throughout the Delphi process and consensus was reached after three rounds.DiscussionThe top challenge ranked by the group was disagreement between patients/families and health care professionals about treatment decisions. The second highest ranked challenge was waiting lists. The third ranked challenge was access to needed resources for the aged, chronically ill, and mentally ill.SummaryAlthough many of the challenges listed by the panel have received significant public attention, there has been very little attention paid to the top ranked challenge. We propose several steps that can be taken to help address this key challenge. (shrink)

At the core of Swedenborg’s thought is the understanding that our purpose in this life is to progress spiritually—to learn, to grow, to do good works, and, ultimately, to allow as much of God’s love as possible to enter into us and manifest through us. Scattered throughout his works are descriptions of our mind and how it relates to both the physical and spiritual worlds. In this book, Taylor pulls these loose threads together and weaves them into a simple, coherent (...) whole, presenting Swedenborg’s teachings as a system that anyone can follow. Taylor describes the external or natural mind as primarily concerned with material things, and the inner mind, in its essence, as love. As we elevate our thoughts toward higher and higher types of love and wisdom, we draw closer to God and begin the process of regeneration, or rebirth as spiritual beings. This is the first time in many decades that a book has been published on Swedenborg’s philosophy of the mind. Taylor’s straightforward commentary gives readers a rare insight into this crucial aspect of Swedenborg’s theology. (shrink)

We point out that, when the dimension of the Hilbert space is greater than two, Bell’s operators entering the Bell-CHSH inequality do exhibit inequivalent unitary matrix representations. Although the Bell-CHSH inequality turns out to be violated, the size of the violation is different for different representations, the maximum violation being given by Tsirelson’s bound. The feature relies on a pairing mechanism between the modes of the Hilbert space of the system.

In 1949 the great logician Kurt Gödel constructed the first mathematical models of the universe in which travel into the past is, in theory at least, possible. Within the framework of Einstein’s general theory of relativity Gödel produced cosmological solutions to Einstein’s field equations which contain closed time-like curves, that is, curves in spacetime which, despite being closed, still represent possible paths of bodies. An object moving along such a path would travel back into its own past, to the very (...) moment at which it “began” the journey. More generally, Gödel showed that, in his “universe”, for any two points P and Q on a body’s track through spacetime, such that P temporally precedes Q, there is a timelike curve linking P and Q on which Q temporally precedes P. This means that, in principle at least, one could board a “time machine” and travel to any point of the past. Gödel inferred, in consonance with the views of Parmenides, Kant and the modern idealists, that under these circumstances there could be no such thing as an objective lapse of time, that time or, more generally, change, is an illusion arising from our special mode of perception. For consider an observer initially at point P. At point Q he boards a time machine and travels back to point P, taking time t′′ to do so. In that case, according to his own clock, t′ – t + t′′ > 0 seconds have elapsed, and yet an identical clock left at P would show that 0 seconds have elapsed. In short, there has been no “objective” lapse of time at all. Gödel remarks that in his universe this situation is typical: for every possible definition of an “objective” time one could travel into regions which are past according to that definition. He continues. (shrink)

In spacetime physics any set C of events—a causal set—is taken to be partially ordered by the relation ≤ of possible causation: for p, q ∈ C, p ≤ q means that q is in p’s future light cone. In her groundbreaking paper The internal description of a causal set: What the universe looks like from the inside, Fotini Markopoulou proposes that the causal structure of spacetime itself be represented by “sets evolving over C” —that is, in essence, by the (...) topos SetC of presheaves on Cop. To enable what she has done to be the more easily expressed within the framework presented here, I will reverse the causal ordering, that is, C will be replaced by Cop, and the latter written as P—which will, moreover, be required to be no more than a preordered set. Specifically, then: P is a set of events preordered by the relation ≤, where p ≤ q is intended to mean that p is in q’s future light cone—that q could be the cause of p, or, equally, that p could be an effect of q. In that case, for each event p, the set p↓ = {q: q ≤ p} may be identified as the causal future of p, or the set of potential effects of p. In requiring that ≤ be no more than a preordering—in dropping, that is, the antisymmetry of ≤—I am, in physical terms, allowing for the possibility that the universe is of Gödelian type, containing closed timelike lines. (shrink)

A variation of Bell's theorem that deals with the indeterministic case is formulated and proved within the logical framework of Lewis's theory of counterfactuals. The no-faster-than-light-influence condition is expressed in terms of Lewis would counterfactual conditionals. Objections to this procedure raised by certain philosophers of science are examined and answered. The theorem shows that the incompatibility between the predictions of quantum theory and the idea of no faster-than-light influence cannot be ascribed to any auxiliary or tacit assumption of either (...) determinism or the related idea that outcomes of unperformed measurements are determinate within nature. In addition, the theorem provides an example of an application of Lewis's theory of counterfactuals in a rigorous scientific context. (shrink)

The weak objectification of physical properties is shown to yield the same probabilistic implications as strong objectification and can therefore be refuted on the basis of suitable interference experiments. An alternative test of hypothetical objectification statements, as they occur in the EPR experiment, is based on joint probabilities and the ensuing Bell inequalities. Quantum mechanics turns out to be partially compatible with Bell's inequalities even in cases where weak objectification is excluded by interference.

Beginning in September of 1924, Alfred North Whitehead presented a regular course of 85 lectures which concluded in May of 1925. These represent the first ever philosophy lectures he gave and capture him working out the philosophical implications of the remarkable turns physics had taken in his lifetime. This volume finally recreates these lectures by transcribing notes by W.P. Bell, W.E. Hocking and Louise Heath taken at the time - many of which have only recently been discovered and including (...) hundreds of sketches of Whitehead's blackboard diagrams. This is a unique insight into the evolution of Whitehead's thought during the months when he was drafting his seminal work, Science and the Modern World. (shrink)

The starting point of the present paper is Bell’s notion of local causality and his own sharpening of it so as to provide for mathematical formalisation. Starting with Norsen’s analysis of this formalisation, it is subjected to a critique that reveals two crucial aspects that have so far not been properly taken into account. These are the correct understanding of the notions of sufficiency, completeness and redundancy involved; and the fact that the apparatus settings and measurement outcomes have very (...) different theoretical roles in the candidate theories under study. Both aspects are not adequately incorporated in the standard formalisation, and we will therefore do so. The upshot of our analysis is a more detailed, sharp and clean mathematical expression of the condition of local causality. A preliminary analysis of the repercussions of our proposal shows that it is able to locate exactly where and how the notions of locality and causality are involved in formalising Bell’s condition of local causality. (shrink)

Autopathographies are an expanding genre of books and articles that are a potential resource for students interested in the medical humanities. New curricula emphasise the need to familiarise medical students with the patient’s point of view. Different specialities compete for the student’s attention and the medical humanities are not an exception. Some form of assessment is necessary to reflect the importance of the patient’s perspective. One way may be to request students analyse their chosen autopathography. The article presents an example (...) based on one of the better know accounts. The identified themes reflect the sudden disruption in the author’s biography. The topics are connected to the medical disorder and illustrated by quotations. The different categories of autopathography can be helpful in understanding the author’s perspective. In this instance the author was a full time editor before his stroke. The style of the book employs professional distance from the narrative. This is more compatible with the description of metapathography rather than the original classification of autopathogrphies as religious, angry or alternative. (shrink)

Motivated by a paper by Barut and Meystre, Bohm's EPR gedanken experiment performed with classical and spin-s particles is considered, and the applicability of Bell's theorem to these cases is discussed. The classical model presented by Barut and Meystre is modified to become a stochastic local hidden-variable model reproducing the results of an EPR experiment of the type performed by Aspect et al.

sirRavenscroft and Bell's study of end-of-life decision making in intensive care1 provides valuable evidence ….

The model of the world proposed by Whitehead provides a natural theoretical framework in which to imbed quantum theory. This model accords with the ontological ideas of Heisenberg, and also with Einstein's view that physical theories should refer nominally to the objective physical situation, rather than our knowledge of that system. Whitehead imposed on his model the relativistic requirement that what happens in any given spacetime region be determined only by what has happened in its absolute past, i.e., in the (...) backward light-cone drawn from that region. This requirement must be modified, for it is inconsistent with the implications of quantum theory expressed by a generalized version of Bell's theorem. Revamping the causal spacetime structure of the Whitehead-Heisenberg ontology to bring it into accord with the generalized Bell's theorem creates the possibility of a nonlocal causal covariant theory that accords with the statistical prediction of quantum theory. (shrink)

The hidden-variable theorems of Bell and followers depend upon an assumption, namely the hidden-variable assumption, that conflicts with the precepts of quantum philosophy. Hence from an orthodox quantum perspective those theorems entail no faster-than-light transfer of information. They merely reinforce the ban on hidden variables. The need for some sort of faster-than-light information transfer can be shown by using counterfactuals instead of hidden variables. Shimony’s criticism of that argument fails to take into account the distinction between no-faster-than-light connection in (...) one direction and that same condition in both directions. The argument can be cleanly formulated within the framework of a fixed past, open future interpretation of quantum theory, which neatly accommodates the critical assumptions that the experimenters are free to choose which experiments they will perform. The assumptions are compatible with the Tomonaga–Schwinger formulation of quantum field theory, and hence with orthodox quantum precepts, and with the relativistic requirement that no prediction pertaining to an outcome in one region can depend upon a free choice made in a region spacelike-separated from the first. (shrink)

Two different ideas of locality are described. Both are due essentially to einstein. Quantum theory is compatible with the first but not the second. The problems encountered in the article cited in the title arise from trying to use only the first idea of locality, whereas Bell's-theorem considerations pertain to the second.

‘[Valerius'] Argonautica is a story of high adventure, not a poème à thèse’: so stated Garson in 1965. Strand later added that the essential nature of this poem and the choice of subject-matter was determined by poetic inability; he describes the prooemium to Valerius' Argonautica as ‘a recusatio: the theme of the fall of Jerusalem is beyond his powers, and it would instead be treated by Domitian who was fit for such an arduous task; Valerius had to content himself with (...) the theme of an old myth’. It is these two opinions that I wish to question in this article. Indeed, alarm bells immediately sound at Strand's interpretation of the poet's recusatio. It has long been recognized that the original Callimachean recusatio was twisted by the Augustan poets. Gordon Williams analyses their practice thus: ‘They sadly regret that their poor talents will not rise to great subjects – and the subjects to which they will not rise are not the old mythological tales but the great affairs of contemporary Roman history and, in particular, the deeds of Augustus. It is clear, however, that they are using this form of poem to enumerate and praise the great deeds of Augustus, under the guise of proposing their own inability.’ No-one hesitates to agree that Valerius was well versed in the Augustan poets. It is dangerous, therefore, to assume without question that he was deceived by their insincerity. There is in fact good reason to examine the alternative possibility, namely that Valerius understood well the practice of his literary predecessors, that he dared to tread in their footsteps and that he succeeded in the supreme duty of a poet, that is to say, the business of ensuring that ars celavit artem. (shrink)

The argument of Einstein, Podolsky, and Rosen is reviewed with attention to logical structure and character of assumptions. Bohr's reply is discussed. Bell's contribution is formulated without use of hidden variables, and efforts to equate hidden variables to realism are critically examined. An alternative derivation of nonlocality that makes no use of hidden variables, microrealism, counterfactual definiteness, or any other assumption alien to orthodox quantum thinking is described in detail, with particular attention to the quartet or broken-square question.

Some seeming logical deficiencies in a recent paper are described. The author responds to the arguments of the work by de Muynck, De Baere, and Martens , who argue it is widely accepted today that some sort of nonlocal effect is needed to resolve the problems raised by the works of Einstein, Podolsky, and Rosen and John Bell. In MBM a variety of arguments are set forth that aim to invalidate the existing purported proofs of nonlocality and to provide, (...) moreover, a local solution to the problems uncovered by EPR and Bell. Much of the argumentation in MBM is based on the idea of introducing `nonideal` measurements, which, according to MBM, allow one to construct joint probability distributions for incompatible observables. The existence of a bona fide joint probability distribution for the incompatible observables occurring in the EPRB experiments would entail that Bell`s inequalities can be satisfied, and hence that the mathematical basis for the nonlocal effects would disappear. This relult would apparently allow one to eliminate the need for nonlocal effects by considering experiments of this new kind. (shrink)

Chapter Promising in Law and Morals Promissory and contractual obligations raise many issues of common interest to philosophers and lawyers. ...

This paper presents a minimal formulation of nonrelativistic quantum mechanics, by which is meant a formulation which describes the theory in a succinct, self-contained, clear, unambiguous and of course correct manner. The bulk of the presentation is the so-called “microscopic theory”, applicable to any closed system S of arbitrary size N, using concepts referring to S alone, without resort to external apparatus or external agents. An example of a similar minimal microscopic theory is the standard formulation of classical mechanics, which (...) serves as the template for a minimal quantum theory. The only substantive assumption required is the replacement of the classical Euclidean phase space by Hilbert space in the quantum case, with the attendant all-important phenomenon of quantum incompatibility. Two fundamental theorems of Hilbert space, the Kochen–Specker–Bell theorem and Gleason’s theorem, then lead inevitably to the well-known Born probability rule. For both classical and quantum mechanics, questions of physical implementation and experimental verification of the predictions of the theories are the domain of the macroscopic theory, which is argued to be a special case or application of the more general microscopic theory. (shrink)

This is another volume in the continuing series published under the auspices of Tulane University. It contains eight articles. Ramona Cormier’s article "The Concept of Isolation in Contemporary Aesthetic Theory" uses the term isolation in accordance with Langer’s definition. In order to develop her point Cormier distinguishes between the historicity of an art work and the historiography of the work. On the basis of this she discusses briefly the attitudes of Jerome Schiller, Clive Bell, T. S. Eliot, Jerome Stolnitz, (...) Roger Fry, George Dickie. Shannon DuBose remarks in "Poesis and Cosmos" that "... views advanced [on art] in The Republic loom larger than need be in discussion of Plato’s theory of art; they should be balanced with suggestions advanced in other dialogues, particularly The Timaeus." One cannot agree more with this need for balance. Professor Feibleman’s article "The Art of the Philosophy of Art" is not so much a discussion of the philosophy of art as it is a discussion of the artist, the role of art in society, the relation of art to other areas of a culture in which art specifically exists. John Glenn, Jr. has written on "Kierkegaard on the Unity of Comedy and Tragedy." I do not agree with all his interpretations of Kierkegaard but his article is interesting. Harold N. Lee in "Action, Perception and Art" rethinks a position he held in the original edition of his Perception and Aesthetic Value. He now holds that "... the two views of the nature of art can be shown to be essentially related and not only externally so...." Marian L. Paulson writes an article, "Structures in Art Media," where she suggests that perhaps the problem of structural relations among art media may find a solution if one takes account of the Jungian notion of the racial unconscious, especially in the resolution of the tensions between anima and animus and between the shadow and transcendence. The article "Truth in Art" by Louise N. Roberts discusses one of the many ways in which the expression "truth in art" may be considered. The author in this case shows how paintings may present a truth in a way quite different from verbal statements. The book concludes with John Sallis’ commentary on Nietzsche’s The Birth of Tragedy.—P. N. (shrink)

It is shown that the 33 complex rays in three dimensions used by Penrose to prove the Bell-Kochen-Specker theorem have the same orthogonality relations as the 33 real rays of Peres, and therefore provide an isomorphic proof of the theorem. It is further shown that the Peres and Penrose rays are just two members of a continuous three-parameter family of unitarily inequivalent rays that prove the theorem.