It is the impression of neurologists who deal with cancer patients that the incidence of neurologic complications of cancer is increasing (Posner 1995). ...

It is well known that Kant was stirred from his "dogmatic slumber" by the writings of David Hume. It is not well known that Hume had a similar effect upon his contemporary Thomas Reid. Yet it was Hume who led Reid to see that the path along which British Empiricism was moving might well end in Pyrrhonian skepticism-Hume's denial to the contrary. Interest in the writings of Reid has been increasing in recent years. One reason is that the range of (...) Reid's philosophical inquiry covers a number of areas which attract a good deal of attention today. Reid offers interesting and often significant insights into aspects of epistemology, philosophy of mind, aesthetics, and philosophy of action. His philosophy has contributed to the writings of such men as G. E. Moore, C. S. Peirce, R. Chisholm, P. Winch, to mention only a few. This new edition of An Inquiry Into the Human Mind follows closely upon the heels of new editions of Reid's Essays on the Active Powers of Man and Essays on the Intellectual Powers of Man, both of which appeared in 1969. In introducing this latest edition, Duggan chose to concentrate his attention upon one aspect of Reid's thought rather than offer a rapid and perhaps superficial treatment of the multifaceted thinking of this 18th century philosopher. Duggan's critical analysis of Reid's interpretation of sensation and perception is invaluable for introducing the reader to Reid's philosophical alternative to Hume. It was this alternative which came to be known as the philosophy of common sense.--W. P. G. (shrink)

This selection of readings in ethics is divided into five parts: Classical and Medieval Intellectualist Thought; Dialectical Thought; American Naturalistic Thought; Analytic-Positivist Thought; Existentialist and Post-Existentialist Thought. An anthology such as this one is needed to balance the limited selections offered in the area of morality contained in the anthologies dealing with philosophy in general. For example Part II contains selections from Kant, Fichte, Hegel, Marx, and Engels. And Part III features James, Dewey, Edel, Hook, Romanell, and Dennes. It would (...) not be possible to include the majority of these authors' writings on ethics in an anthology dealing with philosophy generally. This anthology could best be used in introductory courses in ethics. Some of the introductions given to each of the five parts are good and the rest are adequate. At the end of each reading there are questions designed to guide the reading and discussion. This could have been omitted without any loss to the anthology. At the conclusion of each part there is a limited list of recommended readings. For the beginning student of ethical theory Approaches To Morality offers a quick but fairly inclusive view of the various ways in which some individuals have approached the philosophical problems inherent in a study of morality.--W. P. G. (shrink)

Leslie Armour argues for the rules of a dialectical logic which can account for the metaphysical problems of stability and change. He proposes a specific/general exclusion reference, a variation of the polar opposites contrast, which will make possible a rigorous development of the core structural concepts necessary for systematic explanation. His initial move is significantly different from Hegel’s being-nothing-becoming triad. The opposite of "pure being," Armour contends, is "pure disjunction." "Being" unifies, "disjunction" makes distinctions possible. Seven more categories are developed, (...) each at lower levels of abstraction, to introduce actual specificity and change. Armour’s main contention is that Hegel erred in introducing concrete "becoming" at a high level of logical abstraction. The ordering of his concepts is straightforward. "Pure being" contrasted with "pure disjunction" necessitates "determinate being." "Systematic unity" unifies the opposing elements in and. "Pure process" establishes the possibility of ongoing experience. Particularity is accounted for by the concepts of "determinate process" instantiated in the contrast of "ideal" and "objective universality" realized in the "dialectical individual." The final concept maintains the tension between structure and actualization without resulting in mere vacillation. This is done by arguing that self-identity is not a matter of bodily and dispositional consistency, but, rather, the pursuit of reasonableness. Armour contends that we identify people by the coherence of their actions which is understood in the context of an overall structure, such as the one he proposes. Some will be bothered by Armour’s admission that the development of the concepts of specificity cannot exemplify the necessity of the more general initial dialectical concepts. Others will be attracted to the degree of freedom for the subject in his concept of individuality which is supported by a clear systematic account.—P. G. W. S. (shrink)

There is an increasing body of research on what kind of ethical challenges health care professionals experience regarding the quality of care. In the Netherlands the Dutch Health Care Inspectorate is responsible for monitoring and regulating the quality of health care. No research exists on what kind of ethical challenges inspectors experience during the regulation process itself. In a pilot study we used moral case deliberation as method in order to reflect upon inspectors’ ethical challenges. The objective of this paper (...) is to give an overview of the ethical challenges which health care inspectors encounter in their daily work. A thematic qualitative analysis was performed on cases that were collected from health care inspectors in a moral case deliberation pilot study. Eight themes were identified in health care regulation. These can be divided in two categories: work content and internal collaboration. The work of the health care inspectorate is morally loaded and our recommendation is that some form of ethics support is provided for health care inspectors. (shrink)

The sixth decade of this century may be considered a period of dynamic development of the Soviet ethics. In contrast with the post-revolutionary period, the ethics does not limit itself to a normative reflection, but starts also extensive studies in the theory of ethics. According to the authors of the present article, there are all reasons to believe that the marxist ethics will become a scientific discipline in a full sense of the word. The purpose of the article is not (...) to discuss all problems involved in the contemporary Soviet ethics, but above all to outline main problems and trends of its development. The authors distinguish following aspects of the ethical investigations: philosophical, sociological, social-psychological, axiological, pedagogical, historical, gnoseological, logical, and metaethical. Together with a critical evaluation of solutions of certain problems, they criticize some abstractive and ahistorical, in their opinion, approach to ethics which has been manifested above all in works of Y. A. Milner-Irinin and P. M. Egides. (shrink)

In this collection of essays, Feinberg gathers together a number of articles which he has written over the past few years, most of which have appeared in print elsewhere. The few changes made for the present edition do not alter the fundamental content of any of the articles. In the introduction, Feinberg suggests that just as there are general areas of philosophical interest called "theory of value," "theory of knowledge," etc., so there should similarly be a general rubric for the (...) area dealing with questions which are applicable both to the philosophy of law and moral philosophy. For this purpose, Feinberg chooses "theory of responsibility." Both the title of the book and the name for this area of philosophical concern reflect the difficulties inherent in this general area. "Doing" can be applied to an individual who performs actions. Does "deserving" have an equivalent extension? "Responsibility" is a concept which covers both the moral notion of "culpability" and the legal notion of "liability." But is the same criterion for application of the concept of responsibility operative in both the legal and moral domains? Is the concept of "at fault" used univocally in moral and legal contexts? These are just a few of the many questions which arise when discussing a "theory of responsibility." Feinberg has answers for some. He points readers in a direction from which other answers might be found. If nothing else this book is a good launching pad into an area of philosophical concern which is just beginning to be explored.--W. P. G. (shrink)

Macquarrie is thorough in his coverage of the subject matter, precise in the exposition of his thought, and creative in his attempt to explicate the principles upon which a Christian theology for the twentieth century can be based. In Twentieth Century Religious Thought, Macquarrie concluded that religion and philosophy need each other. There he claimed that from the philosophical side attention should be paid to Martin Heidegger, and from the religious side one should look at Bultmann and Tillich. Macquarrie has (...) done just this in Principles of Christian Theology. This book is divided into three main parts: philosophical theology, symbolic theology, and applied theology. Although there is much of significance in the last two sections, it is in the first one that the author makes his distinctive contribution to theology. His approach is phenomenological. This leads him to an existential interpretation of theology. What he arrived at by means of this approach he called "Existential-Ontological Theism." Although there are some theologians who may have a few doubts as to whether or not Macquarrie has reached his conclusions by stretching some fundamental interpretations too far, it still remains a certainty that this book opens up a new and creative approach to some of the traditional concepts of theology which have been under so much fire in the last few decades.—W. P. G. (shrink)

In all of the writings of Martin Buber there is one major theme which serves as a peg upon which he hangs most of his further thoughts. Nahum Glatzer uses this underlying theme, interpreting it as a "way of response," and brings together selections from many of Buber's works. Thus not only does the reader see the centrality of the "way of response" for this great Jewish thinker, but he captures a feeling for the man himself as well. The "way (...) of response" is not a concept expounded but a life lived, and the selections Glatzer employs in his book brings this out very well.—W. P. G. (shrink)

Drawing on both anthropology and philosophy, this paper argues that the profiled form of the human hand is a universally recognizable image; one whose significance transcends temporally and geographically defined cultural divisions, and represents the earliest known artistic symbol of the human form. The unique co-occurrence of five properties in the image of the human hand and the way it is recognized support this argument, including that it is: (1) unmistakably a hand, (2) unmistakably human, (3) a universal point of (...) interface, (4) a universal referent of scale, and (5) an easy way of making a complex shape. This underappreciated aspect of hand art makes these images among the most important forms of early artistic expression encountered in the prehistoric record. (shrink)

For the epic journey of autumn migration, long-distance migratory birds use innate and learned information and follow strict schedules imposed by genetic and epigenetic mechanisms, the details of which remain largely unknown. In addition, bird migration requires integrated action of different multisensory systems for learning and memory, and the hippocampus appears to be the integration center for this task. In previous studies we found that contrasting long-distance migratory flights differentially affected the morphological complexity of two types of hippocampus astrocytes. Recently, (...) a significant association was found between the latitude of the reproductive site and the size of the ADCYAP1 allele in long distance migratory birds. We tested for correlations between astrocyte morphological complexity, migratory distances, and size of the ADCYAP1 allele in three long-distance migrant species of shorebird and one non-migrant. Significant differences among species were found in the number and morphological complexity of the astrocytes, as well as in the size of the microsatellites of the ADCYAP1 gene. We found significant associations between the size of the ADCYAP1 microsatellites, the migratory distances, and the degree of morphological complexity of the astrocytes. We suggest that associations between astrocyte number and morphological complexity, ADCYAP1 microsatellite size, and migratory behavior may be part of the adaptive response to the migratory process of shorebirds. (shrink)

Introduction: The decision of “do not attempt resuscitation” in the event of cardiopulmonary arrest is usually made when the patients are critically ill and cannot make an informed choice. Although, various professional bodies have published guidelines, little is know about the patients’ own views regarding DNAR discussion.Aim: The aim of this study was to determine patients’ attitudes regarding discussing DNAR before they are critically ill.Methods: A prospective study was performed in a general out patients department. A questionnaire was distributed to (...) consecutive outpatients along with an explanatory leaflet in the adult outpatient clinic.Results: 364 patients completed the questionnaire . 90% of respondents wanted all patients to be asked regarding DNAR decision at some point during a hospital admission. The majority would not find a DNAR discussion distressing. Only 10% would find it upsetting, however, 48% of these still wanted a discussion. 37% of respondents wanted to discuss DNAR decisions on admission; 32% in outpatients; 17% at consent for surgery, 14% when they are critically ill. 87% of respondents would not object to their relatives being involved in making decisions about their resuscitation status. However, only 12% of the subjects in the study had been involved in discussing the resuscitation status of a relative and 21% would not be comfortable to discuss a relative’s resuscitation status. Although 33% of patients preferred their resuscitation status to simply be documented within their clinical notes, 77% wanted it to be more easily accessible.Conclusions: This study suggests that contrary to current practice most patients want to discuss their DNAR status prior to becoming critically ill. This includes half of the small number that find it distressing to discuss. Although most patients are comfortable with relatives being involved in discussing DNAR, a significant proportion do not want their relatives to be asked. Furthermore, once a decision has been made, the majority of patients want it to be more accessible than current practice allows. (shrink)

Background: The high disease burden of Africa, the emergence of new diseases and efforts to address the 10/90 gap have led to an unprecedented increase in health research activities in Africa. Consequently, there is an increase in the volume and complexity of protocols that ethics review committees in Africa have to review. Methods: With a grant from the Bill and Melinda Gates Foundation, the African Malaria Network Trust (AMANET) undertook a survey of 31 ethics review committees (ERCs) across sub-Saharan Africa (...) as an initial step to a comprehensive capacity-strengthening programme. The number of members per committee ranged from 3 to 21, with an average of 11. Members of 10 institutional committees were all from the institution where the committees were based, raising prima facie questions as to whether independence and objectivity could be guaranteed in the review work of such committees. Results: The majority of the committees (92%) cited scientific design of clinical trials as the area needing the most attention in terms of training, followed by determination of risks and benefits and monitoring of research. The survey showed that 38% of the ERC members did not receive any form of training. In the light of the increasing complexity and numbers of health research studies being conducted in Africa, this deficit requires immediate attention. Outcome: The survey identified areas of weakness in the operations of ERCs in Africa. Consequently, AMANET is addressing the identified needs and weaknesses through a 4-year capacity-building project. (shrink)