This paper examines the argument that scientific thinkers who embrace a religious tradition can promote intellectual integration between religion and science rather than fragmented discourse. It is argued that God’s Word as an event and the concept of structural directedness, an organized movement toward a future that does not demand a consciously intended end, may be helpful in understanding God’s actions in an indeterminant way.

When Henry Adams became one of the forty million marveling at the eighty thousand exhibits of the 1900 Paris Exhibition – a Disneyland of engineering – he came to believe that, as the Virgin Mary had once inspired the great leap forward represented by Mont St Michel and Chartres, so technology would transform modern civilization, and so it has.

When Henry Adams became one of the forty million marveling at the eighty thousand exhibits of the 1900 Paris Exhibition – a Disneyland of engineering – he came to believe that, as the Virgin Mary had once inspired the great leap forward represented by Mont St Michel and Chartres, so technology would transform modern civilization, and so it has.

In clinical ethics an enduring case takes on a life of its own and comes to closure over a long period of time. This essay describes the evolution of such a case over a 1–year period. The case involves a 90–year old male patient with multiple chronic medical conditions who lacked decision–making capacity, was a resident of a long–term care facility, and did not have known previously expressed wishes regarding medical treatment. The ethics consultation initially revolved around this question: What (...) method or process must be employed so that medical treatment decisions could be ethically reviewed and could include a shared decision–making process for Mr. Smith? This case analysis describes the evolution of this case and argues that the good of the patient must remain paramount throughout an enduring case. (shrink)