Based on data from participant observation and in-depth interviews with women who live in a relatively homogeneous small, rural town, this article examines how women act to produce social class representations. By presenting symbols of socioeconomic positions, including behaviors, tastes, and values, during their work, the women in the town present themselves as working, middle, or upper class women. Through these representations, they secure a place within the town's subjective social class system.

In this paper, I propose that influential arguments of Jacques Derridas's and Judith Butler's rely on behaviorism and relativism, a reliance which has implications for, among other things, the issue of hate speech. I begin with a brief discussion of the philosophy of W. V. O. Quine, a thinker seldom discussed in relationship to continental poststructuralism. Quine is interesting because he explicitly defends an ontological relativism combined with linguistic behaviorism, the latter as influenced by B. F. Skinner and John Watson. (...) I then show that Butler's and Derrida's theories demonstrate a similar yet unacknowledged lineage. I devote the final section of the paper to a discussion of hate speech, and the problematization of behaviorism and relativism it entails. (shrink)

Presents arguments on both sides of the issue of euthanasia, including questions regarding ethics and legality, physician-assisted suicide, living wills, and removing life support from patients in a persistent vegetative state.

This paper is centred around a debate taking place among environmental scientists. One camp argues that proof of a causal connection between a chemical and a biological anomaly must be demonstrated in the laboratory. The other contends that actual damage is underestimated in the lab, and that it is therefore necessary to conduct supplemental ecoepidemiological research in order to determine the full impact of toxic chemicals. Members of the former contingent – claiming to be defending scientific rigour – sometimes accuse (...) their peers of practising an inferior science. This paper argues that this contention is supported by a philosophical tradition tending to favour abstract and formal analysis over the close examination of material detail. To the extent that this preference has been adopted by the media, industry, policy analysts, and regulatory bodies, more is at stake than an intellectual squabble. The paper provides a brief overview of the history of the formalist tendency in philosophy, followed by an illustration of the ways in which advocates of a strict laboratory methodology implicitly rely on this foundation. The work and ideas of contemporary ecoepidemiologists are then compared to this imposing edifice of traditional science. (shrink)

After spinal cord injury (SCI), motoneuron death occurs at and around the level of injury which induces changes in function and organization throughout the nervous system, including cortical changes. Muscle affected by SCI may consist of both innervated (accessible to voluntary drive) and denervated (inaccessible to voluntary drive) muscle fibers. Voluntary activation measured with transcranial magnetic stimulation (VATMS) can quantify voluntary cortical/subcortical drive to muscle but is limited by technical challenges including suboptimal stimulation of target muscle relative to its antagonist. (...) The motor evoked potential (MEP) in the biceps compared to the triceps (i.e., MEP ratio) may be a key parameter in the measurement of biceps VATMS after SCI. We used paired pulse TMS, which can inhibit or facilitate MEPs, to determine whether the MEP ratio affects VATMS in individuals with tetraplegia. Ten individuals with tetraplegia following cervical SCI and ten non-impaired individuals completed single pulse and paired pulse VATMS protocols. Paired pulse stimulation was delivered at 1.5, 10, and 30 ms inter-stimulus intervals (ISI). In both the SCI and non-impaired groups, the main effect of the stimulation pulse (paired pulse compared to single pulse) on VATMS was not significant in the linear mixed-effects models. In both groups for the stimulation parameters we tested, the MEP ratio was not modulated across all effort levels and did not affect VATMS. Linearity of the voluntary moment and superimposed twitch moment relation was lower in SCI participants compared to non-impaired. Poor linearity in the SCI group limits interpretation of VATMS. Future work is needed to address methodological issues that limit clinical application of VATMS. (shrink)

This paper summarizes recent and ongoing experimental work regarding the reality, nature, effects, and causes of the underrepresentation of women in academic philosophy. We first present empirical data on several aspects of underrepresentation, and then consider various reasons why this gender imbalance is problematic. We then turn to the published and preliminary results of empirical work aimed at identifying factors that might explain it.

How to engage farmers that have limited formal education is at the foundation of environmentally-sound and equitable agricultural development. Yet there are few examples of curricula that support the co-development of knowledge with farmers. While transdisciplinary and participatory techniques are considered key components of agroecology, how to do so is rarely specified and few materials are available, especially those relevant to smallholder farmers with limited formal education in Sub-Saharan Africa. The few training materials that exist provide appropriate methods, such as (...) compost making, but do not explain relationships and synergies between nutrition, social inequalities, climate change and agroecology. Some food sovereignty and agroecology courses aim at popular political education for those with more formal education. Here we describe the process of development of an innovative curriculum, which integrates agroecology, nutrition, climate change, gender and other dimensions of social equity across 2 weeks of training explicitly for smallholders in southern Africa with limited formal education. The curriculum is highly participatory; we use concepts in popular education, transformative and experiential-based learning, and theatre. It is also integrative; we link agroecology with climate change, human and soil nutrition, gender, and related components of social equity. Developed in partnership with Malawian farmers, community development experts and academics from five countries, the curriculum was piloted with 520 smallholder farming households in Malawi and Tanzania, and evaluated using qualitative techniques. Clashes of language, cultural norms, and terminology were as great of a challenge as agreeing on and conveying technical information, to weave into a coherent whole. However, farmers who participated in the curriculum training demonstrated high interest, comprehension of material and interest in immediate application to their lives. (shrink)

How to engage farmers that have limited formal education is at the foundation of environmentally-sound and equitable agricultural development. Yet there are few examples of curricula that support the co-development of knowledge with farmers. While transdisciplinary and participatory techniques are considered key components of agroecology, how to do so is rarely specified and few materials are available, especially those relevant to smallholder farmers with limited formal education in Sub-Saharan Africa. The few training materials that exist provide appropriate methods, such as (...) compost making, but do not explain relationships and synergies between nutrition, social inequalities, climate change and agroecology. Some food sovereignty and agroecology courses aim at popular political education for those with more formal education. Here we describe the process of development of an innovative curriculum, which integrates agroecology, nutrition, climate change, gender and other dimensions of social equity across 2 weeks of training explicitly for smallholders in southern Africa with limited formal education. The curriculum is highly participatory; we use concepts in popular education, transformative and experiential-based learning, and theatre. It is also integrative; we link agroecology with climate change, human and soil nutrition, gender, and related components of social equity. Developed in partnership with Malawian farmers, community development experts and academics from five countries, the curriculum was piloted with 520 smallholder farming households in Malawi and Tanzania, and evaluated using qualitative techniques. Clashes of language, cultural norms, and terminology were as great of a challenge as agreeing on and conveying technical information, to weave into a coherent whole. However, farmers who participated in the curriculum training demonstrated high interest, comprehension of material and interest in immediate application to their lives. (shrink)

Mise en lumière par des scandales sanitaires récents et par la montée en puissance d'associations se réclamant de l'antispécisme et du droit des animaux, la " question animale " a pris ces dernières années en France une importance inédite. Cette problématique est portée dans l'espace public par un ensemble de groupes et d'acteurs qui entendent représenter politiquement les intérêts des animaux à ne pas souffrir au sein des dispositifs d'exploitation. Quels sont les ressorts émotionnels, intellectuels et théoriques de cet engagement? (...) Le mouvement " animaliste " contemporain constitue-t-il une nouveauté et quelles sont les conditions historiques de son émergence? En quoi son influence croissante change-t-elle nos perceptions des rapports légitimes entre humains et non-humains? Quels sont les enjeux et les futurs possibles de cette entreprise singulière de représentation politique? (shrink)

There are people where two or more personalities seem to have independent-and sometimes mutually forgetful-control of the same bodily individual. This chapter gives a brief account of the history of the diagnosis of "Multiple Personality Disorder" or "Dissociative Identity Disorder", and the conflicting judgment of therapists, lawyers, and philosophers as to whether this is a real syndrome. It is suggested that the diagnosis may be therapeutically helpful for some other disturbances, including anorexia, even if it does not carry the strong (...) metaphysical moral that some have supposed. The cases are of interest to philosophers as they purport to represent "real -life" difficulties for standard theories of "personal identity." The chapter argues that the diagnosis depend on prior assumptions about such identity, and so don't easily confirm or rebut any available theory, including more ancient theories about demonic possession. (shrink)

Heidegger''s conception of death as an attitude toward life, overlooked in current literature on death and dying, offers potential for deepening our understanding of the care of non-critically ill patients. By breaking away from the notion of death as an event distinct from life and viewing it as an anticipated possibility at every moment of life, Heidegger provides insight into our attempts to evade death through our fundamental attitudes and value commitments, which in turn determine our behavior and actions. When (...) combined with a method of application — the Nietzschean principle of reversal — these insights permit the understanding of diverse types of human mentality confronted with significant situations. Among the most important applications of these conceptions is to persons in need of medical care, and the resultant types, which are sampled as hypothetical cases, carry important implications for the sensitive care and psychosocial management of non-terminally ill patients. (shrink)

One of the most lasting contributions of Marr's posthumous book is his articulation of the different “levels of analysis” that are needed to understand vision. Although a variety of work has examined how these different levels are related, there is comparatively little examination of the assumptions on which his proposed levels rest, or the plausibility of the approach Marr articulated given those assumptions. Marr placed particular significance on computational level theory, which specifies the “goal” of a computation, its appropriateness for (...) solving a particular problem, and the logic by which it can be carried out. The structure of computational level theory is inherently teleological: What the brain does is described in terms of its purpose. I argue that computational level theory, and the reverse-engineering approach it inspires, requires understanding the historical trajectory that gave rise to functional capacities that can be meaningfully attributed with some sense of purpose or goal, that is, a reconstruction of the fitness function on which natural selection acted in shaping our visual abilities. I argue that this reconstruction is required to distinguish abilities shaped by natural selection—“natural tasks” —from evolutionary “by-products”, rather than merely demonstrating that computational goals can be embedded in a Bayesian model that renders a particular behavior or process rational. (shrink)

This baseline study was conducted to find out the knowledge, attitudes and practices of medical ethics among the undergraduate medical interns who did not have structured ethics curriculum in their course. A descriptive, cross-sectional study was carried out using a self-administered structured questionnaire among the medical undergraduate interns of Maharajgunj Medical Campus, the pioneer medical college of Nepal which enrols 60 students in a year. A total of 46 interns participated in the study. The most common source of knowledge on (...) ethics was lectures/seminars (35.7%) followed by experience at work (24.5%), training (21.4%) and own reading (17.3%). The main contents of Hippocratic Oath were known to 98.8% while 60.9% knew the main contents of Nepal Medical Council (NMC) code of ethics. Great majority (91.3%) regard ethics as very important in medical profession. “Doctors know the best irrespective of patients’ opinion” was disagreed by only 39.1% indicating the paternalistic attitude. However, 78.3% were in favour of adhering to the patient’s wish. None of the participant agreed to abandon confidentiality. Only about one-fourth (26.1%) claim to encounter ethical dilemma every day while the highest number (43.5%) had once in a month. To deal with the situation of ethical dilemma, majority approached to immediate supervisor followed by head of the department and colleagues. Eighty-seven percent of participating interns were involved in research activities involving human subjects. Only one of the participants had encountered the ethical issue on end-of-life and it was do-not-resuscitate consent in a terminally ill patient. On implementation of the curriculum on medical ethics focus should be - principles of biomedical ethics, sensitive ethical dilemmas like end-of-life care and practical experiences with participation in deliberations of the ethics committee. (shrink)

Humanism narrowly construed, is the secular thought of the Renaissance, involving the study of ancient philosophy, ethics, art and languages; broadly understood it is a progressive trend in social thought, which upholds the dignity, freedom and many-sided development of the individual and the betterment of man's relationships in society. The new and higher form of humanism — Marxist humanism is an aspect of the consistently scientific world view and practical activities of the working class, the object of which is the (...) liberation of working people of all races and nations from class and national oppression and inequality, and the institution of true human freedom and happiness by the establishment of a communist society in which the individual will enjoy all-round development and in which the most just of principles: "from each according to his abilities, to each according to his needs," will be carried into practice. Socialism is the first and lower phase of communism. (shrink)

Animal welfare involves societal and human values, ethical concerns and moral considerations since it incorporates the belief of what is right or what is wrong in animal treatment and care. This paper aims to ascertain whether the different dimensions of individual attitudes toward animal welfare in food choices may be characterized by general human values, as identified by Schwartz. For this purpose, an EU-wide survey was carried out, covering almost 2500 nationally representative individuals from five European countries. Compared with the (...) previous literature this study shows a twofold novelty: it develops a general framework to link individual enduring beliefs and attitudes toward animal welfare attributes in food choices; the framework is analyzed within a broad-based cross-country study. Our empirical results prove that human values related to self-transcendence are strongly associated to overall animal welfare attitudes and especially to those explicitly related to food choices, while values related to the spheres of self-enhancement and conservatism are significantly associated to less sensitive attitudes to animal welfare. Moreover, our results appear to indicate that a determinant of animal welfarism in food choices is potentially associated to individual concerns regarding food safety issues. (shrink)

Background Professional autonomy, which directly affects the quality of professional nursing in patient care, and cognitive flexibility, which is an important factor for adaptation to change and developing nursing roles, are important concepts for nursing. Research objectives This research was carried out to determine the effect of cognitive flexibility on attitudes towards professional autonomy in nurses. Research design This was a descriptive study. Participants and research context The research was conducted with 415 nurses working in a city hospital of a (...) province, meeting the inclusion criteria and agreeing to participate in the study. A questionnaire form, The Cognitive Flexibility Inventory (CFI), and the Attitude Toward Professional Autonomy Scale for Nurses (APASN) were used to collect data. Ethical considerations Ethical approval was obtained from the university ethics committee before starting the study. Institutional permission was obtained from the city hospital where the study was conducted. Electronic informed consent was obtained from the nurses included in the study. Findings In the study, the mean CFI score was 80.62 ± 11.55 and the mean APASN score was 70.42 ± 18.79. There was a weak positive correlation (r = 0.270; p < 0.05) between CFI and APASN scores. Moreover, the effect of the CFI mean score on the APASN mean score was found to be statistically significant (β = 0.278; p < 0.001). Furthermore, CFI explains 7.7% of APASN. Conclusion In the study, nurses’ attitudes towards professional autonomy and cognitive flexibility scores were found to be at a good level. Cognitive flexibility has a positive effect on attitudes towards professional autonomy. Interventional studies that will increase the level of cognitive flexibility are recommended in the development of nurses' attitudes towards professional autonomy. (shrink)

This paper is devoted to the study of some subvarieties of the variety Qof Q-Heyting algebras, that is, Heyting algebras with a quantifier. In particular, a deeper investigation is carried out in the variety Q 3 of three-valued Q-Heyting algebras to show that the structure of the lattice of subvarieties of Qis far more complicated that the lattice of subvarieties of Heyting algebras. We determine the simple and subdirectly irreducible algebras in Q 3 and we construct the lattice of subvarieties (...) (Q 3 ) of the variety Q 3. (shrink)

This paper is devoted to the study of some subvarieties of the variety Q of Q-Heyting algebras, that is, Heyting algebras with a quantifier. In particular, a deeper investigation is carried out in the variety Q subscript 3 of three-valued Q-Heyting algebras to show that the structure of the lattice of subvarieties of Q is far more complicated that the lattice of subvarieties of Heyting algebras. We determine the simple and subdirectly irreducible algebras in Q subscript 3 and we construct (...) the lattice of subvarieties lambda (Q subscript 3) of the variety Q subscript 3. (shrink)

The gauge compensation fields induced by the differential operators of the Stueckelberg-Schrödinger equation are discussed, as well as the relation between these fields and the standard Maxwell fields; An action is constructed and the second quantization of the fields carried out using a constraint procedure. The properties of the second quantized matter fields are discussed.

This paper draws on nearly two decades of research on health consumer and patients’ organizations in the United Kingdom. In particular, it addresses questions of representation and legitimacy in the health policy process. HCPOs claim to represent the collective interests of patients and others such as relatives and carers. At times they also make claims to represent the wider public interest. Employing Pitkin’s classic typology of formalistic, descriptive, symbolic, and substantive representation, the paper explores how and in what sense HCPOs (...) represent their constituencies. We found that policymakers themselves are less concerned with formal mechanisms adopted by groups and are more concerned with credibility, in particular whether HCPOs carry the confidence of their constituents. While some concerns about legitimacy remain, particularly in relation to funding from commercial interests, we argue that HCPOs bring a unique perspective to the policy process and to focus purely on formalistic representation provides only a partial understanding of their representative role and a constrained view of their collective moral claims. (shrink)

A growing consensus in the philosophy and psychology of concepts is that while theories such as the prototype, exemplar, and theory theories successfully account for some instances of concept formation and application, none of them successfully accounts for all such instances. I argue against this ‘new consensus’ and show that the problem is, in fact, more severe: the explanatory force of each of these theories is limited even with respect to the phenomena often cited to support it, as each fails (...) to satisfy an important explanatory desideratum with respect to these phenomena. I argue that these explanatory shortcomings arise from a shared assumption on the part of these theories, namely, they take similarity judgements and application of causal knowledge to be discrete elements in a theory of concepts. I further propose that the same assumption carries over into alternative theories offered by proponents of the new consensus: pluralism, eliminativism, and hybrid theories. I put forth a sketch of an integrated model of concept formation and application, which rejects this shared assumption and satisfies the explanatory desiderata I discuss. I suggest that this model undermines the motivation for hybrid, pluralist, and eliminativist accounts of concepts. _1_ Introduction _2_ The Similarity-Based Approach and the Importance of Theory _2.1_ The similarity-based approach _2.2_ The selection desideratum _2.3_ Causal knowledge as satisfying the selection desideratum _3_ The Theory-Based Approach and the Importance of Similarity _3.1_ The theory-based approach _3.2_ The range desideratum _3.3_ Similarity as satisfying the range desideratum _4_ An Integrated Approach to Concepts _4.1_ An integrated model _4.2_ The integrated theory versus hybrid theories of concepts _5_ Conclusion. (shrink)

Edification 教化 is one of the central concepts of Confucianism. The metaphysical basis of the Confucian edification is the “philosophical theory” in the sense of rational humanism rather than the “religious doctrine” in the sense of pure faith. Confucianism did not create a system of ceremony and propriety owned by Confucians only. The system of ceremony and propriety on which Confucians depend to carry out their social edification is that of “rites and music,” the common life style of ancient China. (...) After continual metaphysical explanation and elevation, the system of ceremony and propriety and that of rites and music have undergone a sort of ever-evolving historical fluctuation, and evinced a sort of openness and forgiveness comparable to that of any other religious form. Compared with typical religious practices, whose ceremonies and rituals that have their own special fixity and exclusivity, Confucian ceremonies and rituals are fundamentally different. The edification of Confucianism can be labeled as “edification in the sense of philosophy.” As a “philosophy”, Confucianism’s vision did not focus on cognition but on completion and realization. (shrink)

Summarizing and extending the ideas of many authors and also of our own work, we try to show that the wave equation of the one-body problem can be transformed into a system of equations describing the motion of a deformable medium carrying charge and having permanent magnetic polarization. The wave equation and the system of transformed equations are connected by a strict one-to-one correspondence. The transformation which is not uniquely determined from a mathematical point of view can be chosen so (...) that the new variables have directphysical significance. The latter requirement permits consequently a unique choice of the mathematical possibilities. (shrink)

Carole Pearce's argument against African philosophy is founded on a set of factual flaws and the fallacious assumption that African philosophy is equivalent to ethnophilosophy, which she defines as a form of intellectual apartheid founded on irrational belief systems. I argue that African philosophy is in no way qualitatively different from, say, French or Chinese philosophy, and that ethnophilosophy is merely one aspect of it But ethnophilosophy could play the important role of critically evaluating African ethnic belief systems and the (...) interpretation of such by Western anthropologists. In general, African philoso phy is nothing more than the philosophical research (of whatever order) carried out by African philosophers in the context of African research paradigms. (shrink)

The current system of ethical review for medical research in the United Kingdom is changing from the current system involving large committees of 7–18 members reviewing every individual application to a system involving pre-review by small sub-committees of National Research Ethics Officers , who have a remit to approve studies if they believe there are no material ethical issues imposed by the research. The reliability of this new system depends on the reliability of the NREAs and in particular the ability (...) of small groups to effectively identify and appropriately assess the seriousness of all the material ethical issues that may be posed by an application. There is anecdotal evidence to suggest that many individual research ethics committee members have had experience of believing that a study presents no material ethical concerns, then on reaching the committee and discussing the application they realise that the committee feels it does present significant ethical concerns. If this is the case then this casts doubt on the reliability of NREAs or small groups to effectively identify ethically problematic research and appropriately respond to this to protect research participants. In this paper we describe a small questionnaire based piece of research carried out to assess how common this and other relevant experiences are. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:THE SCANDAL OF ORIGINS IN ROUSSEAU Jeremiah L. Alberg University of West Georgia To speak of Jean-Jacques Rousseau and scandal is not difficult. Immediately one thinks of his relationship with Mme de Warens, his lover and his beloved mama. Most of his works upset some group or another—other intellectuals (the Discourse on the Sciences andArts), the Genevan authorities (the "Dedication" the Discourse on Inequality), the Church (Emile)—the list could (...) go on and on. In this article I would like to turn away from our usual use ofthe word scandal and look more deeply at the connection between Rousseau's system and the theological or, more properly, the biblical notion of scandal. This notion is obscure. While no one would deny its importance in the New Testament, trying to develop a coherent "theory ofscandal" from the various usages in the New Testament has proven difficult.1 To give only one example of the problem, Christ crucified is proclaimed as a scandal (ICor 1.23) and yet the Christians who follow him are forbidden to cause scandal to others (ICor 8.9), especially the younger and weaker. 1 For a basic understanding ofthe biblical notion ofscandal the following titles are helpful' G. Stählin, Skandalen Untersuchungen zur Geschichte eines biblischen Begriffs, (Gütersloh. Bertelsmann, 1930), as well as his article "Skandalen, skandahzo" in Theologisches Wörterbuch des Neuen Testaments, ed Kittel and Friedrich, 7 339-58, J Calvin, ConcerningScandals (translation oíDe scandalis. 1550) (Grand Rapids Eerdmans, 1 978), H Bintz. Das Skandalen als Grundlagenproblem derDogmata. (Berlin de Gruyter. 1969), D McCracken, The Scandal ofthe Gospels Jesus, Story, and Offense, (NY Oxford UP, 1994); J Alison, The Joy ofBeing Wrong Original Sm Through Easter Eyes (NY Crossroad, 1998) 140-146; G. Bailie, Violence Unveiled Humanity at the Crossroads (NY Crossroad, 1995) 207-2 10; R Girard, Des choses cachées depuis lafoundation du monde, (éditions Grasset et Fasqelle, 1978) especially 573-592 2 Jeremiah L. Alberg The most successful attempt at bringing coherence to the various elements of scandal has been carried out in the various works of René Girard.2 His basic insight was to see in biblical scandal an inchoate theory of human desire. Girard calls this desire "mimetic" or desire that one receives from another. This type of desire leads to scandal. It is here that the connection with Rousseau becomes evident. The famous literary theorist T. Todorov states: "the 'mimetic desire' of Girard is only another name for the amour-propre ofRousseau" (Todorov 38). For his part Girard defines theskandalon (that which causes the scandal) in the following way: It is not an obstacle thatjust happens to be there and merely has to be got out ofthe way; it is the model exerting its special form of temptation, causing attraction to the extent that it is an obstacle and forming an obstacle to the extent that it can attract. (Girard 1987, 416) Rousseau's analysis of amour-propre as that which excites without satisfying, seduces without delivering, and promises without fulfilling, parallels Girard's analysis ofmimetic desire as the doomed-to-be-frustrated reaching for the scanáalon3 Thus, I am arguing that in his various works Rousseau is developing the conceptual possibilities of biblical scandal. While there would be many way's of showing this structural parallel between Rousseau's thought and biblical scandal, I will concentrate on a reading ofthe "Preface" to the Discours sur l'origine et lesfondements de l'inégalité parmi les hommes (1755), in order to show that this work is structured by scandal. It is structured by a human desire that seeks what is unattainable and renders the object unattainable in the very seeking after it. More concretely, 1 shall argue that in the "Preface" Rousseau is able to reduce the question aboutthe origin ofinequality "to its genuine state" only 2 See the work cited above as well as his more recent / See Satan Fall Like Lightning ' Rousseau's definition of amour-propre makes its connection with offense (another translation of the biblical word for scandal) quite clear. Speaking of man in the primitive state he remarks. "For the same reason [that he is not capable ofmaking comparisons... (shrink)

In this chapter, I describe my “post-diagnosis” experiences as the parent of an autistic child, those years in which I tried, but failed, to make sense of the overwhelming and often nonsensical information I received about autism. I argue that immediately after being given an autism diagnosis, parents are pressured into making what amounts to a life-long commitment to a therapy program that (they are told) will not only dramatically change their child, but their family’s financial situation and even their (...) entire mode of existence. Moreover, despite information overload, many treatment programs for autism rely on empty jargon and make completely unrealistic promises, so parents are left feeling overwhelmed and panicked. Even well respected therapy programs encourage parents to spend liberally. Indeed, autistic therapists, who help construct what I refer to as the Culture of Autism, advise parents to commit to a minimum of 35 to 45 hours of intensive therapy every week. The implications are clear: for a parent who works full-time, their autistic child becomes a second full-time job. Autism is big business right now, and therapists are pushing parents to the brink of desperation. So it is not too surprising that there is a desperate cry for a more permanent solution—which is why researchers seek to cure autism. But there are two ways to conceptualize cure. A Therapeutic Cure model (TC) conceives of a cure as a beneficial treatment for the patient that eliminates or ameliorates the harms of the disease or condition. But the notion of a therapeutic cure for autism is highly implausible, given the complexities of autism. Indeed, at this point, the vast majority of researchers have come to the conclusion that the idea of a therapeutic cure for autism is simply a non-starter. Therefore the bulk of research seeking a cure for autism focuses instead on a second approach, which I refer to as the Negative Eugenics Cure model (NEC). With this model, the intention is to eliminate the disease or condition without regard for the health or well-being of the organism carrying the disease or condition. So, with regard to autism, researchers are focusing on identifying genetic markers for autism that can be detected in utero, or in embryos, so that autistic fetuses can be eliminated and autism eradicated by preventing the existence of autistic individuals. I review both models and argue that both fail to provide convincing arguments that the “solution” either offers is desirable. Both rest on the assumption that autism renders a life not worth living which, all things considered, is false. Instead of pushing to cure autism, an idea pervasive in this Culture of Autism, I contend that autistics are individuals with lives worth living. Moreover, rather than expend millions on research to search for the means to eliminate autism, we should instead expend our resources to ensure autistic individuals have access to support they may need. If the phenomenology of autism were better understood and appreciated, the panicked demand for a cure for autism might abate and perhaps autism could be seen as having value in and of its own right. (shrink)

Vesicovaginal fistula was a catastrophic complication of childbirth among 19th century American women. The first consistently successful operation for this condition was developed by Dr J Marion Sims, an Alabama surgeon who carried out a series of experimental operations on black slave women between 1845 and 1849. Numerous modern authors have attacked Sims’s medical ethics, arguing that he manipulated the institution of slavery to perform ethically unacceptable human experiments on powerless, unconsenting women. This article reviews these allegations using primary historical (...) source material and concludes that the charges that have been made against Sims are largely without merit. Sims’s modern critics have discounted the enormous suffering experienced by fistula victims, have ignored the controversies that surrounded the introduction of anaesthesia into surgical practice in the middle of the 19th century, and have consistently misrepresented the historical record in their attacks on Sims. Although enslaved African American women certainly represented a “vulnerable population” in the 19th century American South, the evidence suggests that Sims’s original patients were willing participants in his surgical attempts to cure their affliction—a condition for which no other viable therapy existed at that time. (shrink)

Open-uterine surgery to repair spina bifida, or ‘fetal surgery of open neural tube defects,’ has generated questions throughout its history—and continues to do so in a variety of contexts. As clinical ethics consultants who worked (Mark J. Bliton) and trained (Virginia L. Bartlett) at Vanderbilt University—where the first successful cases of open-uterine repair of spina bifida were carried out—we lived with these questions for nearly two decades. We worked with clinicians as they were developing and offering the procedure, with researchers (...) in refining and studying the procedure, and with pregnant women and their partners as they considered whether to undergo the procedure. From this experience in the early studies at Vanderbilt, we learned that pregnant women and their partners approach the clinical uncertainty of such a risky procedure with a curious and unique combination of practicality, self-reflection, fear, and overwhelming hope. These early experiences were a major contributing factor to the inclusion of an ethics-focused interview in the informed consent process for the Management of Myelomeningocele Study (MOMS) trial study design. (shrink)

The Declaration of Helsinki is recognised worldwide as a cornerstone of research ethics. Working in the wake of the Nazi doctors’ trials at Nuremberg, drafters of the Declaration set out to codify the obligations of physician-researchers to research participants. Its significance cannot be overstated. Indeed, it is cited in most major guidelines on research involving humans and in the regulations of over a dozen countries.Although it has undergone five revisions,1 and most recently incorporated language aimed at addressing concerns over research (...) carried out in resource-poor countries,2–5 the Declaration could go much farther in addressing the profoundly altered landscape of research with humans. Research involving humans is now a global enterprise and often involves participants from resource-poor countries. Rather than being carried out at single institutions by veteran researchers, many studies are now conducted at many locations—including sites that are not academic medical centres—by new and relatively inexperienced investigators. A growing number of projects involve novel agents, based on innovative work in genomics and proteomics. Increasingly, research is sponsored by the for-profit sector. National governments and professional organisations around the globe provide laws, regulations and standards for the conduct of research involving humans. Considerable scholarship also critiques and guides this endeavour.In light of the current effort of the World Medical Association to revise the Declaration, we offer ideas on how to re-conceive the concept of “vulnerability” and its links with the principle of justice and, in turn, redirect the attention of researchers towards those who might be so designated.In the research context, “vulnerability” is associated with an inability partly or totally to protect one’s own interests. Typically, conceptions of vulnerability centre upon characteristics associated with particular groups that …. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.2 (2003) 271-272 [Access article in PDF] Lenn E. Goodman. Jewish and Islamic Philosophy: Crosspollinations in the Classic Age. New Brunswick, NJ: Rutgers University Press, 1999. Pp. xv + 256. Cloth, $55.00. This book is a bold if not audacious survey of select themes in Jewish and Islamic philosophy. The "crosspollinations" to which the subtitle refers carry the author back to classical Greece, (...) and forward to Spinoza, Kant, Bergson, Darwin, and beyond. Medieval Jewish and Islamic philosophers are placed as the centerpieces of a humanistic tradition rooted in the past and still resonating in the present.This is a view of medieval philosophy to which many a medievalist would like to subscribe, but which few would dare describe with such brio and eloquent assurance as Lenn Goodman, who is both a historian of philosophy and a philosopher. This confidence waylays Goodman, though, in that he regularly substitutes pronouncements for patient explanation and argument. The reader who is not already familiar with the issues discussed and positions advanced will have a hard time following him. More informed readers may well question many of his summary judgments and piquant observations.The ideal reader of this work is one who has read Goodman's other studies, to which the notes frequently refer. The arguments adumbrated here are presumably laid out in detail in these earlier essays and books. The text before us is thus for the most part more a statement of faith, the author's summary credo, than a reasoned exposition of Jewish and Islamic philosophy. To Goodman, "the approach is synthetic rather than descriptive" (ix).The book deals with "issues of abiding philosophical interest: freedom and determinism, the nature and meaning of history, the basis of ethical values, the foundations and social implications of friendship, the viability and relevance of the idea of God." These admirable themes are pursued in separate yet complementing chapters that compare the tenth-century free-thinker and physician Muhammad ibn Zakariyâ al-Râzî and Epicurus; the tenth-century pietist Bahya ibn Paquda and Kant; and the fourteenth-century Maghribi historian Ibn Khaldûn and Thucydides. Three other chapters compare, respectively, Maimonides and such major Islamic philosophers as Avicenna, Al-Ghazâlî, and Ibn Bâjjah; Maimonides, Al-Ghazâlî, and the Persian ethicist Miskawayh (tenth/eleventh centuries); and Maimonides, Aristotle, and Spinoza.It is at once obvious that Maimonides (twelfth century) is at the heart of this work, reflecting Goodman's longstanding interest in this towering figure of medieval Jewish philosophy. Less obvious is Goodman's contention that Maimonides is to be seen not only in relation to Avicenna, Al-Ghazâlî, and Ibn Bâjjah, but also to Râzî, Bahya, and Miskawayh. Goodman has constructed a narrative of persons and ideas, abstracting from their contexts common concerns and purposes. While there is much to admire in these constructions—patently erudite and challenging as they are—the direct filiations Goodman assumes are often conjectural at best.Take, for example, Goodman's chapter on "Maimonides and the Philosophers of Islam," with its subtitles of "Creation" and "Theophany." These terms are shorthand for Maimonides' treatment of the science of physics and metaphysics, both in their normative and extraordinary appearances. Goodman correctly notes that Maimonides is deeply indebted to Muslim philosophers (and their Greek predecessors) for his knowledge of these fields, though he does stretch matters in singling out the importance of Al-Kindî and Râzî as influences upon Maimonides' thought.Goodman does this in part because he believes Maimonides shared, in varying degrees, a creationist position with them. Goodman accepts at face value Maimonides' assertion that only a creationist thesis allows for voluntarism, a (theologically) meaningful Divine Will. "Only voluntarism," Goodman asserts in the name of Maimonides, "can break the stranglehold of necessity, making emanation itself possible, allowing change, and crucially, allowing change in the natures of things, that is, evolution, as a means of bringing creation to 'maturity'"(98). This statement, besides its anachronistic introduction of evolution into medieval notions of change, misinterprets Maimonides' view... (shrink)

New work is used as a general term to summarize professional developments in contemporary work style, structure and modus of organizations and society—this means collaborative work and flexible working hours on individual levels, and flat hierarchies and participatory decision-making on organizational levels. Contemporary corporations strive to orient toward the concept of new work to keep up with stakeholder demands, for instance in their branding strategies as an employer. However, studies on organizational practices indicate that alongside explicit values and agendas, organizations (...) tend to slyly exert power to secure their interests. Constructive dismissal is one such instance where contractually protected employees are made to resign their positions because the work environment is altered to become increasingly unbearable. This research analyzes two case studies to explicate routine dismissal procedures at the managerial level in two internationally operating German corporations. Both corporations explicitly profile as new work environments and are structured according to democratic principles including flat hierarchies, feature institutionalized diversity management including control committees for equal opportunities, and emphasize values such as workplace dignity, employee agency, and equality. The data contain long-term participatory observation collected over a 6-month period from two managers of 5 and 8 years of experience in managerial duties. The content analysis of data reveals characteristics of everyday processes in these organizations especially in terminating managers. The findings are presented as the ‘model of the silent dismissal,’ containing seven types of managerial termination carried out by implicit power and symbolic conventions that circumvent subject participation and litigation in an effortless manner. After exposing the model’s mechanisms, we turn to discuss its meaning for both terminated and surviving subjects against a critical theoretical framework of neoliberalism, democracy, and power. (shrink)

In their responses to Dr Osamu Muramoto Watchtower Society spokesmen David Malyon and Donald Ridley ,1–3 deny many of the criticisms levelled against the WTS by Muramoto.4–6 In this paper I argue as a Jehovah's Witness and on behalf of the members of AJWRB that there is no biblical basis for the WTS's partial ban on blood and that this dissenting theological view should be made clear to all JW patients who reject blood on religious grounds. Such patients should be (...) guaranteed confidentiality should they accept whole blood or components that are banned by the WTS. I argue against Malyon's and Ridley's claim that WTS policy allows freedom of conscience to individual JWs and that it is non-coercive and non-punitive in dealing with conscientious dissent and I challenge the notion that there is monolithic support of the WTS blood policy among those who identify themselves as JWs and carry the WTS “advance directive”. (shrink)

Speech Act Theory has proved useful for classifying utterances, because of its seemingly universal application; on the other hand, legal theorists are interested in speech acts for several reasons, the most important being the fact that the theory helps to explain how the law uses language. In legal language there is a large number of speech acts, and most of them fall under the category of performatives: these do not report about doing something, their utterance actually constitutes performing an action. (...) Because performatives are actions, they cannot be considered to be either true or false but only “felicitous” or “infelicitous". Laws could be considered as types of speech acts, as well as contracts and wills. We can say that in, a very general way, speech act theory is helpful because it permits us to understand legal events from a new perspective: in this paper my attempt is to show that a difference exists between "doing something with words" and "doing something legal with words", and that doing something in speaking in the common language is different from doing it in speaking the legal discourse, since in the legal domain we do not speak to do speech acts, but to carry out legal acts. (shrink)

The article deals with the philosophical component of the legacy of theprominent early Middle Ages, the first encyclopedic Isidore of Seville (560-637).By analyzing the works of foreign medical scholars and writings of Isidore, the author spans the evolution of views on the legacy of the Seville Bishop. Particular importance is given to quotations from ancient literature in the writings of Isidore, the transformation of the meaning of the quotation, which was due to a change in the context, and often the (...) very text, the agreement of these quotation among themselves and the general conclusions of the author. The second book Differentials and the three books of Senencius of Isidore are defined as the original “theological works” that corresponded to the cultural and ideological demands of the European society of the early Middle Ages, formed the foundations of European education, the idea of the appointment of the royal (state) power.The presentation of the doctrine and related problems is carried out in the three books of Senentius, which contain a number of thematic and meaningful parallels with the second book Differentials. The genius of Senentius is reinterpreted by Isidore: this is not just a thematic selection of aphoristic statements; quotations from various works and Isidor’s own maxims are designed in a clear structure), which explains a certain position and “policy” of the author, a strictly defined set of interconnected concepts. In the three books of Senentia, dogmatic, ascetic themes, what is called the “political theology” are considered.Thus, the second book “Differentials” and the three books “Sentence”,marked by us as “theological works”, are expected to contain a wealth of material for historical and philosophical analysis and, above all, philosophical concepts perceived by Isidor through the inheritance of the Fathers of the Church. However, if he can be blamed in a certain way in the reception of philosophy, then a large number of quotations from ancient literature is not simply a reference to the works of predecessors. They represent the consistency of Isidor’s thoughts with his predecessors, as well as his own conclusions. Given that the Sevillian Bishop was extremely lucky and virtually all his works were preserved, it is not surprising that they caused such controversy in the scientific community of the Medievists and not only the Medievists. The analysis of works on revealing their philosophical component continues to this day and the “supporters” of Isidore-philosopher are becoming more and more. Evolution in a positive direction in foreign historiography regarding the value of the Isidor Sevillian heritage is the basis of its new research by representatives of all branches of science. (shrink)

Changes in health care have created a variety of new roles and opportunities for nurses in advanced practice. One of these changes is the increasing number of advanced practice nurses carrying out independent consultation. Differences in goals between business and health care may create ethical dilemmas for nurse consultants. The purpose of this article is to describe possible ethical pitfalls that nurse consultants may encounter and strategies to prevent or solve these dilemmas. Three themes related to nursing codes of ethics (...) will be discussed: the duty to uphold human rights, the duty to fulfill commitments, and the duty to practice the profession competently. (shrink)

Epaminondas the soldier has been much admired. His two great battles rank as masterpieces of the military art. Epaminondas himself perhaps regarded them as his greatest achievements, to judge by his last words as reported by Diodorus . He had been carried from the battlefield of Mantinea with a spear stuck in his chest. The doctors declared that when the spear was removed he would die. After hearing that his own shield was safe and that the Boeotians had won, he (...) ordered that the spear be removed. One of his friends said to him ‘But you die without a son.’ He answered ‘I do, by God, but I leave two daughters, my victory of Leuctra and my victory of Mantinea’, and then he died. Nor were his ‘daughters’ unadmired. By remarkable chance the future Philip II of Macedon was hostage at Thebes at the very time of Epaminondas' pre-eminence and did not fail to learn, as Chaeronea was to show. (shrink)