As a whole these essays take their cue from the later Wittgenstein in an effort to get beyond the verifiability/falsifiability cul-de-sac and to "get clear" on some religious concepts by exploring religious language at work. The opening two essays, by E. Heller and P. Holmer, are the only two that deal directly with Wittgenstein. Heller shows some interesting parallels between Wittgenstein and Nietzsche, but largely these essays are for introductory purposes. Although Wittgenstein's presence is felt in the remaining essays, his (...) name is seldom mentioned. Ian Ramsey has two contributions, one on paradox and one on religion and science. He is up to his usual method of making plausible suggestions by means of careful distinctions, always with a careful eye on the phenomenology of the religious universe of discourse. F. Ferré explores the notion of "models" as it works in science and sees how this concept can work in the examination of religious language. T. McPherson uses a distinction between literal, semiotic, and symbolic meaning to explore religious assertions and analogy. R. C. Coburn suggests that a neglected use of theological statements is to answer the limiting questions of religion in a manner that is logically complete. B. Mitchell talks about justifying religious belief in answer to MacIntyre's charge that such a project reveals a basic misunderstanding of religious discourse. There are two intriguing essays by Wm. Poteat, one of which draws an analogy between birth and suicide to build a doctrine of creation. C. B. Daly writes on metaphysics and the limits of language. Although there is same familiar wrangling over tired issues, the book does manage to collect some refreshing although not strikingly original essays.--S. O. H. (shrink)

Some members from the cast of New Essays in Philosophical Theology set the tone of this anthology, although with essays not included in that volume. The Flew-Hare-Mitchell-Crombie discussion on falsifiability is the only selection from that volume included here. Also included in the same section are Wisdom's "Gods," much of Braithwaite's Empiricist's View of the Nature of Religious Belief, and selections by Diogenes Allen and John Hick. The opening section of the book is on the logical status of religious (...) language. Besides essays by MacIntyre, McPherson, and Crombie, it contains William Christian's article on truth-claims in religion and also a clear, sympathetic account by Father Bochenski on the formal structure of religious discourse. The section of the book on the question of literalness includes selections from Ayer, Tillich, Mascall, Buber, and Bultmann. The section on the possibility of religious knowledge includes essays by Calvin O. Schrag, Paul F. Schmidt, and Kierkegaard. Santoni's introduction discusses all the essays, ties them together, and consequently gives a rationale for their inclusion. On the whole, the anthology is thorough, unified, and, in spite of its restricted and well-worn theme, remarkably nonrepetative.--S. O. H. (shrink)

If there is no inner model with a cardinal κ such that o(κ) = κ ++ then the set K ∩ H ω 1 is definable over H ω 1 by a Δ 4 formula, and the set $\{J_\alpha[\mathscr{U}]: \alpha of countable initial segments of the core model K = L[U] is definable over H ω 1 by a Π 3 formula. We show that if there is an inner model with infinitely many measurable cardinals then there is a model (...) in which $\{J_\alpha [\mathscr{U}]: \alpha is not definable by any Σ 3 formula, and K ∩ H ω 1 is not definable by any boolean combination of Σ 3 formulas. (shrink)

If there is no inner model with a cardinal $\kappa$ such that $o = \kappa^{++}$ then the set $K \cap H_{\omega_1}$ is definable over H$_{\omega_1}$ by a $\Delta_4$ formula, and the set $\{J_\alpha[\mathscr{U}] : \alpha < \omega_1\}$ of countable initial segments of the core model $K = L[\mathscr{U}]$ is definable over $H_{\omega_1}$ by a $\Pi_3$ formula. We show that if there is an inner model with infinitely many measurable cardinals then there is a model in which $\{J_\alpha [\mathscr{U}] : \alpha (...) < \omega_1\}$ is not definable by any $\Sigma_3$ formula, and $K \cap H_{\omega_1}$ is not definable by any boolean combination of $\Sigma_3$ formulas. (shrink)

Ethical reasoning and decision-making may be thought of as 'professional skills', and in this sense are as relevant to efficient clinical practice as the biomedical and clinical sciences are to the diagnosis of a patient's problem. Despite this, however, undergraduate medical programmes in ethics tend to focus on the teaching of bioethical theories, concepts and/or prominent ethical issues such as IVF and euthanasia, rather than the use of such ethics knowledge (theories, principles, concepts, rules) to clinical practice. Not surprisingly, many (...) students and clinicians experience considerable difficulty in using what they know about ethics to help them make competent ethical decisions in their day-to-day clinical practice. This paper describes the development of a seminar programme for teaching senior medical students a more systematic approach to ethical reasoning and analysis and clinical decision-making. (shrink)

Ethical reasoning and decision-making may be thought of as 9professional skills9, and in this sense are as relevant to efficient clinical practice as the biomedical and clinical sciences are to the diagnosis of a patient9s problem. Despite this, however, undergraduate medical programmes in ethics tend to focus on the teaching of bioethical theories, concepts and/or prominent ethical issues such as IVF and euthanasia, rather than the use of such ethics knowledge (theories, principles, concepts, rules) to clinical practice. Not surprisingly, many (...) students and clinicians experience considerable difficulty in using what they know about ethics to help them make competent ethical decisions in their day-to-day clinical practice. This paper describes the development of a seminar programme for teaching senior medical students a more systematic approach to ethical reasoning and analysis and clinical decision-making. (shrink)

At 2.00 am on the morning of May 24, 1995 the Northern Territory Legislative Assembly Australia passed the Rights of the Terminally Ill Act by the narrow margin of 15 votes to 10. The act permits a terminally ill patient of sound mind and over the age of 18 years, and who is either in pain or suffering, or distress, to request a medical practitioner to assist the patient to terminate his or her life. Thus, Australia can lay claim to (...) being the first country in the world to legalise voluntary active euthanasia. The Northern Territory's act has prompted Australia-wide community reaction, particularly in South Australia, Tasmania and the Australian Capital Territory where proposals to legalise euthanasia have already been defeated on the floor of parliament. In New South Wales (NSW) the AIDS Council of NSW has prepared draft euthanasia legislation to be introduced into the Upper House as a Private Member's Bill some time in 1996. In this paper, we focus on a brief description of events as they occurred and on the arguments for and against the legalisation of euthanasia which have appeared in the media. (shrink)

Recent literature has highlighted issues of racial discrimination in medicine. In order to explore the sometimes subtle influence of racial determinants in decisions about resource allocation, we present the case of a 53-year-old Australian Aboriginal woman with end-stage renal failure. The epidemiology of renal failure in the Australian Aboriginal population and amongst other indigenous peoples is discussed. We show that the use of utilitarian outcome criteria for resource allocation may embody subtle racial discrimination where consideration is not given to issues (...) of justice, race, culture and gender. It is only where the processes by which resources are allocated are transparent, clearly defined and based upon consultation with individual patients that issues and justice are likely to be adequately addressed. (shrink)