Difficult relationships and challenging situations all come down to one thing: drama. In this groundbreaking book, Doreen Virtue guides you through the process of determining what your Drama Quotient is. You will learn how much you are unnecessarily tolerating and absorbing from other people and situations. Doreen highlights the difference between detaching from drama and being compassionate and helpful, and she shows you how to: Deal with relatives, friends, and co-workers who are addicted to drama Assess your own level (...) of drama addiction Stop attracting and creating negativity in your life Go on an overall Drama Detox to clear away negativity, and let your light shine through! (shrink)

Work with the Angels to Detox Your Body and Energy Detoxing with the help of your angels is a gentle way to release impurities from your body, fatigue, and addictions. Doreen Virtue and naturopath Robert Reeves teach yousimple steps to increase your energy and mental focus, banish bloating, feel and look more youthful, and regain your sense of personal power. Rid your life of physical toxins, as well as negative emotions and energies. Angel Detox guides you step-by-step on how (...) to detox your diet, lifestyle, and relationships. You'll learn how to reduce or eliminate cravings for unhealthful food and substances, feel motivated, and enjoy wellness in all areas of your life. This book also includes 7-Day Detox Plans for those wanting to quit smoking or drinking, or to flush out environmental pollution. (shrink)

If a rational argument is to be advanced for the existence of God, it must be some form of the cosmological, depending on the concept of causation, or the ontological, an elaboration of the concept of being. The metaphysical fertility of the axiological approach to theism consists in its reformulation of the ontological argument—viz., that the nature of existent reality itself is indicative of supra natural being.

If a rational argument is to be advanced for the existence of God, it must be some form of the cosmological, depending on the concept of causation, or the ontological, an elaboration of the concept of being. The metaphysical fertility of the axiological approach to theism consists in its reformulation of the ontological argument—viz., that the nature of existent reality itself is indicative of supra natural being.

The positivists defined analyticity as truth in virtue of meaning alone and advocated the view that the notion of analyticity so defined is co-extensive with both the notion of an a priori truth an...

The analytic/synthetic distinction looks simple. It is a distinction between two different kinds of sentence. Synthetic sentences are true in part because of the way the world is, and in part because of what they mean. Analytic sentences - like all bachelors are unmarried and triangles have three sides - are different. They are true in virtue of meaning, so no matter what the world is like, as long as the sentence means what it does, it will be true. (...) -/- This distinction seems powerful because analytic sentences seem to be knowable in a special way. One can know that all bachelors are unmarried, for example, just by thinking about what it means. But many twentieth-century philosophers, with Quine in the lead, argued that there were no analytic sentences, that the idea of analyticity didn't even make sense, and that the analytic/synthetic distinction was therefore an illusion. Others couldn't see how there could fail to be a distinction, however ingenious the arguments of Quine and his supporters. -/- But since the heyday of the debate, things have changed in the philosophy of language. Tools have been refined, confusions cleared up, and most significantly, many philosophers now accept a view of language - semantic externalism - on which it is possible to see how the distinction could fail. One might be tempted to think that ultimately the distinction has fallen for reasons other than those proposed in the original debate. -/- In Truth in Virtue of Meaning, Gillian Russell argues that it hasn't. Using the tools of contemporary philosophy of language, she outlines a view of analytic sentences which is compatible with semantic externalism and defends that view against the old Quinean arguments. She then goes on to draw out the surprising epistemological consequences of her approach. (shrink)

This dissertation investigates grounding, the relation of non-causal determination whereby one fact obtains in virtue of some other fact or facts. Although considerations of grounding have been central throughout Western philosophy, the last 15-20 years have seen a renaissance of systematic work on grounding in analytic philosophy. The aim of the dissertation is to contribute to our understanding of the nature of grounding and its relation to other central phenomena in metaphysics. -/- Chapter 1 of the dissertation provides a (...) brief presentation of grounding and introduces some distinctions of relevance to later chapters. Chapter 2 discusses the question of whether grounding can be reduced. Four reductive accounts – in terms of fundamentality and supervenience, essence, reduction, and metaphysical laws respectively – are considered. All of these accounts are found to be subject to objections and are consequently rejected. -/- Chapter 3 considers the relation between grounding and another important phenomenon in metaphysics, namely ontological dependence. The question of the relation between the two is approached through an investigation of their modal connection (or lack thereof). It is argued that on the common assumption that grounding is a factive relation, ontological dependence can be shown to be neither necessary nor sufficient for grounding. Furthermore, to get any form of modal connection between the two relations, one needs to move to a non-factive conception of grounding or consider generic ontological dependence and accept a potentially controversial principle about the modal behaviour of grounding. Even then, the modal connection between grounding and ontological dependence is weak and subject to qualifications. -/- Chapter 4 develops and defends the novel notion of metaphysically opaque grounding. It is commonly assumed that grounding is an especially intimate and powerful connection and enables a form of explanation that is particularly strict and illuminating. An arguably related idea is that grounding is necessarily connected with the core features of things – their essences or natures. Metaphysically opaque grounding constitutes a form of grounding that falsifies both of these ideas. Chapter 4 makes the notion of metaphysically opaque grounding precise, motivates the idea that there are genuine cases of such grounding, explores its consequences for the theory of grounding, and defends the notion from potential objections, concluding that there are currently no strong reasons to rule out opaque grounding. (shrink)

Are conscious states conscious in virtue of representing themselves? Content Type Journal Article Pages 1-8 DOI 10.1007/s11098-011-9762-x Authors Berit Brogaard, Department of Philosophy, University of Missouri, St. Louis, 599 Lucas Hall, One University Blvd., St. Louis, MO 63121-4400, USA Journal Philosophical Studies Online ISSN 1573-0883 Print ISSN 0031-8116.

At De Principiis II, p. 75.10-11 Westerink, Damascius states that ‘Being will be that which provides being itself to each thing, καὶ καθ’ ὅ τι ὄν ἐστι’. The modern reference translation of the De Principiis, that of Joseph Combès for the Collection des Universités de France, renders the phrase left here in Greek as ‘et selon ce qu’elle est comme être’. Combès interprets it by stating that being is here conceived of as the constitutive unity of each form, at once (...) responsible for both its essence and existence. I argue that both a translation and an interpretation of καθ’ ὅ τι ὄν ἐστι of the type suggested by Combès are untenable and I defend an alternative construal. The two other main modern translations, those of Ahbel-Rappe and Galpérine, are also critically assessed. The translation of the relevant phrase I propose is: ‘and in virtue of which something is a being’. I argue that being – that is the property bestowed by the Kind or Form of Being, a notion that Damascius draws from Plato’s Sophist – is here conceived of as that which is metaphysically responsible only for the fact that something is (or is a being), not also for what something is. This construal does justice to the grammar of Damascius’ text and fits better with the argument of De Principiis II, pp. 56-99 Westerink. (shrink)

In recent work on a priori justification, one thing about which there is considerable agreement is that the notion of truth in virtue of meaning is bankrupt and infertile. (For the sake of more readable prose, I will use ‘TVM’ as an abbreviation for ‘the notion of truth in virtue of meaning’.) Arguments against the worth of TVM can be found across the entire spectrum of views on the a priori, in the work of uncompromising rationalists (such as (...) BonJour (1998)), of centrist moderates (such as Boghossian (1997)), and of uncompromising empiricists (such as Devitt (2004)). My aim is to dispute this widespread opinion. The outline is as follows: First, §§2-3 consist of preliminary stage-setting. Then, in §4 I will argue that some of the most prevalent arguments against the worth of TVM – in particular, one which is given clear expression by Quine (1970), and is recently reinforced by Boghossian (1997) – do not engage with the core idea motivating TVM. After deflecting this charge of incoherence, the aim of §§5-8 is to work toward developing a useful conception of TVM. (shrink)

ABSTRACTIt has become a commonplace that human beings possess human rights ‘simply in virtue of being human’. Exactly what this formula entails and whether it is cogent remains largely obscure, however. To remedy this situation, the article distinguishes between an interpretation of the formula according to which ‘being human’ is a practical condition for holding human rights and a reading which takes ‘being human’ to be a moral reason for holding human rights. It argues that only under the second (...) reading is there a limited sense in which it is correct that human beings possess human rights ‘simply in virtue of being human’. The article also considers if the concept of human dignity can provide a more convincing approach to the formula, and argues that it cannot. (shrink)

Review of Gillian Russell's "Truth in Virtue of Meaning".

In this paper I raise some questions about the familiar claim, recently reiterated by James Griffin, that human rights are rights that humans have….

This paper presents its author's famous distinction between globalization, as the process or vehicle by which ideas, habits and worldviews travel from one culture to another and are transformed in the process, and mundialization, as the taking in of the outside world into our own lifeworlds, a process by which the ideas and customs of other cultures are transported into our homeworlds. In this process, what was once strange and unfamiliar is transformed into something comfortable and familiar. This is the (...) process that is generally known as cultural assimilation, and by virtue of which the boundaries of our individual homeworlds become constantly widened. Examining this phenomenon, which he calls the 'mundialization of home', leads the author to sketch the main features of a possible transcultural moral world. (shrink)

In the last two centuries, our world would have been a safer place if philosophers such as Rousseau, Marx, and Nietzsche had not given intellectual encouragement to the radical ideologies of Jacobins, Stalinists, and fascists. Maybe the world would have been better off, from the standpoint of sound practice, if philosophers had engaged in only modest, decent theory, as did John Stuart Mill. Yet, as Ronald Beiner contends, the point of theory is not to think safe thoughts; the point is (...) to open intellectual horizons. In Philosophy in a Time of Lost Spirit, Beiner reflects on the dualism of theory and practice. The purpose of the theorist is not to offer sensible guidance on the conduct of social life but to test the boundaries of our vision of social order. Whereas the liberal citizen should embody the practical virtues of prudence and moderation, the theorist should be radical, probing, and immoderate. Looking back at the liberal-communitarian debate of the 1980s, Beiner recognizes that the antidote to our spiritless times lies neither in the embrace of community over individualism nor of individualism over community: both individual and community need to be submitted to radical questioning. It is by exposing ourselves to the challenge of fearless thinking encountered at the philosophical extremities that we are most likely to understand our own world at a deeper level. In this collection of essays and reviews, Ronald Beiner helps us to think critically about the thought-worlds of our foremost contemporary thinkers, including Hannah Arendt, Allan Bloom, Michel Foucault, Hans-Georg Gadamer, J¦rgen Habermas, Will Kymlicka, Christopher Lasch, Richard Rorty, Judith Shklar, Leo Strauss, Charles Taylor, and Michael Walzer. (shrink)

Food has savour: a collection of properties (including appearance, aroma, mouth-feel) connected with the pleasure (or displeasure) of eating. After explaining this concept, and outlining a theory of aesthetic pleasure, I argue that, like paradigm examples of art, savour can be assessed relative to a culturally determined set of norms. Also like paradigm examples of art, the assessment of savour has no objective basis in the absence of such cultural norms. My argument in this paper is part of a larger (...) project in which I develop an account of the pleasure of art. It is a virtue (I claim) of my approach that it permits a much greater diversity of artforms than traditional philosophical aesthetics is inclined to allow. This includes food. (shrink)

In Republican Guard , Nicholas Xenos describes the Straussian network and its nature, focusing upon delineating what in Leo Strauss’ writings has influenced and can tell us about the ‘character of American power today and the rhetoric through which it is enhanced and sustained.’ In the end he argues and demonstrates that Strauss’ political theory provides the means by which an imperial project can be camouflaged under the cloak of an appeal to liberal democracy. This book will be of interest (...) to students and scholars of politics and international relations. (shrink)

Several authors have recently begun to apply virtue theory to argumentation. Critics of this programme have suggested that no such theory can avoid committing an ad hominem fallacy. This criticism is shown to trade unsuccessfully on an ambiguity in the definition of ad hominem. The ambiguity is resolved and a virtue-theoretic account of ad hominem reasoning is defended.

Robert Merrihew Adams has been a leader in renewing philosophical respect for the idea that moral obligation may be founded on the commands of God. This collection of Adams' essays, two of which are previously unpublished, draws from his extensive writings on philosophical theology that discuss metaphysical, epistemological, and ethical issues surrounding the concept of God--whether God exists or not, what God is or would be like, and how we ought to relate ourselves to such a being. Adams studies the (...) relation between religion and ethics, delving into an analysis of moral arguments for theistic belief. In several essays, he applies contemporary studies in the metaphysics of individuality, possibility and necessity, and counterfactual conditionals to issues surrounding the existence of God and problems of evil. (shrink)

In Virtues of the Will, Bonnie Kent traces late thirteenth-century debates about the freedom of the will, moral weakness, and other issues that helped change the course of Western ethics. She argues that one cannot understand the controversies of the period or see Duns Scotus in perspective without paying due attention to his immediate predecessors: the influential secular master Henry of Ghent, Walter of Bruges, William de la Mare, Peter Olivi, and other Franciscans. Seemingly radical doctrines in Scotus often turn (...) out to be moderate in comparison to other near-contemporary views, and striking Scotistic innovations often turn out to be something approaching commonplaces of Franciscan thought. This study presents the controversies of the period less as a reaction by theologians against philosophy than as genuine philosophical debates about problems raised by Aristotle's thought. And it presents Scotus's teachings less as a break with tradition than as a reasonably natural response to issues debated by his predecessors. The overall aim is to recover part of a late thirteenth-century dialogue about the will and morality. By explaining in a clear, accessible style the sometimes complex issues debated during this period, Virtues of the Will helps readers understand not only the historical and doctrinal context but also the more enduring philosophical problems posed by Aristotle's teachings. (shrink)

Research in business ethics has largely ignored questions of equality and dissensus, raised by theorists of radical democracy. Alasdair MacIntyre, whose work has been very influential in business ethics, has developed a novel approach to virtue ethics rooted in both Aristotelian practical philosophy and a Marxian appreciation of radical democracy. In this paper, we bring MacIntyre into conversation with Jacques Rancière and Chantal Mouffe and argue the following: first, MacIntyre’s work has significant similarities with Rancière and Mouffe, thus suggesting (...) that MacIntyrean business ethics has the potential to address the concerns of radical democrats; second, the MacIntyrean business ethics literature has not adequately incorporated the aspects of Macntyre’s work addressing concerns regarding equality and dissensus and future work should pay more attention to these concerns. (shrink)

Research in business ethics has largely ignored questions of equality and dissensus, raised by theorists of radical democracy. Alasdair MacIntyre, whose work has been very influential in business ethics, has developed a novel approach to virtue ethics rooted in both Aristotelian practical philosophy and a Marxian appreciation of radical democracy. In this paper, we bring MacIntyre into conversation with Jacques Rancière and Chantal Mouffe and argue the following: first, MacIntyre’s work has significant similarities with Rancière and Mouffe, thus suggesting (...) that MacIntyrean business ethics has the potential to address the concerns of radical democrats; second, the MacIntyrean business ethics literature has not adequately incorporated the aspects of Macntyre’s work addressing concerns regarding equality and dissensus and future work should pay more attention to these concerns. (shrink)

(No abstract is available for this citation).

In this paper, a rights-based argument for the impermissibility of abortion, infanticide and neglect of some pre-natal organisms and infants/children is advanced. I argue, in opposition to most rights-ethicists, that the potentiality for autonomous agency gives individuals negative rights. I also examine the conjecture that potential autonomous agents have positive rights in virtue of their vulnerability. According to this suggestion, once an individual obtains actual autonomous agency, he or she has merely negative rights. Possible solutions to conflicts of rights (...) between parents and their offspring are investigated. Finally, I discuss a lexical order between positive and negative rights, which may solve conflicts between the rights of potential autonomous agents and actual autonomous agents. (shrink)

In this paper, a rights-based argument for the impermissibility of abortion, infanticide and neglect of some pre-natal organisms and infants/children is advanced. I argue, in opposition to most rights-ethicists, that the potentiality for autonomous agency gives individuals negative rights. I also examine the conjecture that potential autonomous agents have positive rights in virtue of their vulnerability. According to this suggestion, once an individual obtains actual autonomous agency, he or she has merely negative rights. Possible solutions to conflicts of rights (...) between parents and their offspring are investigated. Finally, I discuss a lexical order between positive and negative rights, which may solve conflicts between the rights of potential autonomous agents and actual autonomous agents. (shrink)

We present a comprehensive model that integrates virtues, values, character strengths and ethical decision making (EDM). We describe how a largely consequentialist ethical framework has dominated most EDM scholarship to date. We suggest that reintroducing a virtue ethical perspective to existing EDM theories can help to illustrate deficiencies in existing decision-making models, and suggest that character strengths and motivational values can serve as natural bridges that link a virtue framework to EDM in organizations. In conjunction with the more (...) fully formulated extant research on situational determinants, we present and discuss our model that introduces a virtue based orientation to EDM. (shrink)

Manifesto "is the projection of an ideal man. The portrayal of a moral ideal, as my ultimate literary goal, as an end in itself - to which any didactic, intellectual or philosophical values contained in a novel are only the means" (162). That she largely succeeded in her goal is attested to by the fact that her novels have enabled countless readers to reshape their lives. The story of Kira in We the Living, the image of Howard Roark in The (...) Fountainhead, the example of Dagny in Atlas Shrugged - all these have given readers the courage to free themselves from destructive circumstances or to make the right decisions in pivotal moments of their lives, and undergirded their conviction that only a life of moral integrity is a truly successful life. The story of the life and character of Howard Roark is, perhaps, the best known and most influential of Rand’s stories. (shrink)

In a number of recent papers Duncan Pritchard argues that virtue epistemology's central ability condition—one knows that p if and only if one has attained cognitive success (true belief) because of the exercise of intellectual ability—is neither necessary nor sufficient for knowledge. This paper discusses and dismisses a number of responses to Pritchard's objections and develops a new way of defending virtue epistemology against them.

In this paper I respond to a set of basic objections often raised against those virtue theories in ethics which maintain that moral properties such rightness and goodness (and their corresponding concepts) are to be explained and understood in terms of the virtues or the virtuous. The objections all rest on a strongly-held intuition that the virtues (and the virtuous) simply must be derivative in some way from either right actions or good states of affairs. My goal is to (...) articulate several distinct, though related, objections grounded in this intuition, and to argue that virtue ethicists have ample resources to respond to these worries. The explanatory primacy of the virtuous over the right or the good emerges as a distinct and viable position. (shrink)

According to a standard story, part of what we have in mind when we say that an argument is valid is that it is necessarily truth preserving: if the premises are true, the conclusion must also be true. But—the story continues—that’s not enough, since ‘Roses are red, therefore roses are coloured’ for example, while it may be necessarily truth-preserving, is not so in virtue of form. Thus we arrive at a standard contemporary characterisation of validity: an argument is valid (...) when it is NTP in virtue of form. Here I argue that we can and should drop the N; the resulting account is simpler, less problematic, and performs just as well with examples. (shrink)

Modest realism affirms that some of the objects of our beliefs exist independently of our beliefs. That is, there is a mind-independent world that we canepistemically access. The Cartesian skeptic claims that we can’t offer any non-question-begging arguments in favor of modest realism and therefore we are not justified in believing that modest realism is true. Reliabilists argue that the skeptic assumes an evidentialist-internalist account of justification and that a proper account of justification jettisons this. Hence, our belief in modest (...) realism can be justified. I argue in this paper that virtue-responsibilism offers an analogous response to the Cartesian skeptic. According to the virtue-responsibilist, my belief that P is an instance of knowledge iff it maps onto reality and is the result of an act of virtue. I show that the virtueresponsibilist theory excludes evidentialist-internalism, and allows for our belief in modest realism to be justified. However, it may be objected that the virtue-responsibilist can’t offer non-question-begging reasons for thinking that the virtues are reliable. I argue that this objection fails and that we can know that the virtues are reliable by empirical study. Thus, virtue-responsibilism provides a satisfactory response to the Cartesian skeptic. (shrink)

Classical presentations of the Buddhist path prescribe the cultivation of various good qualities that are necessary for spiritual progress, from mindfulness and loving-kindness to faith and wisdom. Examining the way in which such qualities are described and classified in early Buddhism—with special reference to their treatment in the Visuddhimagga by the fifth-century Buddhist thinker Buddhaghosa—the present article employs a comparative method in order to identify the Buddhist catalog of virtues. The first part sketches the characteristics of virtue as analyzed (...) by neo-Aristotelian theories. Relying on these accounts, the second part considers three lists from early Buddhism as possible catalogs of virtue: the components of ethical conduct, the 37 factors that contribute to awakening, and the wholesome or beautiful mental factors. I then raise the question of why the Buddhist tradition developed several classifications of virtue, whereas the Western tradition of virtue ethics used a single category. Appealing to the connection between the virtues and living well in the eudaimonistic version of virtue ethics, I propose that one of the reasons why Buddhism developed multiple lists of virtues is its pluralistic acceptance of different modalities of living well and associated practices, in MacIntyre’s sense of the term. These modalities and practices are not equal, but are ordered hierarchically. Accordingly, I conclude that Buddhist ethics ought to be seen as a pluralist-gradualist system rather than a universalist theory. (shrink)

In The Virtues of Mendacity, Jay resolves to avoid this conventional framing of the debate over lying and politics by examining what has been said in support of ...

In lieu of an abstract, here is a brief excerpt of the content:The Virtues of Animals in Seventeenth-Century ThoughtPeter HarrisonDiscussions about animals—their purpose, their minds or souls, their interior operations, our duties towards them—have always played a role in human self-understanding. At no time, however, except perhaps our own, have such concerns sparked the magnitude of debate which took place during the course of the seventeenth century. The agenda had been set in the late 1500s by Montaigne, who had made (...) the remarkable (if somewhat rhetorical) claim that animals were both moral and rational, and moreover, more moral and rational than humans. In the century which followed, Descartes, not to be outdone, put forward the even more contentious counter-proposal that animals were not only neither rational nor moral, but that they were not even conscious. The Cartesian hypothesis fueled a debate which continued until well into the eighteenth century. 1 While in recent years much attention has been given to issues of animal consciousness and cognition in seventeenth-century thought, the related question of the moral capabilities of animals has been by comparison neglected. In this paper I shall explore the converse side of the better known arguments about the rational capabilities of the beasts, focusing on seventeenth-century discussions concerning the behaviors and passions of the beasts and the extent to which animals were thought to participate in the moral universe of human beings.I. During the first sixteen hundred years of the common era, those thinkers who directed their attention to the natural world had tended to be preoccupied neither with questions of how animals came into being nor with the direct [End Page 463] causes of their various operations but rather with the question of why they existed at all. Almost without exception responses to this question were variations on a single theme: animals had been placed in the world to provide for the physical needs of human beings. 2 While this response proved to be satisfactory in general terms, there were acknowledged deficiencies. Many living things seemed to have been rather extravagantly designed for their putative purpose. Others seemed blatantly to contradict it. Why were our meat supplies, for example, not more conveniently presented, like the fabled Scythian lamb which grew on a tree? Why was it that a significant number of creatures appeared to be useless or even downright harmful to those whom they were designed to serve? And why, finally, were human beings created such that they were dependent upon lesser creatures for their survival?Responses to these difficulties generally took one of three forms, each of which was influential throughout the Middle Ages and beyond. First, it could be asserted that as a result of the Fall, human beings had forfeited their dominion over the creatures, many of which now served as instruments for their punishment and correction. Augustine observed that “there are many things, such as fire, frost, wild beasts and so forth, which do not suit but injure this thin-blooded and frail mortality of our flesh, which is at present under just punishment.” 3 In the seventeenth century this view still attracted many supporters. Thus Godfrey Goodman, in The Fall of Man (1616), wrote that “all the creatures, forsaking their first and naturall use, did serve for mans punishment, and rebelled against him.” 4Second, an appeal could be made to the Platonic principle of plenitude and the related idea of the chain of being. The principle of plenitude taught that more is better and that variety is preferable to uniformity. God, wrote the third-century Christian apologist Lactantius, “wished to display His providence and power by a wonderful variety of many things.” 5 It followed that all existing things could be ranged in a vast scale from non-existence to God himself, with each link in the chain separated from its neighbor by a small difference. Again, this view found many adherents in the early modern period. Thomas Robinson declared that “it was necessary that there shou’d be a variety of Natures, and [End Page 464] different Degrees of Life and Perfection.” Thus “every Creature even of the lowest Degree of Life, is Good and Perfect in its Kind.” 6 Important for our... (shrink)

Following the Introduction, the second section of this essay lays out Tom Cavanaugh’s helpful and convincing account of the enduring significance of the Hippocratic Oath in terms of how it responds to the problem of iatrogenic harm. The third section discusses something underemphasized in Cavanaugh’s account, namely, the key role of the virtue of piety within the Oath and the profession it establishes, and argues that this virtue should be regarded as integral to an authentic Hippocratic ethic. The (...) fourth and final section briefly examines the connection between medicine and philosophy, focusing on how both should be seen as wisdom-seeking ways of life, and shows the relevance of this for regarding the virtue of piety as the key virtue of medical practice. (shrink)