In this first volume of original essays on rhetorical criticism to appear in many years, the authors stress active engagement in the critical process. Bearing in mind the complaint frequently leveled at rhetorical criticism—that method as method has taken precedence over understanding and appreciation—the editors encouraged innovation, and the contributors responded by moving beyond the merely theoretical to explore implications through implied criticism, participating in the activity rather than merely talking about it. Consequently, these essays avoid further lamentation over the (...) current state of the art and concentrate instead on constructive presentations. Not only do the essays add significantly to knowledge about rhetorical criticism, but they also serve liberal education by helping to bring understanding, discrimination, and appreciation to the entire process of human communication. (shrink)

The current work builds a definition of irritability from both academic definitions and lay perspectives. In Study 1, a quantitative content analysis of academic definitions resulted in eight main content categories. In Study 2, a community sample of 39 adults participated in qualitative interviews. A deductive thematic analysis resulted in two main themes. The first main theme dealt with how participants positioned irritability in relation to other negative states. The second dealt with how participants constructed irritability as both a loss (...) of control and as an experience that should be controlled. The discussion integrates the findings of both studies and provides a concise, but comprehensive definition. (shrink)

The case of Twin B involves the decision to send a newborn to a less intensive Level 2 special care nursery (SCN) than to the Level 3 neonatal intensive care unit (NICU) that is considered optimal by the physician. The physician’s acceptance of the transfer is against the child’s best interest and is due to parental convenience. In analyzing the case, we reject the best interest standard. Our rejection is partly supported by the views of Douglas Diekema, John Hardwig, and (...) Lannie Ross. Instead of the best interest standard, we offer and defend an approach we base on a microeconomic analysis of externalities, such as those involved with automobile emissions. This extends our previously presented general microeconomic approach to patient decision-making. It provides a clearer way to evaluate situations, like those of Twin B, in which burdens faced by family members may be used to determine the appropriate level of treatment for a decisionally incapable patient. (shrink)

Presenting significant new research on the moral and religious philosophy of David Hume, this volume illustrates the importance of intellectual context in understanding the work and career of one of the most important thinkers of the eighteenth century. Distinctive in its reappraisal of the influence of John Locke, Francis Hutcheson, and others, it examines how Hume reacted to, and in turn affected, other thinkers whose views, like his own, were bound up with specific philosophical, theological, and scientific traditions and commitments. (...) This volume also publishes for the first time in facsimile form the newly discovered fragment on evil. (shrink)

Researchers designing a clinical trial may be aware of disputed evidence of serious risks from previous studies. These researchers must decide whether and how to describe these risks in their model informed consent document. They have an ethical obligation to provide fully informed consent, but does this obligation include notice of controversial evidence? With ACCORD as an example, we describe a framework and criteria that make clear the conditions requiring inclusion of important controversial risks. The ACCORD model consent document did (...) not include notice of prior trials with excess death. We develop and explain a new standard labeled risk in equipoise. We argue that our approach provides an optimal level of integrity to protect the informational needs of the reasonable volunteers who agree to participate in clinical trials. We suggest language to be used in a model consent document and the informed consent discussion when such controversial evidence exists. (shrink)

The paper attempts to provide a basis for exploring the continued relevance of Catholic social teaching to business ethics, byinterpreting the historic development of a Catholic work ethic and the traditions of Catholic social teaching in light of contemporary discussions of economic globalization, notably those of Robert Reich and Peter Drucker. The paper argues that the Catholic work ethic and the Church’s tradition of social teaching has evolved dynamically in response to the structural changes involved in the history of modern (...) economic development, and thus is well poised to speak to the ethical challenges implicit in the advent of a knowledge-based society. In order to test this thesis, the author sketches an approach to the ethical challenge of corporate downsizing that he believes illustrates the continued relevance of Catholic social teaching to business ethics. (shrink)

Volume 19, Issue 11, November 2019, Page 78-80.

Patient autonomy, as exercised in the informed consent process, is a central concern in bioethics. The typical bioethicist's analysis of autonomy centers on decisional capacity—finding the line between autonomy and its absence. This approach leaves unexplored the structure of reasoning behind patient treatment decisions. To counter that approach, we present a microeconomic theory of patient decision-making regarding the acceptable level of medical treatment from the patient's perspective. We show that a rational patient's desired treatment level typically departs from the level (...) yielding an absence of symptoms, the level we call ideal. This microeconomic theory demonstrates why patients have good reason not to pursue treatment to the point of absence of physical symptoms. We defend our view against possible objections that it is unrealistic and that it fails to adequately consider harm a patient may suffer by curtailing treatment. Our analysis is fruitful in various ways. It shows why decisions often considered unreasonable might be fully reasonable. It offers a theoretical account of how physician misinformation may adversely affect a patient's decision. It shows how billing costs influence patient decision-making. It indicates that health care professionals' beliefs about the ‘unreasonable’ attitudes of patients might often be wrong. It provides a better understanding of patient rationality that should help to ensure fuller information as well as increased respect for patient decision-making. (shrink)

Patient noncompliance with physician prescriptions, especially in nonsymptomatic chronic diseases, is frequently characterized in the literature as harmful and economically costly (Miller 1997).1 Nancy Houston Miller views patient noncompliance as harmful because noncompliance can result in continued or new health problems leading to hospital admissions. Further, she places the annual monetary cost of noncompliance at $100 billion.Patient noncompliance with prescribed treatment is considered the least understood form of health behavior (Coons 2001). Despite the plethora of attention in journal articles, the (...) issue of noncompliance remains unresolved even in terms of understanding the main correlates to .. (shrink)

There are a limited number of neuroimaging investigations into motor control of the lumbopelvic musculature. Most investigation examining motor control of the lumbopelvic musculature utilize transcranial magnetic stimulation and focus primarily on the motor cortex. This has resulted in a dearth of knowledge as it relates to how other regions of the brain activate during lumbopelvic movement. Additionally, task-based functional connectivity during lumbopelvic movements has not been well elucidated. Therefore, we used functional magnetic resonance imaging to examine brain activation and (...) ROI-to-ROI task-based functional connectivity in 19 healthy individuals during the performance of three lumbopelvic movements: modified bilateral bridge, left unilateral bridge, and right unilateral bridge. The whole brain analysis found robust, bilateral activation within the motor regions of the brain during the bilateral bridge task, and contralateral activation of the motor regions during unilateral bridging tasks. Furthermore, the ROI-to-ROI analysis demonstrated significant connectivity of a motor network that included the supplemental motor area, bilateral precentral gyrus, and bilateral cerebellum regardless of the motor task performed. These data suggest that while whole brain activation reveals unique patterns of activation across the three tasks, functional connectivity is very similar. As motor control of the lumbopelvic area is of high interest to those studying low back pain, this study can provide a comparison for future research into potential connectivity changes that occur in individuals with LBP. (shrink)

This study examines whether scenic beauty judgments based upon photographs of landscapes are similar to scenic beauty judgments based upon on-site experiences of landscapes. Two concerns are emphasized: a concern about the threat to the ecological validity of photo-based assessments caused by differences between on-site and photo-based contexts and a concern that the individual rater, rather than the group average, is the more appropriate unit of analysis for tests of validity of photo-based assessments. On-site scenic beauty assessments were collected from (...) day hikers. These data were compared to photo-based scenic beauty assessments collected from the same persons three months and nine months after their on-site experience. Approximately 38% of participants had insignificant correlations between their on-site and photo-based scenic beauty ratings. These and other results suggest that the validity of photo-based scenic beauty assessments is in doubt, at least for the situation studied here. Moreover, the results suggest that the difference between persons' on-site and photo-based ratings can be explained, in part, by contextual factors such as the mood, meaning, and novelty that differentiate photo-based from on-site landscape experiences. Group averaged on-site and photo-based assessments, however, were very similar, suggesting caution may be in order for studies interpreting summary measures. (shrink)

Suffering, alongside the feeling of sanctity of life, pervades human experience, generating primal anxiety, which humans learn to shore up with social solidarity and with the practice of communication in religious rituals. The roots of social belonging spring from the primordial sentiments toward ethnicity, race, language, religion, customs and traditions, and region. Self–identity, mediated by mental formations derived from social relations, is composed of thinking and values. Daily experience reveals that cultural differences produce blind spots in thinking and barriers in (...) values—‐governing areas of activity, social relations, the world, and identity of being—‐that impedes cross—‐cultural understanding. (shrink)

With a vast majority of the land in the Driftless Region of the Midwestern United States dedicated to agricultural production, the future of farming has significant economic, social, recreational, agricultural, and ecological implications. An important literature stream has developed on ways agriculture can change to impact both human and ecological communities positively. In this study, we examine the processes and extent to which community narratives assert and inform regional identities that shape the meaning of being a good farmer. Using a (...) mixed methods approach, we examine what farmers consider good farming and how they utilize community narratives to assert their perspective of good farming. Employing a correlational analysis, we examined the relative importance of the four dimensions of good farming (productivist, conservationist, civic-minded, and naturalist). In addition, we used narrative analysis to explore the development of community narratives that assert a multi-dimensional view of good farming. Data for this study was collected through 21 semi-structured interviews with farmers, two focus groups of farmers, and a survey of farmers with 82 survey participants. The mean scores for conservationist, civic-minded, and naturalist dimensions were significantly higher than those for productivists. There was no significant correlation between the productivists dimension and the three other dimensions of good farming. Through analysis of transcripts, we identified a community narrative that actively problematized a dominant cultural narrative centered on production agriculture. Collectively, a community narrative is emerging in the Driftless Region that sought to normalize agricultural practices that promote profitable farms, vibrant communities, and a wide array of ecosystem services. (shrink)

AbstractAgroecosystems in the Midwestern United States are undergoing changes that pressure farmers to adapt their farming practices. Because farmers decide what practices to implement on their land, there are needs to understand how they adapt to competing demands of changes in global markets, technology, farm sizes, and decreasing rural populations. Increased understanding of farmer decision-making can also inform agricultural policy in ways that encourage farmer adoption of sustainable practices. In this research we adopt a grounded view of farmers by interpreting (...) their decision-making through their stories of everyday life. We use a narrative analysis to identify recurrent themes that characterize farmer decisions as active negotiations between the demands of efficiency in maximizing crop yields with a desire to steward land through past, present, and future generations. Together these narratives portray farmer decisions as a place-making process that seeks compatibility among distinct aspirations for their land. (shrink)

The problem of easy knowledge arises for theories that have what I call a “basic knowledge structure”. S has basic knowledge of P just in case S knows P prior to knowing that the cognitive source of S's knowing P is reliable.1 Our knowledge has a basic knowledge structure (BKS) just in case we have basic knowledge and we come to know our faculties are reliable on the basis of our basic knowledge. The problem I raised in “Basic Knowledge and (...) the Problem of Easy Knowledge”2 (BKEK) is that once we allow for basic knowledge, we can come to know our faculties are reliable in ways that intuitively are too easy. This raises a serious doubt about whether we had the basic knowledge in the first place. In “Easy Knowledge”, Peter Markie argues that BKS theories do not face any problem concerning easy knowledge.3 I argued that the problem arises in two forms, and Markie takes issue with both. I will argue that Markie's defense of BKS theories fails. (shrink)

DBS Think Tank IX was held on August 25–27, 2021 in Orlando FL with US based participants largely in person and overseas participants joining by video conferencing technology. The DBS Think Tank was founded in 2012 and provides an open platform where clinicians, engineers and researchers can freely discuss current and emerging deep brain stimulation technologies as well as the logistical and ethical issues facing the field. The consensus among the DBS Think Tank IX speakers was that DBS expanded in (...) its scope and has been applied to multiple brain disorders in an effort to modulate neural circuitry. After collectively sharing our experiences, it was estimated that globally more than 230,000 DBS devices have been implanted for neurological and neuropsychiatric disorders. As such, this year’s meeting was focused on advances in the following areas: neuromodulation in Europe, Asia and Australia; cutting-edge technologies, neuroethics, interventional psychiatry, adaptive DBS, neuromodulation for pain, network neuromodulation for epilepsy and neuromodulation for traumatic brain injury. (shrink)