Mistakes and errors happen in most spheres of human life and activity, including in medicine. A mistake can be as simple and benign as the collection of an extra and unnecessary urine sample. Or a mistake can cause serious but reversible harm, such as an overdose of insulin in a patient with diabetes, resulting in hypoglycemia, seizures, and coma. Or a mistake can result in serious and permanent damage for the patient, such as the failure to consider epiglottitis in an (...) initial differential diagnosis, resulting in a chronic vegetative state for a seven-year-old boy. Or a mistake can be an error in judgment that leads to a patient's death. (shrink)
Numerous grounds have been offered for the view that healthcare workers have a duty to treat, including expressed consent, implied consent, special training, reciprocity (also called the social contract view), and professional oaths and codes. Quite often, however, these grounds are simply asserted without being adequately defended or without the defenses being critically evaluated. This essay aims to help remedy that problem by providing a critical examination of the strengths and weaknesses of each of these five grounds for asserting that (...) healthcare workers have a duty to treat, especially as that duty would arise in the context of an infectious disease pandemic. Ultimately, it argues that none of the defenses is currently sufficient to ground the kind of duty that would be needed in a pandemic. It concludes by sketching some practical recommendations in that regard. (shrink)
The bioethics literature on managed care has devoted significant attention to a broad range of conflicts that managed care is perceived to have introduced into the practice of medicine. In the first part of this paper we discuss three kinds of conflict of interest: conflicts of economic incentives, conflicts with patient and physician autonomy, and conflicts with the fiduciary character of the physician–patient relationship. We argue that the conflicts are either not as serious as they are often alleged to be (...) or not unique to managed care. In part two we argue that managed care represents a new paradigm for medical care that features a new concept of management. We discuss three types or levels of management that managed care highlights, namely, administrative, clinical, and resource, which together offer a more sophisticated vantage point from which to assess patient care. We do not endorse managed care, but attempt to highlight some of the positive changes brought by managed care that were difficult to attain under traditional reimbursement systems. (shrink)
A.P. Martinich's interpretation that in Leviathan Thomas Hobbes believed that the laws of nature are the commands of God and that he did not rely on the Bible to prove this has been criticized by Greg Forster in this journal (2003). Forster uses these criticisms to develop his own view that Hobbes was insincere when he professed religious beliefs. We argue that Forster misrepresents Martinich's view, is mistaken about what evidence is relevant to interpreting whether Hobbes was (...) sincere or not, and is mistaken about some of Hobbes's central doctrines. Forster's criticisms are worth discussing at length for at least three reasons. He takes the debate about Hobbes's sincerity to a new level of sophistication; his misinterpretations of Hobbes may become accepted as correct; and his criticisms raise issues about the proper method of interpreting historical texts. (shrink)
Although in every inductive inference, an act of invention is requisite, the act soon slips out of notice. Although we bind together facts by superinducing upon them a new Conception, this Conception, once introduced and applied, is looked upon as inseparably connected with the facts, and necessarily implied in them. Having once had the phenomena bound together in their minds in virtue of the Conception men can no longer easily restore them back to the detached and incoherent condition in which (...) they were before they were thus combined. The pearls once strung, they seem to form a chain by their nature. Induction has given them unity which it is so far from costing us an effort to preserve, that it requires an effort to imagine it dissolved — William Whewell, 1858. (Quoted from Butts (ed.), 1989, p. 143). (shrink)
What is induction? John Stuart Mill (1874, p. 208) defined induction as the operation of discovering and proving general propositions. William Whewell (in Butts, 1989, p. 266) agrees with Mill’s definition as far as it goes. Is Whewell therefore assenting to the standard concept of induction, which talks of inferring a generalization of the form “All As are Bs” from the premise that “All observed As are Bs”? Does Whewell agree, to use Mill’s example, that inferring “All humans are mortal” (...) from the premise that “John, Peter and Paul, etc., are mortal” is an example of induction? The surprising answer is “no”. How can this be? (shrink)
Deductive logic is about the validity of arguments. An argument is valid when its conclusion follows deductively from its premises. Here’s an example: If Alice is guilty then Bob is guilty, and Alice is guilty. Therefore, Bob is guilty. The validity of the argument has nothing to do with what the argument is about. It has nothing to do with the meaning, or content, of the argument beyond the meaning of logical phrases such as if…then. Thus, any argument of the (...) following form (called modus ponens) is valid: If P then Q, and P, therefore Q. Any claims substituted for P and Q lead to an argument that is valid. Probability theory is also content-free in the same sense. This is why deductive logic and probability theory have traditionally been the main technical tools in philosophy of science. (shrink)
Deductive logic is about the property of arguments called validity. An argument has this property when its conclusion follows deductively from its premises. Here’s an example: If Alice is guilty then Bob is guilty, and Alice is guilty. Therefore, Bob is guilty. The important point is that the validity of this argument has nothing to do with the content of the argument. Any argument of the following form (called modus ponens) is valid: If P then Q, and P, therefore Q. (...) Any claims substituted for P and Q lead to an argument that is valid. Probability theory is also content-free. This is why deductive logic and probability theory have traditionally been the main tools in philosophy of science. (shrink)
Tarski [5] showed that for any set X, its set w(X) of well-orderable subsets has cardinality strictly greater than that of X, even in the absence of the axiom of choice. We construct a Fraenkel-Mostowski model in which there is an infinite strictly descending sequence under the relation |w (X)| = |Y|. This contrasts with the corresponding situation for power sets, where use of Hartogs' ℵ-function easily establishes that there can be no infinite descending sequence under the relation |P(X)| = (...) |Y|. (shrink)
Like Henry Harris, I began doing intensive research on Hegel's Phenomenology of Spirit in the mid-sixties. I recall going through all the chapters as a graduate student during one academic year, and looking around for commentaries. The only English-language commentary available was Loewenberg's Hegel's Phenomenology: Dialogues in the Life of Mind, which was suggestive of the dialectic taking place in the book, but not much help in getting over the “rough spots”. This gave me an incentive to work through Jean (...) Hyppolite's commentary, not yet translated into English, with my basic reading-knowledge of French. My 1976 Hegel's Phenomenology, Part I: Analysis and Commentary was one of the first in a long line of Anglophone commentaries. Harris in his introduction to Vol. I. mentions this effort at “analysis”, along with Findlay's “analysis” accompanying the 1977 Miller translation of the Phenomenology, as incentives for the inclusion of his own improved running analysis in the present commentary. I have included discussions of numerous partial or complete commentaries on Hegel's Phenomenology in review articles published in 1971 in the American Philosophical Quarterly and Teorema, in 1979 in the American Philosophical Quarterly, and in 1981 in Hegel-Studien. Harris has the advantage of producing the most recent of all these commentaries, and in a way offers us a compendium of everything that has been done on the Phenomenology. His analysis and commentary includes a survey of the literature, in which almost all previous laborers in the field can find themselves commended or criticized in the endnotes. Thus I find comments like “Kainz has completely misunderstood the argument here”, “This is a point which Kainz has grasped more definitely than most commentators”, “[Kainz] does not deserve the brickbat Flay hurls at him”, and so forth. Other commentators, living and dead – Flay, Pöggeler, Navickas, Kenneth and Merold Westphal, Heidegger, Lauer, Werner Becker, Kojève, Wahl, Hyppolite, Labarrière, Bonsiepen, Forster, Shklar, Solomon, Werner Marx, and Robert Williams — are similarly discussed and critiqued. For some of us Anglophone commentators, such remarks may seem like red marks on essays from a patient professor. But certainly no one will mind, since Harris has spent more time and energy on this very specialized project than any of us. In fact, some former commentators almost have a “conflict of interest” in reviewing Harris' work, since so many of us have benefited at various points in our research from Harris' personal support and criticism. But in academics, as in life, mentors cannot always be assured of loyalty. (shrink)
Like Henry Harris, I began doing intensive research on Hegel's Phenomenology of Spirit in the mid-sixties. I recall going through all the chapters as a graduate student during one academic year, and looking around for commentaries. The only English-language commentary available was Loewenberg's Hegel's Phenomenology: Dialogues in the Life of Mind, which was suggestive of the dialectic taking place in the book, but not much help in getting over the “rough spots”. This gave me an incentive to work through Jean (...) Hyppolite's commentary, not yet translated into English, with my basic reading-knowledge of French. My 1976 Hegel's Phenomenology, Part I: Analysis and Commentary was one of the first in a long line of Anglophone commentaries. Harris in his introduction to Vol. I. mentions this effort at “analysis”, along with Findlay's “analysis” accompanying the 1977 Miller translation of the Phenomenology, as incentives for the inclusion of his own improved running analysis in the present commentary. I have included discussions of numerous partial or complete commentaries on Hegel's Phenomenology in review articles published in 1971 in the American Philosophical Quarterly and Teorema, in 1979 in the American Philosophical Quarterly, and in 1981 in Hegel-Studien. Harris has the advantage of producing the most recent of all these commentaries, and in a way offers us a compendium of everything that has been done on the Phenomenology. His analysis and commentary includes a survey of the literature, in which almost all previous laborers in the field can find themselves commended or criticized in the endnotes. Thus I find comments like “Kainz has completely misunderstood the argument here”, “This is a point which Kainz has grasped more definitely than most commentators”, “[Kainz] does not deserve the brickbat Flay hurls at him”, and so forth. Other commentators, living and dead – Flay, Pöggeler, Navickas, Kenneth and Merold Westphal, Heidegger, Lauer, Werner Becker, Kojève, Wahl, Hyppolite, Labarrière, Bonsiepen, Forster, Shklar, Solomon, Werner Marx, and Robert Williams — are similarly discussed and critiqued. For some of us Anglophone commentators, such remarks may seem like red marks on essays from a patient professor. But certainly no one will mind, since Harris has spent more time and energy on this very specialized project than any of us. In fact, some former commentators almost have a “conflict of interest” in reviewing Harris' work, since so many of us have benefited at various points in our research from Harris' personal support and criticism. But in academics, as in life, mentors cannot always be assured of loyalty. (shrink)
Despite all its merits, the vast majority of critical attention devoted to colonialist literature restricts itself by severely bracketing the political context of culture and history. This typical facet of humanistic closure requires the critic systematically to avoid an analysis of the domination, manipulation, exploitation, and disfranchisement that are inevitably involved in the construction of any cultural artifact or relationship. I can best illustrate such closures in the field of colonialist discourse with two brief examples. In her book The Colonial (...) Encounter, which contrasts the colonial representations of three European and three non-European writers, M. M. Mahood skirts the political issue quite explicitly by arguing that she chose those authors precisely because they are “innocent of emotional exploitation of the colonial scene” and are “distanced” from the politics of domination.`1We find a more interesting example of this closure in Homi Bhabha’s criticism. While otherwise provocative and illuminating, his work rests on two assumptions—the unity of the “colonial subject” and the “ambivalence” of colonial discourse—that are inadequately problematized and, I feel, finally unwarranted and unacceptable. In rejecting Edward Said’s “suggestion that colonial power and discourse is possessed entirely by the colonizer,” Bhabha asserts, without providing any explanation, the unity of the “colonial subject .”2 I do not wish to rule out, a priori, the possibility that at some rarefied theoretical level the varied material and discursive antagonisms between conquerors and natives can be reduced to the workings of a single “subject”; but such a unity, let alone its value, must be demonstrated, not assumed. Though he cites Frantz Fanon, Bhabha completely ignored Fanon’s definition of the conqueror/native relation as a “Manichean” struggle—a definition that is not a fanciful metaphoric caricature but an accurate representation of a profound conflict.3 1. M. M. Mahood, The Colonial Encounter: A Reading of Six Novels , pp. 170, 171; and see p. 3. As many other studies demonstrate, the emotional innocence and the distance of the six writers whom Mahood has chosen—Joseph Conrad, E. M. Forster, Graham Greene, Chinua Achebe, R. K. Narayan, and V. S. Naipaul—are, at best, highly debatable.2. Homi K. Bhabha, “The Other Question—The Stereotype and Colonial Discourse,” Screen 24 : 25, 19.3. Frantz Fanon, The Wretched of the Earth, trans. Constance Farrington , p. 41. Abdul R. JanMohamed, assistant professor of English at the University of California, Berkeley, is the author of Manichean Aesthetics: The Politics of Literature in Colonial Africa. He is a founding member and associate editor of Cultural Critique and is currently working on a study of Richard Wright. (shrink)
We regularly wield powers that, upon close scrutiny, appear remarkably magical. By sheer exercise of will, we bring into existence things that have never existed before. With but a nod, we effect the disappearance of things that have long served as barriers to the actions of others. And, by mere resolve, we generate things that pose significant obstacles to others' exercise of liberty. What is the nature of these things that we create and destroy by our mere decision to do (...) so? The answer: the rights and obligations of others. And by what seemingly magical means do we alter these rights and obligations? By making promises and issuing or revoking consent When we make promises, we generate obligations for ourselves, and when we give consent, we create rights for others. Since the rights and obligations that are affected by means of promising and consenting largely define the boundaries of permissible action, our exercise of these seemingly magical powers can significantly affect the lives and liberties of others. (shrink)
Kant entwickelt in der „Kritik der Urteilskraft“ eine philosophische Ästhetik, eine Theorie der organischen Natur. Die beiden scheinbar heterogenen Gegenstandsbereiche sind durch das Prinzip der reflektierenden Urteilskraft, die Idee der Zweckmäßigkeit, verbunden, die der Mensch sowohl bei der Reflexion über die schönen Gegenstände der Natur und der Kunst als auch bei seiner Erforschung der organischen Natur zugrunde legt. Da sich alle Zwecke zuletzt auf den Endzweck des Menschen als moralisches Wesen beziehen, übersteigt die dritte „Kritik“ schließlich die Bereiche von Kunst (...) und Natur und berührt Fragen der Moralphilosophie und der Moraltheologie. Zusätzlich entdeckt Kant im subjektiven Vermögen der Urteilskraft jenes Bindeglied unter den menschlichen Gemütskräften, das einen architektonischen Übergang zwischen den Naturbegriffen des Verstandes in der ersten und dem Freiheitsbegriff der Vernunft in der zweiten „Kritik“ ermöglicht und die theoretische und die praktische Philosophie in einem einzigen philosophischen System vereinigt. Der vorliegende kooperative Kommentar bietet eine textnahe, fortlaufende Interpretation der „Kritik der Urteilskraft“. Mit Beiträgen von: K. Ameriks, J. Bojanowski, R. Brandt, G. Cunico, M. Foessel, E. Förster, C. Fricke, H. Ginsborg, P. Giordanetti, I. Goy, O. Höffe, A. Kablitz, G. Kohler, S. Mathisen, B. Recki, J. Rivera de Rosales, S. Roth und E. Watkins. (shrink)
Price commits the Fallacy of Novelistic Presumption. This is clearly evident to his earlier essay ["The Other Self"], but it is certainly implicit in "People of the Book." He assumes that the novel possesses a history that is independent of other modes of fiction and that it may be discussed independently of the history of literature. In this perspective, a specific element of the novel will seem validly detachable from literary history in general. I think that this is an error (...) and that if a theory of character should emerge, it will necessarily account for—go to the heart of—all instances of character, symbolic, allegorical, naturalistic, whether in the novel, in epic, in romance, in drama, or in lyric. "By any inclusive definition of the term, Gerontion can be a character; yet he is at once less and more."1 Such a statement can be correct only if it masks "less and more than a character in a novel." · 1. Martin Price, "The Other Self: Thoughts about Character in the Novel," in Imagined Worlds: Essays on Some English Novels and Novelists in Honour of John Butt, ed. Maynard Mack and Ian Gregor : p. 291. Rawdon Wilson, associate professor of English at the University of Alberta, has contributed articles and short works of fiction to literary journals in the United States, Canada, and Australia. He contributed "The Bright Chimera: Character as a Literary Term" to Critical Inquiry in the Summer 1979 issue. Rawdon Wilson responds in the present essay to Martin Price's "People of the Book: Character in Forster's A Passage to India" . Martin Price's rejoinder, "The Logic of Intensity: More on Character" appears in the Winter 1975 issue of Critical Inquiry. (shrink)
Gabriel Nuchelmans, Dilemmatic arguments. Towards a history of their logic and rhetoric. Amsterdam, New York, Oxford, Tokyo:North-Holland, 1991. 152pp. No price stated Francis P. Dinneen, Peter of Spain:language in dispute. Amsterdam and Philadelphia: John Benjamins Publishing Company, 1990. xxxix + 271 pp. Hfl. 110/$58.00 Charles H. Manekin, The logic of Gersonides. A translation of Sefer ha-heqqesh ha-yashar of Rabbi Levi ben Gershom with introduction, commentary and analytical glossary. Dordrecht, Boston and London:Kluwer Academic Publishers, 1992. xii + 341 pp. £61.00 F. (...) P. Ramsey, Notes on philosophy, probability and mathematics. Edited by Maria Carla Galavotti. Naples:Bibliopolis, 1991 [published 1992]. 349 pp. No price stated Thomas Drucker, Perspectives on the History of Mathematical Logic. Boston, Basel, Berlin; Birkhäuser, 1991. xxiii 4- 195 pp. 108 SFr./128 DM J.P. Cleave, A study of logics. Oxford:Clarendon Press, 1991. xiii + 417 pp. £65.00 Hartry Field, Realism, mathematics and modality. Oxford and Cambridge :Blackwell, 1989. viii + 290 pp. £14.95 T.E. Forster, Set theory with a universal set, exploring an untyped universe. Oxford:Clarendon Press, 1992. viii + 152 pp., £25.00 Mark Sainsbury, Logical forms:an introduction to philosophical logic. Cambridge, Mass, and Oxford: Basil Blackwell Publishers, 1991. viii + 398 pp. £40.00, £11.95 L.C. Burns, Vagueness. An investigation into natural languages and the sorites paradox. Dordrecht, Boston and London:Kluwer, 1991. xii + 202 pp. dollar;130.00/£74.00/Dfl 130 Douglas Walton, Slippery slope arguments. Oxford:The Clarendon Press, 1992. xi + 296 pp. £35.00 Bas Van Fraassen, Quantum mechanics. An empiricist view. Oxford:Clarendon Press, 1991. xvi + 541 pp. £50.00 /£17.50 R. Giuntini, Quantum logic and hidden variables. Mannheim, Vienna and Zürich:BI-Wissenschaf ts-verlag, 1991. x + 184 pp. No price stated W. Spohn, B.C. Van Fraassn And B. Skyrms, Existence and explanation:essays presented in honor of Karel Lambert. Dordrect, Boston and London: Kluwer Academic Publishers, 1991. xii 4- 243 pp. £56.00 Michele Di Francesco, Il realismo analitico. Logica, ontologia e significato nel primo Russell Milan:Guerini, 1991. 269 pp. 30,000 Lire Kenneth Blackwell and Carl Spadont, A detailed catalogue of the second archives of Bertrand Russell. Bristol:Thoemmes Press, 1992. xxvi + 433 pp. £60.00. (shrink)
A poset math formula is well-partially ordered if all its linear extensions are well orders; the supremum of ordered types of these linear extensions is the length, math formula of p. We prove that if the vertex set X is infinite, of cardinality κ, and the ordering ⩽ is the intersection of finitely many well partial orderings math formula of X, math formula, then, letting math formula, with math formula, denote the euclidian division by κ of the length of each (...) corresponding poset: math formula where math formula denotes the least initial ordinal greater than the ordinal math formula. This inequality is optimal. This result answers questions of Forster. (shrink)
How can a confederation of business and industry influence companies and make them more aware of ethical issues? This article examines the work of Norwegian Business and Industry, and the results it has achieved. The author is Assistant Director of NHO, P.b. 5250, Majorstua, 0303 Oslo, and she has been responsible for its business ethics programme for the past three years. This article comes to us through the agency of our Associate Editor for Norway, Dr Heidi von Weltzien Høivik, (...) of the Norwegian School of Management, who has recently been instrumental in founding a Norwegian Centre for Business Ethics. (shrink)
How can a confederation of business and industry influence companies and make them more aware of ethical issues? This article examines the work of Norwegian Business and Industry , and the results it has achieved. The author is Assistant Director of NHO, P.b. 5250, Majorstua, 0303 Oslo, and she has been responsible for its business ethics programme for the past three years. This article comes to us through the agency of our Associate Editor for Norway, Dr Heidi von Weltzien (...) Høivik, of the Norwegian School of Management, who has recently been instrumental in founding a Norwegian Centre for Business Ethics. (shrink)
This is a transcript of a conversation between P F Strawson and Gareth Evans in 1973, filmed for The Open University. Under the title 'Truth', Strawson and Evans discuss the question as to whether the distinction between genuinely fact-stating uses of language and other uses can be grounded on a theory of truth, especially a 'thin' notion of truth in the tradition of F P Ramsey.
Number-form synesthetes consciously experience numbers in spatially-defined locations. For non-synesthete individuals, a similar association of numbers and space appears in the form of an implicit mental number line as signified by the distance effect–reaction time decreases as the numerical distance between compared numbers increases. In the current experiment, three number-form synesthetes and two different non-synesthete control groups performed a number comparison task. Synesthete participants exhibited a sizeable distance effect only when presented numbers were congruent with their number-form. In contrast, the (...) controls exhibited a distance effect regardless of congruency or presentation type. The findings suggest that: number-form synesthesia impairs the ability to represent numbers in a flexible manner according to task demands; number-form synesthesia is a genuine tangible experience, triggered involuntarily; and the classic mental number line can be more pliable than previously thought and appears to be independent of cultural-lingo direction. (shrink)
Forster and Sober present a solution to the curve-fitting problem based on Akaike's Theorem. Their analysis shows that the curve with the best epistemic credentials need not always be the curve that most closely fits the data. However, their solution does not, without further argument, avoid the two difficulties that are traditionally associated with the curve-fitting problem: that there are infinitely many equally good candidate-curves relative to any given set of data, and that these best candidates include curves with (...) indefinitely many bumps. (shrink)