Background While it is generally acknowledged that self-prescribing among physicians poses some risk, research finds such behaviour to be common and in certain cases accepted by the medical community. Largely absent from the literature is knowledge about other activities doctors perform for their own medical care or for the informal treatment of family and friends. This study examined the variety, frequency and association of behaviours doctors report providing informally. Informal care included prescriptions, as well as any other type of personal (...) medical treatment (eg, monitoring chronic or serious conditions). Method A survey was sent to 2500 randomly-selected physicians in Colorado, 600 individuals returned questionnaires with usable data. The authors hypothesised: (1) physicians would prescribe the same types of treatment at home as they prescribed professionally; and (2) physicians who informally prescribed addictive medications would be more likely to engage in other types of informal medical care. Results Physicians who wrote prescriptions for antibiotics, psychotropics and opioids at work were more likely to prescribe these medications at home. Those prescribing addictive drugs outside of the office treated more serious illnesses in emergency situations, more chronic conditions and more major medical/surgical conditions informally than did those not routinely prescribing addictive medications. Physicians reported a variety of informal care behaviour and high frequency of informal care to family and friends. Discussion The frequency and variety of informal care reported in this study strongly argues for profession-wide discussion about ethical and guideline considerations for such behaviour. These areas are discussed in the paper. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Bibliography of Resources by and about André E. Hellegers*Compiled by Doris Mueller Goldstein (bio)This bibliography is derived from the holdings of the National Reference Center for Bioethics Literature and the BIOETHICSLINE© database (both of which are at the Kennedy Institute of Ethics and supported by the National Library of Medicine); the archives of Lauinger Library, Georgetown University; the Medline databases of the National Library of Medicine; the WorldCat (...) database of OCLC, Dublin, Ohio, and selected Internet sites.Primarily comprised of writings by Dr. Hellegers, the list also includes interviews and media programs in which he participated, as well as writings about him that were written following his death. The arrangement within each section is by date. The 231 authored pieces reflect the transition from Dr. Hellegers’s early career as a researcher in fetal physiology at Johns Hopkins Medical School, where he published his first research report at the age of 29, to the early years of the Kennedy Institute, where he produced so many provocative columns on bioethical issues that influenced the growth of the field.Due to the diversity of sources and the 40-year time span covered, there are some variations in bibliographic style. Time and availability constraints precluded verifying all of the citations with the original documents. Any additions or corrections should be submitted to the compiler.Works Authored by André E. HellegersNo Date Ethical Issues in Sterilization of the Retarded. Unpublished paper.1956Vitamin B12 Serum Level and Pregnancy. American Journal of Clinical Nutrition 4: 440+, 1956. [With Bacon F. Chow and Kunio Okuda] [End Page 89]1957Vitamin B12 Absorption in Pregnancy and in the Newborn. American Journal of Clinical Nutrition 5: 327+, 1957. [With Bacon F. Chow, Robert E. L. Nesbitt, Kunio Okuda, and David W. Smith]1958The Effects of Acute Hypoxia on the Osmotic Pressure of the Plasma. Quarterly Journal of Experimental Physiology 43: 197+, 1958. [With Donald H. Barron, Frederick C. Battaglia, and Giacomo Meschia]Studies on the Absorption of Vitamin B12 in Human Pregnancy with Especial Reference to the Effect of D-Sorbitol. American Journal of Obstetrics and Gynecology 76: 91+, 1958. [With Bacon F. Chow, Harry Prystowsky, and Vernon Wong]1959The Alveolar PCO2 and PO2 in Pregnant and Nonpregnant Women at Altitude. Proceedings of the Society for Clinical Investigation 38: 1010+, 1959. [With Donald Barron, William Huckabee, Giacomo Meschia, James Metcalfe, and Harry Prystowsky]A Comparison of the Oxygen Dissociation Curves of the Bloods of Maternal and Fetal Goats at Various pHs. Quarterly Journal of Experimental Physiology 44: 215–21, July 1959. [With Donald Barron, Giacomo Meschia, Harry Prystowsky, and A. Stark Wolkoff]Fetal Blood Studies. XII. On the Relationship Between the Position of the Oxygen Dissociation Curve of Human Fetal Blood and Adult Fetal Hemoglobin. American Journal of Obstetrics and Gynecology 77: 585+, 1959. [With Paul D. Bruns, Julian Cotter, and Harry Prystowsky]Fetal Blood Studies. XIV. A Comparative Study of the Oxygen Dissociation Curve of Nonpregnant, Pregnant and Fetal Human Blood. American Journal of Obstetrics and Gynecology 78: 489–93, September 1959. [With Paul D. Bruns and Harry Prystowsky]Fetal Blood Studies. XVI. On the Changes in Total Osmotic Pressure and Sodium and Potassium Concentration of Amniotic Fluid During the Course of Human Gestation. Surgery, Gynecology and Obstetrics 109: 509–12, October 1959. [With Frederick Battaglia, Paul D. Bruns, Harry Prystowsky, and Clayton Smisson]Further Observations on the Metabolism of Vitamin B12 in Human Pregnancy. American Journal of Obstetrics and Gynecology 77: 1+, 1959. [With Bacon F. Chow, Harry Prystowsky, Bruno Ranke, and Elma Ranke]The Oxygen Dissociation Curves of the Bloods of Adult and Fetal Llamas. Federation Proceedings 18, 1959. [With Donald Barron, William Huckabee, Giacomo Meschia, James Metcalfe, and Harry Prystowsky] [End Page 90]Transfer of Oxygen Across the Sheep Placenta at High Altitude. Federation Proceedings 18, 1959. [With Donald Barron, William Huckabee, Giacomo Meschia, and Harry Prystowsky]Uterine Blood Flow and Metabolism in Pregnant Sheep at High Altitude. Federation Proceedings 18, 1959. [With Donald Barron, William Huckabee, Giacomo Meschia, James Metcalfe, and Harry Prystowsky]Uterine Blood Flow and Metabolism in Unanesthetized Pregnant Sheep. Federation Proceedings 18, 1959. [With Donald Barron, William Huckabee, Giacomo... (shrink)

Philosophical accounts of moral responsibility are standardly framed by two platitudes. According to them, blame requires the presence of a moral defect in the agent and the absence of excuses. In this chapter, this kind of approach is challenged. It is argued that (a) people sometimes violate moral norms due to performance mistakes, (b) it often appears reasonable to hold them responsible for it, and (c) their mistakes cannot be traced to their moral qualities or to the presence of excuses. (...) In the end, the implications for discussions of moral responsibility are discussed. (shrink)

Depuis l'exil, le philosophe W. Benjamin recompose, dans une sA(c)rie de brA]ves vignettes, ses souvenirs d'enfance A Berlin. Loin de l'anecdote, il s'agit d'une vA(c)ritable plongA(c)e dans l'enfance et dans l'histoire, oA se retrouvent les thA]mes essentiels de la philosophie benjaminienne. Ce texte restA(c) inA(c)dit du vivant de l'auteur, est dA(c)sormais connu en plusieurs variantes, dont celle-ci est la derniA]re A laquelle il ait mis la main. Walter Benjamin (1892-1940) est un philosophe, historien de l'art, critique littA(c)raire, critique d'art et (...) traducteur (notamment de Balzac, Baudelaire et Proust) allemand de la premiA]re moitiA(c) du XXe siA]cle, rattachA(c) A l'A(c)cole de Francfort. Traduction et prA(c)face de Pierre Rusch Postscriptum de Patricia Lavelle. (shrink)

The lectures on American pragmatism given by the French sociologist Emile Durkheim in 1913 in Paris were first published in French in 1955 and finally translated into English and published in 1983 as Pragmatism and Sociology. For obvious reasons they have attracted considerable attention from philosophers and sociologists, especially the latter, in both continental Europe and the English speaking world. Durkheim's motives in giving the lectures have been scrutinized, his interpretations of the pragmatists widely discussed and his criticisms of William (...) James, John Dewey, and F. S. C. Schiller have met with mixed receptions. However, after years of scholarly discourse on his motives, interpretations and criticisms, there is no common agreement on the significance and meaning of Pragmatism and Sociology. We briefly address the disagreement over Durkheim's motives in the introductory section before turning to our interpretation in the body of the article. There we focus on his criticisms of the pragmatists’ views on the aims and nature of knowledge, which is a classic confrontation between French rationalism à la Durkheim and American pragmatism of the James/dewey variant. (shrink)

They discuss philosophy and methodology, and such topics as the history of evolution and the evolution of history. Paper edition (unseen), $16.95. Annotation c. by Book News, Inc., Portland, Or.

Si la " critique philosophique de l'art " peut constituer l'axe central d'une approche de la pensée de Walter Benjamin, c'est d'abord parce que l'art représente l'élément par lequel l'homme accède à sa propre temporalité. Le passé individuel, l'origine commune, le projet militant se cristallisent dans le geste artistique. La mémoire elle-même est une forme d'art, non moins que l'anticipation d'un avenir désirable. Investi du pouvoir de définir ainsi l'humanité de l'homme, l'art devient éminemment critiquable : Benjamin n'a jamais cru (...) que pratiquer la " critique " dispensât d'être philosophe. La critique, au contraire, n'a d'autre lieu que la philosophie, sous sa forme la plus épurée. On touche ici du doigt le fascinant pouvoir intégrateur de la pensée benjaminienne, capable de conjuguer l'autobiographique et le politique, la précision analytique et l'élan éthique, la déconstruction et la métaphysique. Quand Benjamin a été si souvent morcelé en personnalités contradictoires, sous la plume parfois d'un seul et même commentateur, c'est une image très cohérente, très homogène, qui nous semble ressortir des diverses contributions de ce recueil. (shrink)