This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be (...) preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

This report explores the relationship between philosophy and medicine in the U.K. We note that medical training involves very little formal instruction in philosophy and ethics, and that, with few exceptions, philosophers in the U.K. do not contribute to the instruction of physicians or the philosophy of medicine. However, reviewing the problems arising out of recent developments within scientific medicine we find a pressing need for future philosophical analysis in the following areas: psychiatry, organ transplantation, abortion, euthanasia, experiments on living (...) subjects, consent, confidentiality, the relationship between medicine and political authority, and the provisions for social justice in medicine. (shrink)

Transdisciplinary research knits together knowledge from diverse epistemic communities in addressing social-environmental challenges, such as biodiversity loss, climate crises, food insecurity, and public health. This paper reflects on the roles of philosophy of science in transdisciplinary research while focusing on Indigenous and other subaltern forms of knowledge. We offer a critical assessment of demarcationist approaches in philosophy of science and outline a constructive alternative of transdisciplinary philosophy of science. While a demarcationist focus obscures the complex relations between epistemic communities, transdisciplinary (...) philosophy of science provides resources for meeting epistemic and political challenges of collaborative knowledge production. (shrink)

From an ethical point of view, shared decision-making is preferable to either physician paternalism or patient sovereignty. The traditional model of doctor-patient communication is too directive and too unconcerned with the patient's values to support truly shared decision-making. The traditional distinction between rhetoric and sophistic can provide the basis for a new model of mutual persuasion that does not limit communication to information, and that avoids the spectre of manipulation.

The stream of literary production from the Marxological industry apparently has no end or diminution. It is a stream with a variety of currents fed from Marx’s voluminous and varied writings. A unique addition to this variety is the book in hand by a professor of philosophy in Glasgow University.

As though echoing recent organizational moves among American philosophers to insure pluralism of viewpoints, Marxism and Alternatives undertakes to show the special thrust, as well as interaction and overlapping, of four different philosophies precisely designated in the subtitle. Further, the four main sections of the book consider, often in detail, major themes in other current perspectives, such as linguistic analysis and logical empiricism, as they present, with considerable uniformity, answers to essential questions on man, society, epistemology, and ontology. The common (...) pattern of exposition and the amount of interrelating indicate that the authors’ collaboration must have been very close, no mean achievement in a vocation where the practitioner is often described as “one who thinks otherwise.”. (shrink)

As though echoing recent organizational moves among American philosophers to insure pluralism of viewpoints, Marxism and Alternatives undertakes to show the special thrust, as well as interaction and overlapping, of four different philosophies precisely designated in the subtitle. Further, the four main sections of the book consider, often in detail, major themes in other current perspectives, such as linguistic analysis and logical empiricism, as they present, with considerable uniformity, answers to essential questions on man, society, epistemology, and ontology. The common (...) pattern of exposition and the amount of interrelating indicate that the authors’ collaboration must have been very close, no mean achievement in a vocation where the practitioner is often described as “one who thinks otherwise.”. (shrink)

This is a timely book in its central theme, appearing as it does in the midst of the bicentennial celebration of the U. S. Constitution and also a time of spirited controversy over the substance of the Constitution in relation to the Supreme Court and the Executive. It is also a philosophical book of more permanent interest in its careful elucidation of meanings as it closely documents supporting grounds and arguments in a clear, pointed style without the preachy rhetoric of (...) politicians, ecclesiastics, and even Supreme Court decisions. In motivation and achievement the book reflects its author’s membership on the national board of the American Civil Liberties Union chairing its Church-State Committee, his work as Professor of Social Ethics at St. Paul School of Theology, and his previous publications on education and the politics of liberation. (shrink)

Surgical devices are often marketed before there is good evidence of their safety and effectiveness. Our paper discusses the ethical issues associated with the early marketing and use of new surgical devices from the perspectives of the six groups most concerned. Health Canada, which is responsible for licensing new surgical devices, should amend their requirements to include rigorous clinical trials that provide data on effectiveness and safety for each new product before it is marketed. Industry should comply with all Health (...) Canada requirements to obtain licenses for new products. Until Health Canada requires effectiveness and safety data, industry should cooperate with physicians in appropriate studies before releasing new products and should make balanced presentations of all the available evidence. Surgeons should, before using a new surgical device, assess the evidence on its effectiveness and safety and ensure they are properly trained and competent in using the device. Surgeons should provide their patients with an evaluation of the available evidence and inform them about possible complications and the surgeon's level of experience with the new device. Patients, who should be given an honest evaluation of the available evidence, possible complications, and the surgeon's experience, should be encouraged to evaluate the evidence and information to their own satisfaction to ensure that fully informed consent is given. Health institutions, responsible for regulating practice within their walls, should review new devices for safety, effectiveness, and economic impacts, before allowing their use. They should also limit the use of new surgical devices to surgeons trained and competent in the new technology. Professional societies should provide guidance on the early adoption of new surgical devices and technologies. We urge all those involved in the development, licensing, and use of new surgical devices to aim for higher ethical standards to protect the health and safety of patients requiring surgery. The lowest acceptable ethical standard would require device manufacturers to provide surgeons with accurate and timely information on the efficacy and safety of their products, allowing surgeons and patients to evaluate the evidence (and the significance of information not yet available) before surgery. (shrink)

The continuum function αmaps to2α on regular cardinals is known to have great freedom. Let us say that F is an Easton function iff for regular cardinals α and β, image and α<β→F≤F. The classic example of an Easton function is the continuum function αmaps to2α on regular cardinals. If GCH holds then any Easton function is the continuum function on regular cardinals of some cofinality-preserving extension V[G]; we say that F is realised in V[G]. However if (...) we also wish to preserve measurable cardinals, new restrictions must be put on F. We say that κ is F-hypermeasurable iff there is an elementary embedding j:V→M with critical point κ such that H)Vsubset of or equal toM; j will be called a witnessing embedding. We will show that if GCH holds then for any Easton function F there is a cofinality-preserving generic extension V[G] such that if κ, closed under F, is F-hypermeasurable in V and there is a witnessing embedding j such that j≥F, then κ will remain measurable in V[G]. (shrink)

The equiconsistency of a measurable cardinal with Mitchell order o=κ++ with a measurable cardinal such that 2κ=κ++ follows from the results by W. Mitchell [13] and M. Gitik [7]. These results were later generalized to measurable cardinals with 2κ larger than κ++ .In Friedman and Honzik [5], we formulated and proved Eastonʼs theorem [4] in a large cardinal setting, using slightly stronger hypotheses than the lower bounds identified by Mitchell and Gitik , for a suitable μ, instead of the cardinals (...) with the appropriate Mitchell order).In this paper, we use a new idea which allows us to carry out the constructions in Friedman and Honzik [5] from the optimal hypotheses. It follows that the lower bounds identified by Mitchell and Gitik are optimal also with regard to the general behavior of the continuum function on regulars in the context of measurable cardinals. (shrink)

An Easton function is a monotone function C from infinite regular cardinals to cardinals such that C has cofinality greater than α for each infinite regular cardinal α. Easton showed that assuming GCH, if C is a definable Easton function then in some cofinality-preserving extension, C=2α for all infinite regular cardinals α. Using “generic modification”, we show that over the ground model L, models witnessing Easton’s theorem can be obtained as inner models of L[0#], for (...) class='Hi'>Easton functions which are L-definable with parameters at most . And using a gap 1 morass, we obtain an inner model of L[0#] with the same cofinalities as L in which is a strong limit cardinal and equals. (shrink)

Relative to a hyperstrong cardinal, it is consistent that measure one covering fails relative to HOD. In fact it is consistent that there is a superstrong cardinal and for every regular cardinal κ, κ + is greater than κ + of HOD. The proof uses a very general lemma showing that homogeneity is preserved through certain reverse Easton iterations.

There are two standard ways to establish consistency in set theory. One is to prove consistency using inner models, in the way that Gödel proved the consistency of GCH using the inner model L. The other is to prove consistency using outer models, in the way that Cohen proved the consistency of the negation of CH by enlarging L to a forcing extension L[G].But we can demand more from the outer model method, and we illustrate this by examining Easton's (...) strengthening of Cohen's result:Theorem 1. There is a forcing extensionL[G] of L in which GCH fails at every regular cardinal.Assume that the universe V of all sets is rich in the sense that it contains inner models with large cardinals. Then what is the relationship between Easton's model L[G] and V? In particular, are these models compatible, in the sense that they are inner models of a common third model? If not, then the failure of GCH at every regular cardinal is consistent only in a weak sense, as it can only hold in universes which are incompatible with the universe of all sets. Ideally, we would like L[G] to not only be compatible with V, but to be an inner model of V.We say that a statement is internally consistent iff it holds in some inner model, under the assumption that there are innermodels with large cardinals. (shrink)

An important technique in large cardinal set theory is that of extending an elementary embedding j: M → N between inner models to an elementary embedding j*: M[G] → N[G*] between generic extensions of them. This technique is crucial both in the study of large cardinal preservation and of internal consistency. In easy cases, such as when forcing to make the GCH hold while preserving a measurable cardinal (via a reverse Easton iteration of α-Cohen forcing for successor cardinals α), (...) the generic G* is simply generated by the image of G. But in difficult cases, such as in Woodin's proof that a hypermeasurable is sufficient to obtain a failure of the GCH at a measurable, a preliminary version of G* must be constructed (possibly in a further generic extension of M[G]) and then modified to provide the required G*. In this article we use perfect trees to reduce some difficult cases to easy ones, using fusion as a substitute for distributivity. We apply our technique to provide a new proof of Woodin's theorem as well as the new result that global domination at inaccessibles (the statement that d (κ) is less than 2κ for inaccessible κ, where d (κ) is the dominating number at κ) is internally consistent, given the existence of 0#. (shrink)

The Gap Forcing Theorem, a key contribution of this paper, implies essentially that after any reverse Easton iteration of closed forcing, such as the Laver preparation, every supercompactness measure on a supercompact cardinal extends a measure from the ground model. Thus, such forcing can create no new supercompact cardinals, and, if the GCH holds, neither can it increase the degree of supercompactness of any cardinal; in particular, it can create no new measurable cardinals. In a crescendo of what I (...) call exact preservation theorems, I use this new technology to perform a kind of partial Laver preparation, and thereby finely control the class of posets which preserve a supercompact cardinal. Eventually, I prove the ‘As You Like It’ Theorem, which asserts that the class of κ -directed closed posets which preserve a supercompact cardinal κ can be made by forcing to conform with any pre-selected local definition which respects the equivalence of forcing. Along the way I separate completely the levels of the superdestructibility hierarchy, and, in an epilogue, prove that the notions of fragility and superdestructibility are orthogonal — all four combinations are possible. (shrink)

We present a new partial order for directly forcing morasses to exist that enjoys a significant homogeneity property. We then use this forcing in a reverse Easton iteration to obtain an extension universe with morasses at every regular uncountable cardinal, while preserving all n-superstrong , hyperstrong and 1-extendible cardinals. In the latter case, a preliminary forcing to make the GCH hold is required. Our forcing yields morasses that satisfy an extra property related to the homogeneity of the partial order; (...) we refer to them as mangroves and prove that their existence is equivalent to the existence of morasses. Finally, we exhibit a partial order that forces universal morasses to exist at every regular uncountable cardinal, and use this to show that universal morasses are consistent with n-superstrong, hyperstrong, and 1-extendible cardinals. This all contributes to the second author’s outer model programme, the aim of which is to show that L-like principles can hold in outer models which nevertheless contain large cardinals. (shrink)