This paper offers a novel, qualitative approach to evaluating the outcomes of integrating humanities and ethics into a newly revised pre-clerkship medical education curriculum. The authors set out to evaluate medical students’ perceptions, learning outcomes, and growth in identity development. Led by a team of interdisciplinary scholars, this qualitative project examines multiple sources of student experience and perception data, including student essays, end-of-year surveys, and semi-structured interviews with students. Data were analyzed using deductive and inductive processes to identify key categories (...) and recurring themes. Results suggest that students not only engaged with the curricular content and met the stated learning objectives but also acknowledged their experience in the humanities and ethics curriculum as an opportunity to reflect, expand their perceptions of medicine (and what it means to be “in” medicine), connect with their classmates, and further cultivate their personal and professional identities. Results of this qualitative study show how and in what ways the ethics and humanities curriculum motivates students past surface-level memorization of factual knowledge and encourages thoughtful analysis and evaluation about how the course material relates to and influences their thinking and how they see themselves as future doctors. The comprehensive qualitative approach reflects a holistic model for evaluating the integration of humanities and ethics into the pre-clerkship medical education curriculum. Future research should examine if this approach provides a protective factor against the demonstrated ethical erosion and empathy decrease during clinical training. (shrink)

Abstract: In this article, I offer a proposal to clarify what I believe is the proper relation between value maximization and stakeholder theory, which I call enlightened value maximization. Enlightened value maximization utilizes much of the structure of stakeholder theory but accepts maximization of the long-run value of the firm as the criterion for making the requisite tradeoffs among its stakeholders, and specifies long-term value maximization or value seeking as the firm’s objective. This proposal therefore solves the problems that arise (...) from the multiple objectives that accompany traditional stakeholder theory. I also discuss the Balanced Scorecard, which is the managerial equivalent of stakeholder theory, explaining how this theory is flawed because it presents managers with a scorecard that gives no score—that is, no single-valued measure of how they have performed. Thus managers evaluated with such a system (which can easily have two dozen measures and provides no information on the tradeoffs between them) have no way to make principled or purposeful decisions. The solution is to define a true (single dimensional) score for measuring performance for the organization or division (and it must be consistent with the organization’s strategy), and as long as their score is defined properly, (and for lower levels in the organization it will generally not be value) this will enhance their contribution to the firm. (shrink)

The translational research community, in general, and the Clinical and Translational Science Awards (CTSA) community, in particular, share the vision of repurposing EHRs for research that will improve the quality of clinical practice. Many members of these communities are also aware that electronic health records (EHRs) suffer limitations of data becoming poorly structured, biased, and unusable out of original context. This creates obstacles to the continuity of care, utility, quality improvement, and translational research. Analogous limitations to sharing objective data in (...) other areas of the natural sciences have been successfully overcome by developing and using common ontologies. This White Paper presents the authors’ rationale for the use of ontologies with computable semantics for the improvement of clinical data quality and EHR usability formulated for researchers with a stake in clinical and translational science and who are advocates for the use of information technology in medicine but at the same time are concerned by current major shortfalls. This White Paper outlines pitfalls, opportunities, and solutions and recommends increased investment in research and development of ontologies with computable semantics for a new generation of EHRs. (shrink)

Derek Parfit defends the Imprecise Lexical View as a way to avoid the Repugnant Conclusion. Allowing for ‘imprecise equality’, Parfit argues, makes it possible to avoid some well-known problems for the Lexical View. It is demonstrated that the Lexical View has stronger implications than envisaged by Parfit; moreover, his assumption of Non-diminishing Marginal Value makes the Lexical View collapse into a much stronger view, which lets the two appear incompatible. Introducing imprecise equality does not address the latter problem. But it (...) does makes it possible for the Imprecise Lexical View to soften the discontinuities it would otherwise face, at the cost of blurring the difference between options.However, if Non-diminishing Marginal Value is rejected, the remaining complications for the resulting most plausible version of the Imprecise Lexical View, including a confrontation with Arrhenius’ Non-Elitism Condition, may be within a range where the view largely remains defensible. (shrink)

We are developing the Neurological Disease Ontology (ND) to provide a framework to enable representation of aspects of neurological diseases that are relevant to their treatment and study. ND is a representational tool that addresses the need for unambiguous annotation, storage, and retrieval of data associated with the treatment and study of neurological diseases. ND is being developed in compliance with the Open Biomedical Ontology Foundry principles and builds upon the paradigm established by the Ontology for General Medical Science (OGMS) (...) for the representation of entities in the domain of disease and medical practice. Initial applications of ND will include the annotation and analysis of large data sets and patient records for Alzheimer’s disease, multiple sclerosis, and stroke. (shrink)

The Commission's recentinterpretation of the Precautionary Principleis used as starting point for an analysis ofthe moral foundation of this principle. ThePrecautionary Principle is shown to have theethical status of an amendment to a liberalprinciple to the effect that a state only mayrestrict a person's actions in order to preventunacceptable harm to others. The amendmentallows for restrictions being justified even incases where there is no conclusive scientificevidence for the risk of harmful effects.However, the liberal tradition has seriousproblems in determining when a (...) risk of harm isunacceptable. Nevertheless, reasonable liberalarguments in favor of precaution can be basedon considerations of irreversible harm andgeneral fear of harm. But it is unclear whenthere considerations can be overridden.Within the liberal framework, the Commissionadvocates a so-called proportional version ofthe Precautionary Principle. This should beclearly distinguished from a welfare-basedapproach to precaution based on risk-aversiveweighing up of expected costs and benefits.However, in the last resort, the Commissiondoes seem to make a covert appeal to suchconsiderations. (shrink)

It is common to define egalitarianism in terms of an inequality ordering, which is supposed to have some weight in overall evaluations of outcomes. Egalitarianism, thus defined, implies that levelling down makes the outcome better in respect of reducing inequality; however, the levelling down objection claims there can be nothing good about levelling down. The priority view, on the other hand, does not have this implication. This paper challenges the common view. The standard definition of egalitarianism implicitly assumes a context. (...) Once this context is made clear, it is easily seen that egalitarianism could be defined alternatively in terms of valuing a benefit to a person inversely to how well off he is relative to others. The levelling down objection does not follow from this definition. Moreover, the common definition does not separate egalitarian orderings from prioritarian ones. It is useful to do this by requiring that on egalitarianism, additively separable orderings should be excluded. But this requirement is stated as a condition on the alternative definition of egalitarianism, from which the levelling down objection does not follow. (shrink)

In a wide range of contemporary debates on Japanese cultures of technological practice, brief reference is often made to distinct Shinto legacies, as forming an animist substratum of indigenous spiritual beliefs and cosmological imaginations. Japan has been described as a land of Shinto-infused ‘techno-animism’: exhibiting a ‘polymorphous perversity’ that resolutely ignores boundaries between human, animal, spiritual and mechanical beings. In this article, we deploy instances of Japanese techno-animism as sites of theoretical experimentation on what Bruno Latour calls a symmetrical anthropology (...) of nature-cultures. In staging a dialogue between actor-network theory and Japanese techno-animism, we show how Shinto cosmograms provide an enlivening and alternative diffraction device on several of the ontological motifs manifested in Latour’s work. In particular, by mobilizing the territory of a ‘new’ animism debate in anthropology – manifested in the work of Philippe Descola and Eduardo Viveiros de Castro – we attempt to infuse Latourian ‘multinaturalism’ with new, other-than-western analytical energy. Extending actor-network theory, we argue, Shinto cosmograms offer an interesting vantage point for interpreting the immanent, affective, enchanting and enabling powers of non-humans in contributing to collective life. By thus broadening the ‘cosmopolitical’ imagination beyond Latour’s own European-Catholic frame of reference, Shinto techno-animism offers up a wider reflection on contemporary entanglements of science, politics, ecology and cosmos. This reflection, we conclude, opens up a new intellectual territory, allowing us to trace techno-animist streams of thinking both ‘East’ and ‘West’, beyond the confines of the scientific naturalism indigenous to European thinking. (shrink)

This article updates the author’s 1982 argument that lutetium and lawrencium, rather than lanthanum and actinium, should be assigned to the d-block as the heavier analogs of scandium and yttrium, whereas lanthanum and actinium should be considered as the first members of the f-block with irregular configurations. This update is embedded within a detailed analysis of Lavelle’s abortive 2008 attempt to discredit this suggestion.

This study is about the interaction of scientific expertise and local knowledge in the context of a contested issue: the quality and quantity of safe drinking water available to some residents in one Canadian community. The authors articulate the boundary work in which scientific and technological expertise and discourse are played out against local knowledge and water needs to prevent the construction of a water main extension that would provide a group of residents with the same water that others in (...) the community already access. The authors draw on an extensive database constructed during a three-year ethnographic study of one community; the data base includes the transcript of a public meeting, newspaper clippings, interviews, and communications between residents and town council. The authors show not only that scientists and residents differ in their assessment of water quality and quantity but also that there is a penchant for undercutting residents in their attempts to make themselves heard in the political process. (shrink)

It is increasingly common in natural and social sciences to rely on network visualizations to explore relational datasets and illustrate findings. Such practices have been around long enough to prove that scholars find it useful to project networks in a two-dimensional space and to use their visual qualities as proxies for their topological features. Yet these practices remain based on intuition, and the foundations and limits of this type of exploration are still implicit. To fill this lack of formalization, this (...) paper offers explicit documentation for the kind of visual network analysis encouraged by force-directed layouts. Using the example of a network of Jazz performers, band and record labels extracted from Wikipedia, the paper provides guidelines on how to make networks readable and how to interpret their visual features. It discusses how the inherent ambiguity of network visualizations can be exploited for exploratory data analysis. Acknowledging that vagueness is a feature of many relational datasets in the humanities and social sciences, the paper contends that visual ambiguity, if properly interpreted, can be an asset for the analysis. Finally, we propose two attempts to distinguish the ambiguity inherited from the represented phenomenon from the distortions coming from fitting a multidimensional object in a two-dimensional space. We discuss why these attempts are only partially successful, and we propose further steps towards a metric of spatialization quality. (shrink)

Few activities divide the environmental community the way that hunting does. Opponents decry its cruelty and failure to respect animal rights, while hunting advocates cite the necessity of controlling populations of game and the naturalness of humans functioning as predators. This debate is both emotional and fiercely intellectual with environmental philosophers waging wars of words to match the protests by PETA and other anti-hunting groups. Perhaps Edward Abbey said it best: "Hunting is one of the hardest things even to think (...) about" But think about it we must Millions of Americans hunt, killing hundreds of millions of animals every year. The morality of hunting is precisely the sort of question that any environmental ethic must address. (shrink)

Research on the entry of women into occupational settings confirms the importance of the structural composition of the workplace insofar as women are treated as tokens. This study examines women lawyers in terms of three consequences of tokenism: visibility, polarization, and stereotyping. The results from a survey of lawyers in southern Arizona indicate support for the theory of tokenism. Women are more likely than men to report hearing sexist jokes and remarks, to be referred to by their first names, to (...) be asked whether they are lawyers, and to receive compliments about their appearance rather than their achievements. These results highlight important gender differences in legal careers; it remains to be seen whether changes in women's numerical representation alone will be sufficient for changing the relations between dominants and tokens in legal workplaces. (shrink)

Although the influence of Royce on King’s conception of the beloved community is contested, scholars readily concede that Royce’s ideas exerted, as Rufus Burrow puts it, “at least an indirect influence on King’s socioethical thought.” The African American experience altered significantly if not decisively the socioethical trajectory of this trope – namely, “the beloved community” – within the history of philosophy and theology in America. Admittedly, Royce’s philosophical speculations on “the beloved community” and “loyalty to loyalty” can sometimes seem quite (...) remote from, e.g., Thurman’s work with the Church for the Fellowship of All Peoples in San Francisco or King’s activist-advocacy work with the civil rights... (shrink)

Adherents of particularism draw rather strong implications of this view. However, particularism has never been stated in a canonical way. We locate the core of particularism as a claim about how different reasons combine to generate the Tightness or wrongness of an action. Using the notion of an ordering of alternatives containing separable factors, we show that particularism can be stated more generally as the denial that there exist separable factors.With this definition in place, we show that, once subjected to (...) a number of clarifications, particularism largely does have the implications often associated with it. However, we find the various arguments that have been given in support of particularism to be very poor. We conclude that particularists do have a point when they claim that some form of generalism cannot simply be taken for granted. But no particular reasons in favour of being a particularist have been offered. (shrink)

This paper presents the idea of a decision-support system for a livestock farm, called “ethical accounting”, to be used as an extension of traditional cost accounting. “Ethical accounting” seeks to make available to the farmer information about how his decisions affect the interests of farm animals, consumers and future generations. Furthermore, “ethical accounting” involves value-based planning. Thus, the farmer should base his choice of production plan on reflections as to his fundamental objectives, and he should make his final decision only (...) after having seriously considered the various consequences for the affected parties. (shrink)

This article exams the philosophy of history of the now mostly-forgotten 19th Century philosopher, Eduard von Hartmann. Hartmann inverts Hegel’s rational teleology by his reliance on a notion of ‘unconscious ideas’. Purposes are a species of idea. All natural things, including unintelligent natural things, will purposes of which they are often not conscious. These unconscious ideas cannot be held by natural beings that lack intellect, so there must be some supra-naturalistic being, which Hartmann names the Metaphysical Unconscious, that imposes purposes (...) on unconsciously-acting agents. The course of human history is the gradual becoming-conscious of the ends posited by the Metaphysical Unconscious. Insofar as nature always achieves the purposes of the Metaphysical Unconscious this is the best of all possible worlds. Insofar as those purposes are realized irrespective of human happiness, historical progress becomes the gradual assurance of human misery. (shrink)

What follows from the suggestion to pay attention to what is in-between science and politics? Karen François’s paper “In-between science and politics” follows Latour in arguing for the need for political theory to get out of the Platonic cave that it still inhabits. Political theory needs to be brought into the wild through empirical studies of how science and politics in fact intermix. And the Latourian proposition needs to be strengthened by focusing on the embodied knowledges that enable situated objectivities (...) to emerge. Though worthwhile, these arguments are weakened by a superficial treatment of political theory and by a lack of attention to the difficulties involved in combining Latourian actor-network theory with the “strong objectivity” of standpoint theory. Most problematically the paper purports to define as an agenda (exploring the in-between of science and politics) what whole fields of inquiry have already been in full swing exploring for quite a while. The ‘turn to ontology’ in STS and social anthropology and the development of ‘empirical philosophy’ suggests what might be at stake in such explorations. (shrink)

Drawing on the genealogical tradition developed by Friedrich Nietzsche and Michel Foucault,Democracy and Domination argues that from the time of Ancient Greece to the present, the collective and centralizing aspects of power have been expanding in the Western world. Modern democracy should be seen as a system of domination that assists in the coordination and expansion of collective power.

This chapter contains section titled: Should We Stay or Should We Go Now? Frak the Numbers! Saving Starbuck? The Mark of Cain “Evil Men in the Gardens of Paradise?” Sacrifice Notes.

This paper investigates an unexplored indexical dimension inherent in the mapping structure of metaphor. The empirical focus is on the metaphor of stain but the scope of indexicality in relation to...

Martin Rhonheimer’s The Perspective of Morality: Philosophical Foundations of Thomistic Virtue Ethics offers a bold summary of Thomistic virtue ethics, laid upon some not-so-Thomistic foundations, culminating in questionable, perhaps even dangerous, conclusions concerning actions evil in themselves. As anintroduction to ethical thought, the book covers a wide range of topics, including happiness, freedom, the nature of human actions, the moral virtues, conscience, the principles of practical reason, consequentialism, Kantian ethics, and much more. For some of these topics Rhonheimer provides a (...) helpful summary of the ethics of Aquinas, sprinkled with thoughtful reflections for the modern age. For other topics Rhonheimer introduces questionable interpretations and developments of Aquinas, written with obscurity and lack of precision. This article provides some suggested alternatives to Rhonheimer’s account, especially with regard to the origin of the first practical principles. (shrink)

Ethics, Policy & Environment, Volume 14, Issue 3, Page 313-327, October 2011.

Beauchamp and Childress (1994) elaborated an approach to bioethical deliberations based on four universalistic principles. This framework of ‘principlism’ has been criticized from within biomedical ethics as insufficient and problematic. However, this article considers a more radical sociological critique by John Evans (2002) that rejects the entire approach of defining ‘principles’ a priori. This sociological critique is based on classical sociologist Max Weber's (1925) distinction between instrumental (‘thin’) and substantive (‘thick’) rationality. As an exploratory assessment of Evans' critique, his conceptualization (...) of ‘thin’ versus ‘thick’ rationalization is applied to a large sample of Anglo-American press coverage (n = 5126) of the bioethical controversy surrounding therapeutic cloning. Given the role of mainstream news media as a key arena for the discursive framing of biomedical research and its ethical implications, the findings raise important questions about principlism and the mediation of bioethical debates on issues such as therapeutic cloning. (shrink)

Acquisition of word meanings, or vocabulary, reflects general mental ability (psychometric g) more than than do most abilities measured in test batteries. Among diverse subtests, vocabulary is especially high on indices of genetic influences. Bloom's exposition of the psychological complexities of understanding words, involving the primacy of concepts, the theory of mind, and other processes, explains vocabulary's predominant g saturation.