This chapter contains sections titled: Dante's Mission The Journey Begins Vestibule (Ante‐Hell): The Indecisive Neutrals Upper Hell: Sins of Unrestrained Desire (the Wolf) River Styx, Walls of the City of Dis Lower Hell: Sins of Malice Leading to Violence (the Lion) Lower Hell: Sins of Malice Leading to Fraud (the Leopard) Dante's Existential Lessons in Hell.

Heightened concern with global issues has led to shifts in corporate social responsibility (CSR) programs. To capture the distinct nature of this global focus, researchers have developed a three-generation CSR typology. In this paper, we first evaluate the usefulness of this typology for understanding corporate approaches to CSR by examining how several companies position themselves thematically in CEO introductions to sustainability reports. On the basis of this, we then evaluate the practical value of this typology for assisting those who work (...) with CSR strategy. The analysis revealed expressions of all three CSR generations, with third-generation thinking being apparent, but not dominant. It also verified that the three-generation CSR typology can be an instructive means of both evaluating as well as framing a company's approach to sustainability, though with modifications. On the basis of the identified strengths and weaknesses of the typology, we develop a practitioner-focused, three-tiered model that can strategically guide the development of CSR programs. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 23 (2003) 167-170 [Access article in PDF] Journey into Emptiness: Dogen, Merton, Jung, and the Quest for Transformation. By Robert Jingen Gunn. New York: Paulist Press, 2000. xiv + 334 pp. Written by a New York psychotherapist who also has Zen training, the thesis of this book is that the experience of emptiness is a necessary precondition to spiritual transformation. "Emptiness" is defined as "an experience of (...) being without, of not having, not having answers, not having property, not having love or power or hope" (1). "Transformation" is described as a path that leads to the realization of our rootedness in a transcendent dimension. Three paths of transformation are discussed through three case studies: Buddhism in the experience of Dogen; Christianity through the life of the Trappist monk Thomas Merton; and Depth Psychology as developed in the life experience of Carl Jung. In each case the major obstacle to be overcome is ego and ego attachments. The transformation process, argues Gunn, is often triggered by an initial experience of emptiness such as the early loss of one's mother, an experience of death, divorce, depression, illness, failure, identity confusion, or loss of community. The traditions of Buddhism, Christianity, and Depth Psychology view a person's pivotal experience of emptiness "not as something painful to be avoided, but a door, leading to a larger vision and experience of connection to all of life" (7). Response to the experience of emptiness can be by either engagement or avoidance. Refusing the path of transformation will add to one's burden of suffering whether understood as karma, sin, or neurosis. Yet this is often the contemporary choice. Afraid to move into the unknown, or to let go of ego control, we hold on to whatever is within our grasp—a house, a marriage, an idea, an identity—and avoid the challenge of realizing our true selves. Choosing to enter the Buddhist Way, to take up one's cross or to make the unconscious conscious, is to adopt transformation from an initial emptiness to a "way of life that consists in ever-expanding awareness, continual letting-go of attachments and increasing freedom and service to all of life, to being itself" (9).The author suggests that three stages in the experience of emptiness and self-transformation [End Page 167] are found in the case studies of Dogen, Merton, and Jung: (1) experienced emptiness in their own lives; (2) used that experience to embark on their own path of transformation; and (3) returned to offer their practical experience as a method for others to use. Although viewed differently by each, emptiness is primary for all, and the self that is let go of remains but is transformed. For Dogen, in emptiness we let go of everything, including self and emptiness itself. What remains is no-thing, an insubstantiality that is neither nothing nor something, but leads us back to the Self, which is everything. For Merton, letting go of everything leaves an empty self experienced as poverty, but a poverty that leads to fulfillment, which finds the true Self hidden with Christ in God—free for God, free for others, free for whatever God wills. For Jung, emptiness is the sacrifice of ego to the larger Self, which transcends individual consciousness.While the analyses of the emptiness/transformative experiences of Dogen and Merton are well done, the presentation of Jung lacks depth and completeness. The author's psychotherapist vocation seemed to artificially force the analysis—as, for example, in Gunn's attempt to show that in each case the major trigger of the emptiness experience was the early loss of the mother.I found the presentation of Dogen's Buddhist experience to be the most fully developed and convincing of the three case studies. Gunn does an excellent job of situating Dogen's experience within the context of Buddhism by presenting a well-researched and well-written summary of Buddha, Nagarjuna, and Bodhidharma; however, the contribution of the Theravada understanding is completely ignored. The presentation of Nagarjuna is especially well done, but the author... (shrink)

This Article examines the question of whether and how religion and law can work together in responding to the global challenge of population pressure, excess consumption, and environmental degradation. Part I suggests that while law can change the pattern of consumption, it is religion which has the ability to change how much we consume and how we reproduce. In the post-Cairo, post-Beijing world, female theologians and feminist nongovernmental organizations have already begun the process of changing consumption and reproduction patterns by (...) the production of new theology on population and consumption that is being picked up by grassroots movements around the world. Examples are offered from Islam, Judaism, Christianity, Buddhism, and Hinduism. In Part II, this question is asked: Does the modern liberal state in its policy and law pose an obstacle to the engagement of the world's religions in dealing with the population-consumption-ecology problematic? The Article suggests that unless a way is found of extending ethical standing beyond the autonomous individual to the collective, law does pose an obstacle to engaging the help of religion in dealing with the population-consumption-ecology problematic. (shrink)

Watersheds constitute a special case of multiple-use common pool resources (CPRs). In a textual sense, watersheds tend to be mosaics of privately owned and managed patches of land. At the same time, however, watersheds are also ecosystems in which multiple resources and people interact through an infinity of bio-physical processes. Through such interaction, new watershed-level qualities emerge that, together with other factors, condition watershed users' continued resource use and access. In this perspective, watersheds become common-pool resources. Hence, watershed users do (...) not only manage their individual plots, crops, forests, etc., knowingly or not, they manage landscape patterns and bio-physical processes that transcend their private property. In this context, drawing on experiences gained through participatory action research in a micro-watershed in the Andean hillsides of southern Colombia, this paper describes a process aimed at fostering collective watershed management. The paper illustrates the importance of platforms as a mechanism for negotiating and coordinating collective action by multiple users and discusses the issues of representation on such platforms as well as the importance of third party facilitation. (shrink)

The cognitive, psychological and sociological mechanisms underpinning complex social relationships among small groups are a part of our primate heritage. However, among human groups, relationships persist over much greater temporal and spatial scales, often in the physical absence of one or other of the individuals themselves. This chapter examines how such individual face-to-face social interactions were ‘scaled up’ during human evolution to the regional and global networks characteristic of modern societies. One recent suggestion has been that a radical change in (...) human sociality occurred with the shift to sedentary and agricultural societies in the early Neolithic. The discussion presents the results of a focused study of the long-term development of regional social networks in the Near East, using the distribution of different forms of material culture as a proxy for the social relationships that underpinned processes of trade, exchange and the dissemination of material culture practices. (shrink)

SummaryDate from the Census Fertility Reports are used to investigate social and regional variations in family size in the Republic of Ireland. Although Ireland is noted for its high level of fertility, average family size declined by approximately 10% between 1946 and 1971. There are distinct socioeconomic variations in family size in that Roman Catholic family size is greater than that of non-Catholics and the middle classes have the smallest families within each of the religious groups. There are also marked (...) regional differences in family size. In 1946, there was a clear division between the west coast counties with the largest families and the east coast conties with the smaller families. By 1961 and 1971 this pattern had become less clearly demarcated and areas with relatively large families were found in most parts of the country. It is suggested that regional variations in family size can be influenced by a variety of factors, such as differences in religious affiliation, occupation, infant mortality and the degree of selection through emigration. Of these factors, it is found that in both 1946 and 1971 variations in occupation were most strongly related to family size and it appears that economic and occupation changes within Ireland have brought about the changing regional pattern of family size. (shrink)

Watersheds constitute a special case of multiple-use common pool resources (CPRs). In a textual sense, watersheds tend to be mosaics of privately owned and managed patches of land. At the same time, however, watersheds are also ecosystems in which multiple resources and people interact through an infinity of bio-physical processes. Through such interaction, new watershed-level qualities emerge that, together with other factors, condition watershed users' continued resource use and access. In this perspective, watersheds become common-pool resources. Hence, watershed users do (...) not only manage their individual plots, crops, forests, etc., knowingly or not, they manage landscape patterns and bio-physical processes that transcend their private property. In this context, drawing on experiences gained through participatory action research in a micro-watershed in the Andean hillsides of southern Colombia, this paper describes a process aimed at fostering collective watershed management. The paper illustrates the importance of platforms as a mechanism for negotiating and coordinating collective action by multiple users and discusses the issues of representation on such platforms as well as the importance of third party facilitation. (shrink)

By drawing on testimonies gathered in rural Vietnam, this article focuses on the violence to which local inhabitants were subjected when Vietnam was under French rule. On a self-imposed ‘civilizing mission’, the control of local bodies was critical for the colonial powers and they became the subject of brutal abuse. Violence was exercised with impunity in the occupied areas and rendered ‘logic’ in accordance with western imaginations about racial superiority. While such ideas informed colonial terror in general, the differentiated registers (...) of terror implemented in regard to women and men disclose how sovereign attempts of reducing local inhabitants to bare life were designed, in addition to race, along the lines of gender and sexuality. Vietnamese testimonies from the French colonial period reveal experiences of a reality of horror which in the article is considered through the prism of four different body typologies; typologies which elucidate the symbolic, physical, and imaginary metamorphoses through which women and men in differentiated ways were being increasingly dehumanized in the encounter with the colonial power. (shrink)

Description: T.R.V. Murti was an original and leading thinker among the Indian philosophers of the twentieth century. He had a brilliant philosophical mind, a love of analysis and argument, and a respect for texts, especially the ones with which he disagreed, as seen in his most important book, The Central Philosophy of Buddhism. With both traditional Shastri training and a Western style Ph.D., Murti was able to bring both strengths to his writing and teaching. Murti knew everything by heart, all (...) the Sutra texts, the Upanisads and other philosophical classics, Panini s grammar, and Patanjali s Great Commentary and other core texts. Upon that foundation, he evaluated doctrines and ideas. Though a philosopher of the classical type, he was also alive to the latest philosophical currents of his day and effectively related the wisdom of traditional teaching to the contemporary questions. It was this last quality that made him a most sought after teacher by students from around the world. Murti spoke with such eloquence and authority that few would dare to interrupt him. He represented the best of Indian philosophical tradition to the world through his teaching at places such as Oxford, Copenhagen, Harvard, Hawaii, and McMaster University in Canada. This book offers an overview and assessment of Murti s scholarship on Buddhism in its Brahmanical context, Advaita Vedanta and Buddhism, Philosophy of Language and Philosophy of spirit. The book begins with a biography of Murti and a discussion of the philosophical influences upon him. Also included is a complete list of Murti s writings. (shrink)

Cultural rights constitute one of the most exciting new frontiers of human rights research and practice. Cultural rights are also the ultimate law and humanities topic. These are good enough reasons for making cultural rights the main focus of a book. But there are other reasons, too. Cultural rights are both transformative and empowering rights. They enable people to aspire to a better future for themselves, their families, and the society in which they live, and they play a key role (...) in realizing all other human rights. Furthermore, they provide a much-needed discourse or common forum in which we can explore, negotiate, and come to new cross-cultural understandings. All of this is supremely important today, at a time when respect for cultural diversity is a key concern worldwide, and when migration and advances in technology are increasing the level of cultural exchange but also fostering cultural clashes and incompatibilities previously masked by distance. (shrink)

This paper considers what function—if any—colocation of bodies may have in the Stoic theory of blending (κρᾶσις), by examining (1) whether colocation is part of the definition of what blending is; and (2) whether colocation is posited by the Stoics as a requirement necessary for the definition to be satisfied. I reconstruct the standard, Chrysippean definition of blending, and I show that the answer to (1) is ‘no’; further, I argue that the evidence gives no reason to affirm (2). Thus, (...) it appears that colocation does not have a central function in the Stoic theory of blending. (shrink)

According to the Stoics, ordinary unified bodies—animals, plants, and inanimate natural bodies—each have a single cause of unity and being: pneuma. Pneuma itself has no distinct cause of unity; on the contrary, it acts as a cause of unity and being for itself. In this paper, I show how pneuma is supposed to be able to unify itself and other bodies in virtue of its characteristic tensile motion (τονικὴ κίνησις). Thus, we will see how the Stoics could have hoped to (...) account for corporeal unity by positing another body (pneuma) apparently itself in need of unification. (shrink)

This article argues that language provides instructions for the interpretive work of the addressee. The result of this interpretive process is the establishment of linguistic meaning. On this assumption, the article aims at explaining how meaning is established on the basis of the category of mood in Spanish. It is often assumed that the meaning of mood in Spanish is explainable in terms of assertion vs. non-assertion. Contrary to this, we shall claim that assertion belongs to the level of subordination. (...) Instead of the assertion theory, it is suggested that mood may be explained with reference to the notion of factuality. This claim is tested by means of an analysis of mood in complementizer phrases. (shrink)

Based on a design-based research project and long-term observations of children’s play in school, this article develops the concept of play order, which points to interaction, coherence and holistic orientation as central values for the approach to play in school. Through concrete empirical analysis, the article shows how play in school is established and maintained, and how school as context interacts with play, which is often in ways that undermine the space and opportunities play is given. Based on existing research, (...) the article is critical of the tendency to accord a secondary role to play in school or to instrumentalize play as a didactic tool for learning. The article links to existing play theory, but at the same time develops the concept of play order, through an ecosystemic understanding, which makes it possible to look holistically at how play in school can be integrated and provided for. Considering that more and more pedagogues are working in schools and directly involved in teaching, and afterschool clubs are increasingly handling schooling tasks, the authors of the article argue that play is worthy of recognition in both practice and theory. (shrink)

This new volume of the SAGE Social Thinkers series, The Social Thought of Georg Simmel provides a concise introduction to the work, life, and influences of Georg Simmel. Horst J. Helle closely examines the writings and ideas of Simmel that introduced a new way of looking at culture and society and helped establish sociology’s place among the academic fields. The book focuses on the key intellectual concerns of Simmel, including the process of individualization, religion, private and family life, cities, and (...) modernization. It is ideal for use as a self-contained volume or in conjunction with other sociological theory books. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Semantic Powers: Meaning and the Means of Knowing in Classical Indian PhilosophyHarold CowardSemantic Powers: Meaning and the Means of Knowing in Classical Indian Philosophy. By Jonardon Ganeri. Oxford: Oxford University Press, 1999. Pp. x + 266.In Semantic Powers: Meaning and the Means of Knowing in Classical Indian Philosophy, Jonardon Ganeri adds to our understanding of the Nyāya philosophy of language in the modern English-speaking world. Building on Bimal (...) Matilal's introduction to Nyāya thought in Matilal's foundational Epistemology Logic and Grammar in Indian Philosophical Analysis (1971) and on Karl Potter and Sibajiban Bhattacharyya's Nyāya-Vaiśeṣika from Gangeśa to Raghunatha Siromani (1993), Ganeri's clearly written book valuably extends our knowledge of the Nyāya philosophy of language by its exposition of the seventeenth-century Nyāya philosopher Gadādhara's Saktivāda or "Essay on Semantic Power." Ganeri's exposition is based on having read the first half of the Saktivāda text with Matilal, before the latter's untimely death, and the second half with Bhattacharyya in Calcutta.In the Saktivāda, Gadādhara defends key Nyāya claims as to how language conveys meaning. In the first half of the text, the author deals with such questions as whether languages are convention-based, whether the central function of language is as an instrument of knowing, whether word meaning or sentence meaning is conceptually prior, and whether the notion of meaning is reducible to physical and/or psychological concepts. In the second half, Gadādhara looks at the semantic problems connected with particular constructions: notably proper and theoretical names, anaphors, indexicals, and the quantifiers. The English exposition of Gadādhara's text offered by Ganeri in this book covers the same topics.According to Gadādhara and the Nyāya philosophy, "the language faculty is a sui generis epistemic faculty, reducible to neither perception nor inference nor some combination of these two. The question for the Naiyāyika is: what properties must the language faculty have if it is in this way to be a source of knowledge?" (p. 15). The Nyāya approach also places an emphasis on testimony as a valid source of knowledge (pramāna), which it understands simply as the transmission by language of knowledge from the speaker to the hearer. The "Communication-intention" variable, discussed by recent thinkers such as McDowell, is not dealt with by Nyāya thinkers, who would deny that the acquisition of knowledge by testimony involves anything like the recognition of the speaker's intentions. Rather, the Nyāya thesis is "that understanding typically consists in direct, non-inferential assent, is in sharp contrast to the assumption implicit in McDowell's position: that assenting to another's utterance is never direct, but always depends on the speaker's intentions, or of the speech-act performed by the speaker" (p. 17). In supporting the Nyāya position, Ganeri appeals to Frege's theory of understanding.The basic idea in the Nyāya philosophy of language is that each of us is endowed with a language faculty, analogous to our perceptual faculty, which generates beliefs from perceived utterances. It has a meaning function. As Ganeri puts it: [End Page 419]My testimonial faculty fixes, as it were, a mapping from utterances of a given language to belief contents. The 'meaning' of a statement for me is, by definition, the belief content to which it is mapped by my testimony faculty. If I am able to understand every statement I hear, the language processing mechanism which underpins this faculty must have a certain compositional structure, and that leads to an assignment of belief-content components to subsequential elements in the language, (p. 29)This thought of Gadādhara, dating from about 1700 C.E., resonates with Chomsky's contemporary ideas of "deep structure" and, in classical Indian philosophy, with Bhartṛhari's fifth-century notion of innate-structuring ideas within consciousness (see Coward and Raja, Encyclopedia of Indian Philosophies, vol. 5). Like Bhartṛhari, Gadādhara takes the sentence to be the irreducible meaning-bearing unit of language.While Karl Potter and Sibajiban Bhattacharyya's volume 6 of The Encyclopedia... (shrink)

A comprehensive understanding of the cerebrospinal fluid system is essential for our understanding of health and disease within the central nervous system. The system of CSF refers to all components involved in CSF production, movement, and absorption. In recent years, extensive research has resulted in vastly improved understanding of the CSF system in health and disease. Yet, several aspects remain to be fully clarified, notably along the spinal cord as the preponderance of research has focused on the brain. This review (...) briefly summarizes the CSF system and its implications for CNS diseases and highlights the knowledge gaps that require further research. (shrink)

Natural language involves both speaking and listening. Recent models claim that production and comprehension share aspects of processing and are linked within individuals (Dell & Chang, 2014; MacDonald, 2013; Pickering & Garrod, 2004; 2013a). Evidence for this claim has come from studies of cross-modality structural priming, mainly examining processing in the direction of comprehension to production. The current study replicated these comprehension to production findings and developed a novel cross-modal structural priming paradigm from production to comprehension using a temporally-sensitive online (...) measure of comprehension, Event-Related Potentials. For Comprehension-to-Production priming, participants first listened to active or passive sentences and then described target pictures using either structure. In Production-to-Comprehension priming, participants first described a picture using either structure and then listened to target passive sentences while EEG was recorded. Comprehension-to-Production priming showed the expected passive sentence priming for syntactic choice, but not response time or average syllable duration. In Production-to-Comprehension priming, primed, versus unprimed, passive sentences elicited a reduced N400. These effects support the notion that production and comprehension share aspects of processing and are linked within the individual. Moreover, this paradigm can be used for the exploration priming at different linguistic levels as well as the influence of extra-linguistic factors on natural language use. (shrink)

Edited in collaboration with FoLLI, the Association of Logic, Language and Information this book constitutes the refereed proceedings of the of the 29th International Workshop on Logic, Language, Information, and Computation, WoLLIC 2023, held in Halifax, NS, Canada, during July 11–14, 2023. The 24 full papers (21 contributed, 3 invited) included in this book were carefully reviewed and selected from 46 submissions. The book also contains the abstracts for the 7 invited talks and 4 tutorials presented at WoLLIC 2023. The (...) WoLLIC conference series aims at fostering interdisciplinary research in pure and applied logic. (shrink)

The ethical theories employed in health care today assume, in the main, a modern Western philosophical framework. Yet the diversity of cultural and religious assumptions regarding human nature, health and illness, life and death, and the status of the individual suggest that a cross-cultural study of health care ethics is needed. A Cross-Cultural Dialogue on Health Care Ethics provides this study. It shows that ethical questions can be resolved by examining the ethical principles present in each culture, critically assessing each (...) value, and identifying common values found within all traditions, It encourages the development of global awareness and sensitivity to and respect for the diversity of peoples and their values and will advance understanding as well as help to foster a greater balance and a fuller truth in consideration of the human condition and what makes for health and wholeness. (shrink)

Our aim is to shed light on the relationships between research, knowledge, and policy in the case of goitre and the use of iodine as a preventive measure against it in Norway from the 1850s onward. Goitre was previously widespread in certain areas of Norway, but disappeared around 1950. After many decades of silence about goitre and iodine, an expert report in 2016 argued that action should be taken to prevent iodine deficiency. Already in 1927, an international conference on goitre (...) led to the agreement that the best preventive measure against goitre was to fortify table salt with iodine. The conference had Norwegian participants, but Norwegian health authorities did not follow the recommendations from the conference. To understand why new knowledge and recommendations did not result in new policy, we explore the history of Norwegian research on goitre and iodine, and Norwegian contributions to and the inspiration from international research in the field. Furthermore, we analyse the measures for the prevention and curing of goitre that have been implemented by authorities over time. The preventive measures introduced in Norway from the 1930s were very modest and differed from those in other countries. We argue for the importance of analysing the political context to understand the success or failure of advice given by researchers to policymakers. (shrink)

In claiming that metadata possess the power to put historical awareness into the act of listening, this article examines digital music use as an aesthetic situation driven by potentialities of becoming. Working from a theoretical foundation amalgamating digital music archives and metadata as environments the article discusses Georgina Born’s notion of musical assemblages alongside the concept of virtuality, and by letting these meet the article argues for a musical assemblage built from sensibilities of becoming rather than layers of mediation. The (...) inner workings of digital music use constitute an ecology in which recorded music history moves and reconnects, and this makes the historicity of recorded music be fluid, thus turning listening into a historicised action. In exemplifying this, the article discusses some of the strategic programming of metadata on the digital music platform Diskoteket, and through an analysis of sampled music, the prospects of recorded music’s historicity are shown as affective capacities. (shrink)

Arts and Humanities in Higher Education, Volume 21, Issue 2, Page 198-219, April 2022. This article presents playfulness as an emerging approach to learning in higher education that emphasises the arts and humanities across disciplines. The article is based on a qualitative, hermeneutical literature review in light of educational culture in higher education. The literature review indicates that playful approaches to learning stand in opposition to educational cultures that focus on rapidness and student performance. However, an educational culture of play (...) is about to establish itself, and this culture of play emphasises creativity in learning and human flourishing in education, perspectives that are connected to arts and humanities. The main findings cultures of time, performance and play lead to several questions about societal, institutional, and organisational educational culture, and regarding approaches to teaching, learning, humanity and society. The main contribution of this article is that a focus on playfulness offer the field of arts and humanities new possibilities in future education. (shrink)

Recently, two apparently quite different duality-based approaches to automata minimisation have appeared. One is based on ideas that originated from the controllability-observability duality from systems theory, and the other is based on ideas derived from Stone-type dualities specifically linking coalgebras with algebraic structures derived from modal logics. In the present paper, we develop a more abstract view and unify the two approaches. We show that dualities, or more generally dual adjunctions, between categories can be lifted to dual adjunctions between categories (...) of coalgebras and algebras, and from there to automata with initial as well as final states. As in the Stone-duality approach, algebras are essentially logics for reasoning about the automata. By exploiting the ability to pass between these categories, we show that one can minimize the corresponding automata. We give an abstract minimisation algorithm that has several instances, including the celebrated Brzozowski minimisation algorithm. We further develop three examples that have been treated in previous works: deterministic Kripke frames based on a Stone-type duality, weighted automata based on the self-duality of semimodules, and topological automata based on Gelfand duality. As a new example, we develop alternating automata based on the discrete duality between sets and complete atomic Boolean algebras. (shrink)

Animal ethicists have recently debated the ethical questions raised by disenhancing animals to improve their welfare. Here, we focus on the particular case of breeding hens for commercial egg-laying systems to become blind, in order to benefit their welfare. Many people find breeding blind hens intuitively repellent, yet ‘welfare-only’ positions appear to be committed to endorsing this possibility if it produces welfare gains. We call this the ‘Blind Hens’ Challenge’. In this paper, we argue that there are both empirical and (...) theoretical reasons why even those adopting ‘welfare-only’ views should be concerned about breeding blind hens. But we also argue that alternative views, which (for example) claim that it is important to respect the telos or rights of an animal, do not offer a more convincing solution to questions raised by the possibility of disenhancing animals for their own benefit. (shrink)

Since the 1970s, estrogen have sometimes been used in adolescent girls to reduce very tall adult expected height. Worries about long-term effects have led to a proposal to link treatment data with cancer registers. How should one deal with informed consent for such a study? We designed a qualitative study with semi-structured telephone interviews. From 1200 women who were to be followed-up in cancer registers, we randomly selected 22 women. Major themes were a wish to be involved and a positive (...) attitude to the proposed register research. The women did not express worry after reading the study protocol, but did convey considerable frustration that this research had not been initiated earlier. Active consent was not seen as crucial. We found strong interest in a high participation rate and a concern over missing data. The selection of information and consent or the decision to go ahead without consent in register follow-up is a delicate balancing act. Study participants wish to be contacted, but acknowledge the primary goal of answering important questions. Our study provides support for safeguarding privacy in epidemiological linkage studies and in follow-up of medical treatment without losing the scientific value by requesting for informed consent. (shrink)

Person‐specific evidence was developed as a grounded theory by analyzing 20 selected case descriptions from interventions using the guided self‐determination method with people with various long‐term health conditions. It explains the mechanisms of mobilizing relational capacity by including person‐specific evidence in shared decision‐making. Person‐specific self‐insight was the first step, achieved as individuals completed reflection sheets enabling them to clarify their personal values and identify actions or omissions related to self‐management challenges. This step paved the way for sharing these insights and (...) challenges in a relationship with a supportive health professional, who could then rely on person‐specific evidence instead of assumptions or a narrow disease perspective for shared decision‐making. Trust in the evidence encouraged the supportive health professional to transfer it to the interdisciplinary team. Person‐specific evidence then enhanced the ability of team members to apply general evidence in a meaningful way. The increased openness achieved by individuals through these steps enabled them to eventually share their new self‐insights in daily life with other people, decreasing loneliness they experienced in self‐management. Relational capacity, the core of the theory, is mobilized in both people with long‐term health conditions and healthcare professionals. Further research on person‐specific evidence and relational capacity in healthcare is recommended. (shrink)

Adverse health care events are a global public health issue despite major efforts, and they have been acknowledged as a complex concern. The aim of this study was to explore the construction of unsafe care using accounts of adverse events concerning the patient, as reported by patients, relatives, and health care professionals. Twenty‐nine adverse events reported in an acute care setting in a Swedish university hospital were analyzed through discourse analysis, where the construction of what was considered to be real (...) and true in the descriptions of unsafe care was analyzed. In the written reports about unsafe events, the patient was spoken of in three different ways: (a) the patient as a presentation of physical signs, (b) the patient as suffering and vulnerable, and (c) the patient as unpredictable. When the patient's voice was subordinate to physical signs, this was described as being something that conflicted with patient safety. The conclusion was that the patient's voice might be the only sign available in the early stages of adverse events. Therefore, it is crucial for health care professionals to give importance to the patient's voice to prevent patients from harm and not unilaterally act only upon abnormal physical signs. (shrink)

When making end-of-life decisions in intensive care units (ICUs), different staff groups have different roles in the decision-making process and may not always assess the situation in the same way. The aim of this study was to examine the challenges Danish nurses, intensivists, and primary physicians experience with end-of-life decisions in ICUs and how these challenges affect the decision-making process. Interviews with nurses, intensivists, and primary physicians were conducted, and data is discussed from an ethical perspective. All three groups found (...) that the main challenges were associated with interdisciplinary collaboration and future perspectives for the patient. Most of these challenges were connected with ethical issues. The challenges included different assessments of treatment potential, changes and postponements of withholding and withdrawing therapy orders, how and when to identify patients’ wishes, and suffering caused by the treatment. To improve end-of-life decision-making in the ICU, these challenges need to be addressed by interdisciplinary teams. (shrink)

The social sciences playa variety of multifaceted roles in the policymaking process. So varied are these roles, indeed, that it is futile to talk in the singular about the use of social science in policymaking, as if there were one constant relationship between two fixed and stable entities. Instead, to address this issue sensibly one must talk in the plural about uses of dif ferent modes of social scientific inquiry for different kinds of policies under various circumstances. In some cases, (...) the influence of social scientific research is direct and tangible, and the connection between the find ings and the policy is easy to see. In other cases, perhaps most, its influence is indirect-one small piece in a larger mosaic of politics, bargaining, and compromise. Occasionally the findings of social scientific studies are explicitly drawn upon by policymakers in the formation, implementation, or evaluation of particular policies. More often, the categories and theoretical models of social science provide a general background orientation within which policymakers concep tualize problems and frame policy options. At times, the in fluence of social scientific work is cognitive and informational in nature; in other instances, policymakers use social science primarily for symbolic and political purposes in order to le gitimate preestablished goals and strategies. Nonetheless, amid this diversity and variety, troubling general questions persistently arise. (shrink)

On the back cover of the original French edition of Sartre's Le scénario Freud (The Freud Scenario), the promotional blurb poses the question: "Est-ce ici Sartre qui analyse Freud ou Freud qui analyse Sartre?" (Is Sartre analyzing Freud here, or is Freud analyzing Sartre?). We do not, for obvious reasons, have anything of Freud's on Sartre, but we do have quite a lot of Sartre on Freud, and great quantities of Sartre on Sartre. It has sometimes seemed to me that (...) reading through everything that Sartre wrote—not just the autobiographical material but everything, including the carnets and the cahiers and the letters—might be a bit like having him in analysis. The speed and apparent openness with which he produced his texts, page after page in that quick yet legible script that French writers seem to turn out so effortlessly, mimic some of the conditions of free association, and an analytically sensitive eye, like the analyst's ear in therapeutic sessions, could no doubt piece together a plausible account of the Sartrean unconscious. (shrink)

On the back cover of the original French edition of Sartre's Le scénario Freud, the promotional blurb poses the question: "Est-ce ici Sartre qui analyse Freud ou Freud qui analyse Sartre?". We do not, for obvious reasons, have anything of Freud's on Sartre, but we do have quite a lot of Sartre on Freud, and great quantities of Sartre on Sartre. It has sometimes seemed to me that reading through everything that Sartre wrote—not just the autobiographical material but everything, including (...) the carnets and the cahiers and the letters—might be a bit like having him in analysis. The speed and apparent openness with which he produced his texts, page after page in that quick yet legible script that French writers seem to turn out so effortlessly, mimic some of the conditions of free association, and an analytically sensitive eye, like the analyst's ear in therapeutic sessions, could no doubt piece together a plausible account of the Sartrean unconscious. (shrink)

Modern medicine provides unprecedented opportunities in diagnostics and treatment. However, in some situations at the end of a patient’s life, many physicians refrain from using all possible measures to prolong life. We studied the incidence of different types of treatment withheld or withdrawn in 6 European countries and analyzed the main background characteristics.

On the standard view, an agnostic might commit non-doxastically to religion because she wants to receive some goods, which might be either natural or supernatural in kind. I broaden the picture by showing how the agnostic must also take negative factors into account. Negative mundane factors should be avoided as far as possible by the agnostic, and in extreme cases, even at the price of giving up supernatural goods. Negative supernatural factors, like eternal torment, work differently. An agnostic who considers (...) an eternity of suffering in hell a live possibility might rationally make a religious commitment in order to avoid it. Non-doxastic religion is commonly conceived as requiring a pro-attitude. If fear can have the impact I suggest, we must broaden the picture to allow for a negatively based commitment as well. To make explicit the kind of attitude relevant here, I offer an analysis of fear as a rational, non-doxastic attitude. (shrink)

This book is a comprehensive and unique text and reference in medical ethics. By far the most inclusive set of primary documents and articles in the field ever published, it contains over 100 selections. Virtually all pieces appear in their entirety, and a significant number would be difficult to obtain elsewhere. The volume draws upon the literature of history, medicine, philosophical and religious ethics, economics, and sociology. A wide range of topics and issues are covered, such as law and (...) medicine, truth-telling by the physician, research, population policy, genetics, abortion, dying, and individual rights in medical care. The selections span the centuries, beginning with material from the works of Hippocrates, continuing through Thomas Percival, John Stuart Mill, and Claude Bernard, down to modern commentators like Henry K. Beecher, Walsh McDermott, David L. Bazelon, Paul Freund, H. L. A. Hart, John Rawls, Paul Ramsey, Richard McCormick, Rashi Fein, and Bernard Barber. The text has eight major divisions, beginning with sections on the ethical dimensions of the physician-patient relationship in history; the moral bases of medical ethics; and regulation, compulsion, and protection of the consumer in clinical medicine and public health. Each of these sections includes key essays that appear for the first time. All of the book's major divisions contain primary documents: codes such as the Hippocratic Oath, Medieval Law for the Regulation of Medicine, and the first as well as the most recent code of the American Medical Association; court decisions, including those on Karen Quinlan and on abortion in the United States and West Germany; government documents such as the statement of the National Commission on the Protection of Human Subjects, the Tuskegee Syphilis Report, the British Parliamentary debate on euthanasia, and the Council of Europe on rights of the sick and dying; and various published guidelines such as the Harvard Medical School brain death criteria, the American Hospital Association on patient's rights, and Pope Pius XII on the prolongation of life. Cases that illustrate moral dilemmas are provided for discussion purposes. Each section is preceded by a succinct editor's introduction. The documents and essays are of practical value for practitioners and students in medicine, law, ethics, and counselling, and for individual patients and groups concerned with medical care. Through encompassing divergent viewpoints, the essays and primary documents were selected to encourage humane practices and deepen understanding of the multiple traditions that shaped and do shape the development of medicine. (shrink)

The Concept of Hell examines a wide range of topics, problems, and concepts of interest to philosophers, theologians, and anyone curious about religious thinking concerning damnation. Acting as a platform for philosophers from many different views and traditions, this book provides a myriad of approaches to thinking about Hell. From the nature of Hell to philosophical justifications of damnation, to the way in which Hell informs us about our relationships with each other, the discussions offer a tantalizing exploration of how (...) philosophical thinking can engage Hell in a wide variety of ways from many different perspectives. Anyone with a desire to think about what happens after we die, damnation, and related religious and theological issues will find The Concept of Hell interesting and enlightening. (shrink)

This article constructively retrieves St. Anselm of Canterbury’s theory of retributive justice and provides a defense of what can be called the retributive model of hell. In the first part of this article, we develop the place of retributive punishment in Anselm’s thinking and discuss how and when retributive punishment is a good thing. In the second part, we apply Anselm’s thinking on retributive justice to the problem of hell and provide a defense of how hell, defined as a state (...) of receiving retributive, damnatory, and irreversible punishment, is good. We then address a series of objections. Despite some criticism that both Anselm and the retributive model of hell receive in the contemporary literature, Anselm’s account of retributive justice can make unique and constructive contributions to the contemporary discussion of hell; by retrieving and applying Anselm’s thought to the problem of hell, we intend to kill two birds with one stone. (shrink)

The doctrine of hell, stated with a little care, entails that some persons never achieve their greatest good, fail to really flourish and never reach the end for which they were created. If that doctrine is true, and it is tragic that persons never achieve their greatest good, then there are tragic states of affairs whose tragedy is never overcome.

The paper considers the objections to Christianity raised by David Lewis, which accuse Christians of immorality on the grounds of their worshipping a monstrous being who punishes finite evils by the infinite punishment of hell. It distinguishes between the objection that God is a monster because such punishment would be unjust, and the objection that even if damnation is just, God is a monster because he wills or allows the dreadful evil of hell by creating beings that can be justly (...) damned. It asserts that Aquinas’s defence of the traditional Christian doctrine of hell provides an answer to this objection. The traditional doctrine is that those who die having committed serious sins for which they have not repented will be punished by endless mental and physical suffering in hell. Aquinas argues that the endless punishment of the damned is just because the damned endlessly and freely choose evil, and that it is good because the punishment of impenitentsinners, while bad for the sinners, is good absolutely speaking. The basis for his claim that the damned freely choose evil forever is his understanding of practical reason as ultimately motivated by a choice of a particular kind of life to live, and his view that all motivations that are independent of practical reason have a physical basis. The basis for his claim that the punishment of the damned is a good thing absolutely considered is his teleological view of good and evil. The paper defends these bases and their application to the question of damnation. (shrink)

This paper discusses the problem of Hell, defending the Aquinas-Anselm-Edwards response that any immoral act deserves eternal punishment because it offends against God. I argue that the response is more defensible than one might at first think, but nevertheless faces a serious objection. If we differentiate two different problems of Hell—the logical problem and the evidential problem—we see that, in light of this objection, the Aquinas-Anselm-Edwards response only solves the logical problem of Hell.

This essay aims to establish two theses. First, hell is unjust. Second, God ought not (or perhaps cannot) impose hell on human beings. In support of these theses, Stephen Kershnar argues that human beings do not deserve hell because they either cannot cause an infinite amount of harm or are not responsible for doing so. Also, since humans don’t have infinitely bad characters, hell can’t be deserved on the basis of character. Since humans don’t deserve hell, God may not (or (...) perhaps cannot) impose unjust punishments and hence may not (or cannot) send or allow persons to go to hell. (shrink)