Despite clear legislative and judicial support, a well established ethical consensus, and increased efforts at information dissemination and education, proxy decision making for incapacitated patients continues to produce moral muddle and poor resolutions in end-of-life care.In her analysis of the proxy-doctor relationship, Nancy Dubler spells out the institutionalized patterns that keep the promise of proxy directives so often unrealized. Facing medically complex care of an incapacitated patient, health care teams are apt to view the proxy as a potentially indecisive or (...) unrealistically demanding decision-maker, less a stand-in for the patient than an interloper whose improper, misguided, or self-interested decisions will work against the patient's best interests. So perceived, proxies are routinely relegated to the edges of care planning discussions, left relatively uninformed and unconsulted, and then suddenly thrust center stage to face decisions they find overwhelming. Confronting such decisions, proxies need support and compassion. What they often find is isolation and distrust, a web of professional and institutional practices that trammel their efforts to understand and execute their role. (shrink)

Despite clear legislative and judicial support, a well established ethical consensus, and increased efforts at information dissemination and education, proxy decision making for incapacitated patients continues to produce moral muddle and poor resolutions in end-of-life care.In her analysis of the proxy-doctor relationship, Nancy Dubler spells out the institutionalized patterns that keep the promise of proxy directives so often unrealized. Facing medically complex care of an incapacitated patient, health care teams are apt to view the proxy as a potentially indecisive or (...) unrealistically demanding decision-maker, less a stand-in for the patient than an interloper whose improper, misguided, or self-interested decisions will work against the patient's best interests. So perceived, proxies are routinely relegated to the edges of care planning discussions, left relatively uninformed and unconsulted, and then suddenly thrust center stage to face decisions they find overwhelming. Confronting such decisions, proxies need support and compassion. What they often find is isolation and distrust, a web of professional and institutional practices that trammel their efforts to understand and execute their role. (shrink)

What is property, and why does our species happen to have it? In The Property Species, the economist Bart Wilson explores how we acquire, perceive, and know the custom of property, and why this might be relevant to social scientists, philosophers, and legal scholars for understanding how property works in the twenty-first century.

In this article the picture of Jacob in Genesis is compared with that of Jacob/Israel in Hosea 12. While a tendency exists in exegetical literature to choose between a negative or a positive view, the thesis here proposed is that the negative image of Jacob in Genesis as well as in Hosea is a preparation for his change into Israel. Hosea uses the ambiguity of Jacob/Israel as an example for his audience. They love to cheat, but can find in Jacob (...) a way to become Israel. (shrink)

El artículo compara los relatos oníricos de Jerónimo en su carta 22 y de Agustín en conf. 3,19 e Ibíd. 8,29, para destacar que probablemente los dos sueños sucedieron el mismo año, y que ellos ayudaron a ambos Padres de la Iglesia a convertirse, desde el amor a la literatura pagana, al amor de la Sagrada Escritura, la palabra de Dios escrita.

Although this review article is only about one book and about one man, it discloses a whole world, the world of Jerome, saint, scholar and stimulator of ascetism and of the study of the Bible. It is the merit of the book reviewed here to bring interesting insights into this other world, the emerging society of monks who were scholars and ascetic. In that world Jerome is one of the most fascinating patristic scholars. His choice for translating the Hebrew Bible (...) instead of the Greek Bible is one of the utmost examples that from time to time the conceitedness of one man wins. Williams’ book teaches us quite a lot about this man and his conceitedness. At the same time it explains us something about the Christian tradition, how asceticism could bring forth the wealth of libraries and abbeys. (shrink)

While neo-classical analysis works well for studying impersonal exchange in markets, it fails to explain why people conduct themselves the way they do in their personal relationships with family, neighbors, and friends. In Humanomics, Nobel Prize-winning economist Vernon L. Smith and his long-time co-author Bart J. Wilson bring their study of economics full circle by returning to the founder of modern economics, Adam Smith. Sometime in the last 250 years, economists lost sight of the full range of human feeling, (...) thinking, and knowing in everyday life. Smith and Wilson show how Adam Smith's model of sociality can re-humanize twenty-first century economics by undergirding it with sentiments, fellow feeling, and a sense of propriety - the stuff of which human relationships are built. Integrating insights from The Theory of Moral Sentiments and the Wealth of Nations into contemporary empirical analysis, this book shapes economic betterment as a science of human beings. (shrink)