BackgroundPatient-centred care and patient autonomy is one of the key factors to better quality of service provision, hence patient outcomes. It enables the development of patients’ trusts which is an important element to a better doctor-patient relationship. Given the increasing number of patient disputes and conflicts between patients and doctors in Chinese public hospital, it is timely to ensure patient-centred care is fully and successfully implemented. However, limited studies have examined the views and practice in different aspects of patient-centred care (...) among doctors in the Chinese public hospitals.MethodsA quantitative approach was adopted by distributing paper-based questionnaires to doctors and patients in two hospitals (Level III and Level II) in Jinan, Shandong province, China.ResultsIn total, 614 doctors from the surgical and internal medicine units of the two hospitals participated in the survey yielding 90% response rates. The study confirmed the inconsistent views among doctors in terms of their perception and practice in various aspects patient-centred care and patient autonomy regardless of the hospital where they work (category II or category III), their unit speciality (surgical or non-surgical), their gender or seniority. The high proportion of doctors (more than 20%) who did not perceive the importance of patient consultation prior to determining diagnostic and treatment procedure is alarming. This in in part due to the belief held by more than half of the doctors that patients were unable to make rational decisions and their involvement in treatment planning process did not necessarily lead to better treatment outcomes.ConclusionThe study calls for the development of system level policy and organisation wide strategies in encouraging and enabling the practice of patient-centred care and patient autonomy with the purposes of improving the quality of the service provided to patients by Chinese hospitals. (shrink)

Essays on phenomenological encounters with the world.

This volume, an expanded edition of the philosophy of language issue of the journal Midwest Studies in Philosophy (1977), includes essays by some of the ...

_Explores questions concerning animals from a continental perspective._.

This wide-ranging conversation explores the potential of comedy to effect social change; the connections and disconnections between comedy and tragedy; the problem of laughter, humor, and ridicule; and the power of feminist humor.

Painting, seeing, concepts -- Gone, missing -- Arshile's heel, Gorky's line -- You are here and not here: the concept of conceptual art -- Moving pictures & memory -- The doubling of death in the films of Michael Haneke -- Yep, Gaston's gay: Disney and the beauty of a beastly love -- And say the zombie responded -- Other animal others -- The man who mistook his meal for a hot dog -- Rachel Rosenthal was an animal -- Laughing beyond (...) modernity -- It's just a bunch of stuff that happened -- Quantum Andy. (shrink)

In this essay I attempt to unpack Andy Kaufman in his many manifestations, ultimately arguing that traditional notions of comedy cannot help us get at the root of what is going on here. Through a discussion and criticism of the theories of comedy presented by Christopher Fry, Susanne Langer, Walter Kerr, and Maurice Charney, I suggest how Andy's comedy employs a rejection of the modernist conceits of a fixed identity, a denotative language, a progressive history, and a separation of temporality (...) from Being. Ultimately focusing on the way in which Freud's theory of comedy gets deconstructed when we read it through the lens of Andy’s work, I take apart specific jokes and comedic “moments” in Andy's work and show how the Freudian framework cannot support such an aesthetic. What is, in fact, most challenging in Andy's work as a comedian is not merely the way in which his own identity is up for grabs but the way in which he forces the audience to have its identity as an audience called into question, the way in which a Baudrillardean simulacrum stands in for a missing punchline while we, his fans, wait for something that is never coming. And yet we, his fans, laugh. Sometimes uncomfortably, but always more authentically. (shrink)

The long history of the overlap of science and philosophy finds a focal point in cosmology. In an effort to examine what happens when science and deconstruction encounter, this essay thus begins with, and follows the path of, cosmology. I start by suggesting a new solution to the oldest question in cosmology: why is there something rather than nothing? From this, I attempt to outline the way in which necessity is thought to operate by means of natural laws, tracing the (...) sense in which science's demand for falsifiable claims creates an aporia in which its truths are not ultimately truthful and its necessity is not necessary. Focusing on the ways in which différance and the autoimmune can help us open up the work of science, I come to suggest two new tropes, that of apoptosis and the remainder, arguing that the inherent openness of science can be one of its strengths, especially if we ask the question of what remains to be asked once science has answered a question. (shrink)

Realism in international relations theory is frequently understood to entail the abandonment or cynical manipulation of moral rules and principles. But realism has always been more than an amoral or immoral doctrine. More interesting versions of realism offer moral justifications for limiting the role of morality. We argue for a version of realism that flows from the function of the liberal democratic state as an indispensable condition of value. After setting out its central characteristics, we also argue that this liberal (...) democratic realism can adequately address four severe criticisms typically raised against realism in general. (shrink)

A case-study, small-group-discussion (“focal problem”) exercise in the history of medicine was designed, piloted, and evaluated in an overseas course and an on-campus elective course for medical students. Results suggest that this is a feasible approach to teaching history of medicine which can overcome some of the problems often encountered in teaching this subject in the medical curriculum.

Until recently, psychologists have conceptualised and studied trust in God (TIG) largely in isolation from contemporary work in theology, philosophy, history, and biblical studies that has examined the topic with increasing clarity. In this article, we first review the primary ways that psychologists have conceptualised and measured TIG. Then, we draw on conceptualizations of TIG outside the psychology of religion to provide a conceptual map for how TIG might be related to theorised predictors and outcomes. Finally, we provide a research (...) agenda for future empirical work in this area, as well as practical applications for counsellors and religious leaders. (shrink)

This collection of essays focuses on a current issue of central important in contemporary philosophy, the relationship between philosophy and empirical studies. Explores in detail a range of examples which demonstrate how the older paradigm – philosophy as conceptual analysis – is giving way to a more varied set of models of philosophical work Each of the featured papers is a previously unpublished contribution by a major scholar.

The philosophy of language has emerged in the 20th century as a fundamental area of philosophic inquiry. It is unquestionably central to research in many other areas, and some have even suggested that it should now be seen as the foundation of philosophy.

Rich with historical and cultural value, these works are published unaltered from the original University of Minnesota Press editions.

This addition to the Midwest Studies in Philosophy series comprises the most recent volume on the philosophy of Ludwig Wittgenstein to date. Here 16 philosophers explore both the challenges Wittgenstein presented to philosophy as well as the responses to those challenges from such noted thinkers as Kripke. By addressing various questions raised by Wittgenstein's work, these original essays aim to illuminate in one way or another the impact Wittgenstein's legacy has had on 20th-century philosophy.

Contemporary Perspectives on the History of Philosophy was first published in 1983. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions. The authors of the 27 appears in Volume 8, Midwest Studies in Philosophy,have established reputations as historians of philosophy, but their vantage point, here, is from "contemporary perspectives" - they use contemporary analytic skills to examine problems and issues considered by past philosophers. The (...) papers, arranged in historical order, fall into six groups: ancient philosophy (the Pythagoreans, Plato, and Aristotle); the seventeenth-century rationalists (Descartes, Leibniz and Spinoza); the empiricists (Locke, Berkeley, and Hume); Kant; the nineteenth century (Hegel, Schopenhauer, and Mill); and, in conclusion, an essay on Wittgenstein's Tractatus and two broad, retrospective papers entitled "Old Analyses of the Physical World and new Philosophies of Language" and "Moral Crisis and the History of Ethics.". (shrink)

This work presents 26 essays that address the issue of moral concepts. Many of the essays contain examples that should make this volume suitable for teaching moral concepts in a college or university.

The essays in this volume explore various issues pertaining to human agency, such as the relationship between free will and causal determinism, and the nature and conditions of moral responsibility. Builds on and extends some of the very best recent work in the field. Features lively and vigorous debate. Forges connections between abstract philosophical theorizing and applied work in neuroscience and even criminal law.

Truth and Its Deformities is the 32nd volume in the Midwest Studies in Philosophy series. It contains major new contributions on a range of topics related to the general theme of the volume by some of the most important philosophers writing on truth in recent years.

Analytic philosophy was born from philosophic reflection on logic and mathematics. It has been at its strongest in these and related domains of reflection, domains that are friendly to definition and analytic clarity. From time to time, analytic philosophers, some very distinguished, have produced fine work on literature and the arts. But these areas remain underexplored in the analytic tradition. This volume is focused upon language that does not fit within the usual analytic paradigms. It's highlights include two pieces of (...) original poetry on philosophic subjects (by philosophers who are also published poets), and philosophic reflection on poetry, literature more generally, metaphor, and related subjects. (shrink)

Midwest Studies in Philosophy, Volume XXIV, Life and Death: Metaphysics and Ethics is an important contribution to the literature on the intersection of issues of metaphysics and issues of ethics. In the Midwest Studies tradition, twenty of the more important philosophers writing in this area have contributed original papers that extend the boundaries of philosophical discussion of issues that are of both theoretical and practical concern to a wide-ranging audience. Topics considered include the concept of human life, the relationship between (...) the concept of personal identity and the understanding of death, normative appraisals of death, capital punishment, euthanasia, the postponement of death and the impact of a theory of death and afterlife on one's ethical perspective. (shrink)

In this volume leading contemporary philosophical historians of the Renaissance and Early Modern periods examine the works of important figures of the fifteenth through the eighteenth century. While Midwest Studies in Philosophy has produced other volumes devoted to historical periods in philosophy, this is the first to offer such extensive and focused original materials on specific crucial figures as this volume. Original papers by twenty contemporary philosophers writing about the works of the major philosophers of the Fifteenth through the Eighteenth (...) centuries This historically and philosophically broad collection extends from such fifteenth century figures as Ficino, Machiavelli, and Pompanazzi to the work of Montesquieu in the eighteenth century. (shrink)

This Volume illuminates the notion of meaning in the arts-in literature, painting, music, and dance. Specific topics include theory in the arts; interpretations of meaning; objectivity in meaning; and the consumer as a participant in art. Brings together articles from prominent philosophers and practitioners of the arts, which illuminate the notion of meaning in the arts. Addresses meaning in literature, painting, music, and dance. Explores the relationship between authorial intentions and the viewer's interpretation of meaning; the possibility of objective meaning; (...) and the role of the consumer as a participant in the work of art. (shrink)

Philosophy and Poetry is the 33rd volume in the Midwest Studies in Philosophy series. It begins with contributions in verse from two world class poets, JohnAshbery and Stephen Dunn, and an article by Dunn on the creative processthat issued in his poem. The volume features new work from an internationalcollection of philosophers exploring central philosophical issues pertinent topoetry as well as the connections between the two domains.

In recent years naturalism has become a focal point in the discussions of many contemporary philosophers. Philosophical Naturalism in the series Midwest Studies in Philosophy offers a broad sampling of previously unpublished essays that represent the current status of discussions of naturalism.