Empirical ethics research is increasingly valued in bioethics and healthcare more generally, but there remain as yet under-researched areas such as pharmacy, despite the increasingly visible attempts by the profession to embrace additional roles beyond the supply of medicines. A descriptive and critical review of the extant empirical pharmacy ethics literature is provided here. A chronological change from quantitative to qualitative approaches is highlighted in this review, as well as differing theoretical approaches such as cognitive moral development and the four (...) principles of biomedical ethics. Research with pharmacy student cohorts is common, as is representation from American pharmacists. Many examples of ethical problems are identified, as well as commercial and legal influences on ethical understanding and decision making. In this paper, it is argued that as pharmacy seeks to develop additional roles with concomitant ethical responsibilities, a new prescription is needed for empirical ethics research in pharmacy—one that embraces an agenda of systematic research using a plurality of methodological and theoretical approaches to better explore this under-researched discipline. (shrink)

Do UK community pharmacists encounter the high drama dilemmas of the medical ethics literature or is a 'morality of the mundane' more appropriate? This paper presents the findings of a qualitative study that asked a sample of UK pharmacists to describe their ethical issues and to establish whether these were ethical dilemmas as understood philosophically or ethical problems of a more legal or emotional nature. It emerged that although many pharmacists referred to 'dilemmas', these were often problems involving a conflict (...) between an ethical value and a legal or procedural issue and often arose in the routine minutiae of dispensing prescriptions and selling medicines. Such ethical problems remained of concern for pharmacists and the commercial environment, corporate pharmacy ownership and pharmacists' subordination to doctors, all precipitated ethical problems. Law and ethics appeared to be understood synonymously but this may reflect a modernity that increasingly brackets out ethical experiences by encouraging reliance upon law and procedure. (shrink)

Background: Increasing interest in empirical ethics has enhanced understanding of healthcare professionals’ ethical problems and attendant decision-making. A four-stage decision-making model involving ethical attention, reasoning, intention and action offers further insights into how more than reasoning alone may contribute to decision-making.Aims: To explore how the four-stage model can increase understanding of decision-making in healthcare and describe the decision-making of an under-researched professional group.Methods: 23 purposively sampled UK community pharmacists were asked, in semi-structured interviews, to describe ethical problems in their work (...) and how they were resolved. Framework analysis of transcribed interviews utilised the four decision-making stages, together with constant comparative methods and deviant-case analysis.Results: Pharmacists were often inattentive and constructed problems in legal terms. Ethical reasoning was limited, but examples of appeals to consequences, the golden rule, religious faith and common-sense experience emerged. Ethical intention was compromised by frequent concern about legal prosecution. Ethical inaction was common, typified by pharmacists’ failure to report healthcare professionals’ bad practices, and ethical passivity emerged to describe these negative examples of the four decision-making stages. Pharmacists occasionally described more ethically active decision-making, but this often involved ethical uncertainty.Discussion: The four decision-making stages are a useful tool in considering how healthcare professionals try to resolve ethical problems in practice. They reveal processes often ignored in normative theories, and their recognition and the emergence of ethical passivity indicates the complexity of decision-making in practice. Ethical passivity may be deleterious to patients’ welfare, and concerns emerge about improving pharmacists’ ethical training and promoting ethical awareness and responsibility. (shrink)

Dismissing criticisms that Leonard Peikoff's book, The DIM Hypothesis, is unscientific, deterministic, or rationalistic, this essay focuses on problems with the logical framework of Peikoff's study of Western culture. In particular, Peikoff has conflated two different kinds of rationalists and empiricists and has completely overlooked combinations of the Platonist and so-called “Kantian” modes. As a result, his three pure integration “modes” actually produce not just two “mixtures” but a total of six. Furthermore, without absolving Kant of very serious philosophical errors, (...) the author marshals evidence that the real culprit responsible for the culturally disastrous “Disintegration” mode was one of Kant's predecessors. (shrink)

Розкрито сутність поняття «рейтинг». Доведено значущість рейтингової оцінки для суб’єктів фінансового ринку, зокрема для страхових компаній, потенційних страхувальників, інвесторів та кредиторів.

The author reiterates his thesis that the motivation for power lust in liberals, conservatives, and totalitarians cannot be explained by “metaphysical importance” of economic or noneconomic activity per se, but only by the metaphysical fear that voluntary action in one or both of these realms evokes in statists of whatever stripe. Rand actually made both of these arguments, but only the latter has psychological explanatory power and plausibility in terms of Rand's discussion of the benevolent and malevolent universe premises, and (...) thus is to be preferred over the former. (shrink)

THE CONCEPT OF CONSCIOUSNESS CHAPTER I THE RENAISSANCE OF LOGIC WITHIN the last two decades the scholarly world has witnessed a revival of interest in logic ...

The author discusses how Rand’s largely underdeveloped concept of the “dual-aspect objective,” first introduced in the 1960s, is vital for understanding how knowledge is grounded in reality. He defines it, then applies it to perception and introspection, and to concepts, propositions, and syllogisms. The author also defines content of awareness, carefully distinguishing it from both object and form of awareness, and applies those distinctions throughout. In addition, he discusses how truth is both dual-aspect and contextual, and he extends his discussion (...) in Part 1 of Rand’s “unit-perspective,” showing how units, too, have a dual-aspect, even on the level of syllogisms. (shrink)

In this third installment of his series on key, underappreciated ideas in Ayn Rand's epistemology, the author discusses the nature of differentiation and integration as the functional essence of consciousness and applies that insight to various cognitive and noncognitive processes of awareness, with a special emphasis on logic and illogic. He offers an extended analysis of the fallacies of “Frozen Abstraction” and “False Alternative,” as well as critiques of a long-standing Objectivist conflation of falsity and contradiction and a relatively more (...) recent Objectivist error, the fallacy of “genuine awareness.”. (shrink)

The author examines the canonical Objectivist model of free will and finds it wanting, amounting to a form of Agency—Indeterminism. Employing an Aristotelian Four Cause analysis, he explores the complementary roles of determinism and free will, as well as the conditional nature of necessity and contingency, in understanding how causality operates in the human realm. He proposes an integration of what he calls “value-determinism” and “conditional free will,” arguing that it amounts to a basic axiom of human choice and action, (...) and urges its acceptance in place of the Orthodox Objectivist view of free will. (shrink)

The author contends that the Objectivist epistemology has lacked a viable model of propositional knowledge for nearly fifty years, due to neglect of Rand's unit-perspective view of concepts. This pioneering insight, he says, not only is an essential building block of her concept theory, but also welds together the three levels of logical theory and provides the clearest X-ray picture of our multilayered conceptual knowledge. Using the unit-perspective to expand Rand's theory of concepts, the author then devises a theory of (...) the proposition, giving considerable attention to axioms and statements about nonexistent subjects. (shrink)

The author provides another metaphysical argument to bolster his thesis of the logical harmony of determinism and volition. He shows how the typical mainstream and Objectivist doctrine of “libertarian” free will commits the same logical error as the Sophist attacks on the Law of Non-Contradiction—namely, an out-of-context interpretation of, respectively, the Law of Causality and the Law of Identity as being unconditional absolutes, which they are not and cannot be.

ABSTRACT The author continues his challenge to the “official” Objectivist view of free will by addressing the implications of his value-determinism/conditional-volition model for various Objectivist moral concepts including value, sacrifice, virtue, obligation, and moral and legal responsibility and accountability. He argues that based on Rand’s definitions, the conventional understandings of sacrifice or betrayal of values, lapses in virtue, and breaches in morality need considerable reconceptualizing. The author gives special attention to Rand and Kant with regard to lying, use of force, (...) and acts of generosity, finding not nearly as much difference between them as is commonly believed. (shrink)

The author assures readers that Chris Matthew Sciabarra has met all Aristotelian requirements in full, providing not one but two definitions of “dialectics,” which, as the art of context-keeping, is indeed an essential part of Ayn Rand's philosophical method. He shows how Sciabarra's definitional process compares quite favorably in terms of timeliness, transparency, and benevolence to that of Rand and other Objectivists, and notes that Sciabarra's overriding concern, notwithstanding his obvious great respect for Rand's substantive philosophical achievements, has been to (...) identify and clarify the methods she and other thinkers have used to profound benefit. (shrink)

"Williams's masterful translation satisfies (at last!) a long-standing need. There are lots of good translations of Augustine's great work, but until now we have been forced to choose between those that strive to replicate in English something of the majesty and beauty of Augustine's Latin style and those that opt instead to convey the careful precision of his philosophical terminology and argumentation. Finally, Williams has succeeded in capturing both sides of Augustine's mind in a richly evocative, impeccably reliable, elegantly readable (...) presentation of one of the most impressive achievements in Western thought--Augustine's Confessions." --Scott MacDonald, Professor of Philosophy and Norma K. Regan Professor in Christian Studies, Cornell University. (shrink)

The author argues that Rand’s ethical theory is much closer in essence to the eudaimonist, self-perfectionist perspectives of Aristotle and the neo-Aristotelians, Douglas Den Uyl and Douglas Rasmussen, than to the “selfish,” egoistic ethics many assume to be her basic position. He discusses Rand’s anti-hedonist and pro-rational selfishness positions as corollaries of man’s life as the standard of moral value, as well as Rand’s point that treating either happiness or personal benefit as the standard of moral value is a reversal (...) of cause and effect. He also identifies the oppressive negativism in Rand’s discussion of the seven canonical Objectivist virtues. (shrink)

This bibliography constitutes the most extensive compilation of references on Nathaniel Branden yet published.

The author explains that his previous philosophical arguments for compatibilism provide a robust basis for ethical and legal responsibility. He defends entity causation, arguing that no coherent model of the universe, including human action, can be formulated that rejects entities as the nexus of identity and causality. Finally, he contends, ontological compatibilism and ethical compatibilism are both best supported by a more fundamental methodological compatibilism of philosophical and scientific approaches to seeking truth.

A psychological study of thought and language which takes an exposition of scientific linquistics as a point of departure.

The author explains how Rand was absolutely correct in saying that Aristotle “stated the formula” of the Law of Identity. He corrects long-standing faulty Thomist criticisms on this issue and gives due credit to thinkers such as Antonius Andreas, Leibniz, and William Hamilton. The author further contends that the gradual shift in Objectivist usage of the Law of Identity tacitly ratifies these erroneous criticisms and has actually contributed to the failure of Objectivist thinkers to develop Rand's concept theory into a (...) valid model of propositions and syllogisms. (shrink)

This book offers a critical introduction to the work of American philosopher D. G. Leahy (1937-2014). Leahy's fundamental thinking can be characterized as an absolute creativity in which all creating is 'live' -- a happening occurring now that manifests a supersaturated polyontological actuality that is essentially created by the logic that characterizes it. Leahy leaves behind the categorial presuppositions of modern thought, eclipsing both Cartesian and Hegelian subjectivities and introducing instead an essentially new form of thinking founded in a nondual (...) logic of creation. The new thinking delineates the absolute unicity of existence as a creative interactivity beyond all traditional dichotomies (such as one vs. many, unity vs. plurality, identity vs. change): a fully "digitized" actuality that is nothing but newness, which inherently implies nothing but change. Through this new form of thinking, change itself is revealed to be the very essence of reality and mind. Any reader looking for a quantum leap beyond the thrall of modern and postmodern fixations is invited to hear and apprehend this new thinking that refuses to be conditioned by paradigms, categories, species, genera, walls, bridges, boundaries, or abstractions: an essentially free thinking that embodies creative novelty itself. (shrink)

This is an expanded, annotated bibliography of the work of the late Barbara Branden, who was Ayn Rand's first biographer, and who made many contributions to the early Objectivist literature.

The author compares two very different guides to Atlas Shrugged. The first, by Curry and Trifiletti, is a more straightforward though thoughtful examination, in sequence, of the novel's thirty chapters, while the second, by Tracinski, is a collection of mostly freestanding, insightful, and inspirational essays. Special focus is given to the treatment in each book of the length and literary merit of Galt's speech.

R.I.G Hughes offers the first detailed and accessible analysis of the Hilbert-space models used in quantum theory and explains why they are so successful.

The author endeavors to show how dialectical methods can reveal and clarify Ayn Rand’s philosophy from the two vital perspectives of the lives of individual human beings in relation to the world and in relation to other people and the social institutions under which they live. In so doing, he applies Chris Matthew Sciabarra’s Tri-Level Analysis model of social relations (derived from Rand’s social commentaries) and relates Rand’s metaphysical value-judgments to the cardinal values and virtues of her ethics.

ABSTRACT The author disagrees with Aaron Weinacht’s contention that Ayn Rand brought nihilism to America. Rand wrote about issues that concerned nihilist thinkers such as Nikolai Chernyshevskii, but she reacted in a profoundly different way to those issues. The differences are not merely political–insofar as the nihilists were socialist and Rand was a capitalist; they were much deeper.

The author reprises his review of The DIM Hypothesis by arguing for an expansion and revision of Leonard Peikoff's model to include not three, but four primary positions regarding integration : Integration, Disintegration, Abstract Misintegration, and Concrete Misintegration—and to include not just two mixtures of those primary positions, but twelve. He offers it as a work in progress and a remedy to the over-restrictiveness and resulting misrepresentations of various philosophers by Peikoff's version of the model.

ROGER E. BISSELL points out scholarly and ahistorical lapses in Kamhi and Torres's Journal of Ayn Rand Studies essay, "Critical Neglect of Ayn Rand's Theory of Art" . He argues that they have misrepresented and neglected the views of others, and have inaccurately depicted the extent to which his own essays liken and contrast music with the other arts. Bissell criticizes their failure to acknowledge Rand's "microcosm" view of art as "re-creation of reality," which is fundamentally at odds (...) with the Kamhi-Torres perspective. (shrink)

This trailblazing book provides a comprehensive view of the ethical issues that cut across the addiction field, from Employee Assistance Programs to treatment and aftercare. By addressing probing questions that illuminate today's complex ethical landscape, LeClair Bissell and James Royce explore how standard guidelines for professional conduct benefit counselors and clients alike.

These essays explore ways that liberty can be better defended using a dialectical approach. In addition to libertarian theory and dialectics, some of the areas examined include evolutionary biology, psychology, economics, and sociology of the family and of American popular songs, social justice, and political change.

In this first paperback edition, a new introduction by Tom Burke establishes the ongoing importance of Sleeper's analysis of the integrity of Dewey's work and ...