Person‐specific evidence was developed as a grounded theory by analyzing 20 selected case descriptions from interventions using the guided self‐determination method with people with various long‐term health conditions. It explains the mechanisms of mobilizing relational capacity by including person‐specific evidence in shared decision‐making. Person‐specific self‐insight was the first step, achieved as individuals completed reflection sheets enabling them to clarify their personal values and identify actions or omissions related to self‐management challenges. This step paved the way for sharing these insights and (...) challenges in a relationship with a supportive health professional, who could then rely on person‐specific evidence instead of assumptions or a narrow disease perspective for shared decision‐making. Trust in the evidence encouraged the supportive health professional to transfer it to the interdisciplinary team. Person‐specific evidence then enhanced the ability of team members to apply general evidence in a meaningful way. The increased openness achieved by individuals through these steps enabled them to eventually share their new self‐insights in daily life with other people, decreasing loneliness they experienced in self‐management. Relational capacity, the core of the theory, is mobilized in both people with long‐term health conditions and healthcare professionals. Further research on person‐specific evidence and relational capacity in healthcare is recommended. (shrink)

Following the Introduction, the essays to be listed, each with a reply by Errol E. Harris, comprise the principal content. B. Blanshard, “Harris on Internal Relations”; G.R. Lucas, Jr., “Science and Teleological Explanations”; J.E. Smith, “Harris’ Commentary on Hegel’s Logic”; G. Rinaldi, “The Identity of Thought and Being in Harris’ Interpretation of Hegel’s Logic”: T. Rockmore, “System and History: Harris on Hegel’s Logic”; R. Hepburn, “The Problem of Evil”; W. H. Walsh, “Hegel on Morality”; W.N.A. Klever, “The Properties of the (...) Intellect”; P. Muller, “The pons asinorum in Philosophy”; Wm. Earle, “The Evanescent Authority of Philosophy.”. (shrink)

Investors with a pro-social or sustainability agenda increasingly attempt to influence firm managers to adopt socially responsible behavior, either through positive/reward tactics or negative/punishment tactics. This paper considers how investors can use each approach to differentially influence managers to make more CSR investments. The paper uses game theory with an all-pay contest structure to model how a large institutional investor could reward firms for CSR activities by creating a socially responsible investment fund (reward contest) or punish firms via shareholder activism (...) (punishment contest). We identify conditions under which the punishment contest induces a higher level of CSR activity among firms compared to the reward contest. Managers bearing substantial private costs stemming from the activism is one such condition. Spillover effects are seen as the other managers in the economy engage in CSR to avoid being punished by the investor’s activism. This level of engagement is not the case when rewards are used—only those managers with an expectation of being rewarded increase their CSR activity in that scenario. This suggests, for example, that incorporating thresholds or tiers (e.g. gold, silver, and bronze-level winners) can increase the effectiveness of reward contests. Implications for designing both positive and negative CSR inducements are explored. We also identify the ethical dilemmas that relate to such influence attempts. (shrink)

Institutional ethics committees (IECs) are part of a growing phenomenon in the American health care system. Although a major force driving hospitals to establish IECs is the desire to resolve difficult clinical dilemmas in a quick and systematic way, in this paper we argue that such a goal is naive and, to some extent, misguided. We assess the growing trend of these committees, analyse the theoretical assumptions underlying their establishment, and evaluate their strengths and shortcomings. We show how the 'medical (...) consultation' model is often inappropriately applied to IECs and suggest that IECs must operate under a different framework. Finally, we argue that IECs should be valued for the process they facilitate, and not for the product that they are, often unreasonably, expected to deliver. (shrink)

There are methodological problems with the new techniques reviewed by Posner & Raichle. Some brain mechanisms are not detected by the temporal and spatial resolution. Questions are also raised by the stimulation paradigms.

“Nobody owns healing, you don’t own our culture. You can’t take it from us. We deserve respect.”-Angela Beers, a person of Indigenous Mexican (Zacatecas and Coahuila) heritage, speaking in protest...

What lies at the heart of physical inquiry? What are the foundational ideas and working assumptions that inform the enterprise of natural science? What principles guide research? How do scientists decide whether they are building theories in the right direction? Is there a right direction? Do physical theories actually approximate an objective reality, or are they simply useful summaries, mnemonics for experimental results? This book is Nobel Prize winner Jim Peebles's contribution to such big, classic debates in the philosophy of (...) science, drawing on a lifetime of experience as a leading physicist and taking the development of physical cosmology as a "worked example." He begins with a consideration of the history of thought about the nature of the physical sciences since Einstein, culminating in a succinct statement of what he sees as the fundamental working assumptions of physics. Then, through a careful examination of the development of the general theory of relativity, Einstein's cosmological principle, the big bang theory, and our current model of the universe, he makes the argument that physical theories ultimately are useful approximations to an objective reality whose nature science is discovering. An essential reflection on and interrogation of the nature and practice of science by a giant in the field, The Whole Truth will be illuminating reading for cosmologists, physicists, and historians, philosophers, and sociologists of science alike. (shrink)