Collection of texts published previously.

Our aim in this article is to define the difficulties that clinical ethics services encounter when they are asked to demonstrate the value a clinical ethics service (CES) could and should have for an institution and those it serves. The topic emerged out of numerous related presentations at the Un- Conference hosted by the Cleveland Clinic in August 2018 that identified challenges of articulating the value of clinical ethics work for hospital administrators. After a review these talks, it was apparent (...) that the field of clinical ethics may be at a crisis of sorts due to increased pressure to provide explicit measures to healthcare institutions to concretely demonstrate that CESs make a valuable difference in healthcare delivery. In this article, we grapple with how to satisfy the need for demonstrable value in a field in which metrics alone may not capture the scope of clinical ethics practice. We suggest that capturing the value of a CES has been difficult because the benefits of ethics consultation may be overt or attributable to the CES, but are often hidden due to the systems-level and process-oriented nature of clinical ethics work. Part of the difficulty in demonstrating the value of CESs is capturing and conveying all of the ways the integration of a CES throughout an institution positively affects patients, families, visitors, healthcare professionals, administrators, and the institution itself. Our aim is to (1) elucidate the multifaceted value added by a CES, including value that tends to be hidden and (2) suggest how to demonstrate value to others in a way that is not simplistic or reductionistic. (shrink)

Is a genuinely consilient concept of human culture possible? I identify some of the major stumbling blocks that prevent mutual illumination between the humanities and evolutionary sciences. Whereas the sciences are often concerned with predictive averages, the arts draw attention to "outliers" that defy general trends. The solution is not to disregard these outliers, but rather to understand the open-ended processes that, by design, produce startling variations. Such open-endedness is an essential part of the evolutionary story, not an insignificant byproduct. (...) Conversely, humanistic scholars have much to gain by engaging, rather than spurning, the evolutionary framework. (shrink)

I have first translated Sein und Zeit in Japanese in 1971 in collaboration with my elder colleague Prof. Hara in Tokyo. But in 1976 both he and Martin Heidegger died, and in 1977 a new edition of Sein und Zeit was published as part of Heidegger’s complete works. This new edition included many marginal notes of Heidegger’s and many textual revisions made by Heidegger himself. Therefore, I have published in 2003, based on the old version of my Japanese translation, a (...) totally revised Japanese translation of Sein und Zeit, in which, as translator, I have written a new introduction, many explicatory notes about Heidegger’s marginal notes and textual modifications and a chronological detailed record of Heidegger’s career. Out of this experience, I would like to detail upon two aspects: first, any nowadays reader of this work must study not only the original text itself, but also, by all means, Heidegger’s marginal notes, in order to correctly grasp a development of his thought on Being. Secondary, a reader must especially pay attention to the difficult problem of the relationship between authenticity and inauthenticity of the Being-in-the-world, because here is the most basic problem of the existence of Dasein and it is here the place where the turning point in Heidegger’s later thought on Being has its origin. (shrink)

Kōzō to kaishaku -- Ei-Bei tetsugaku nyūmon -- Bākure ni okeru shisō taiken -- Ryōkai ni teuite -- Gendai ni okeru sonzai no mondai.

Drawing from research on moral judgment and affective dysfunction, we examined how trait psychopathy and alexithymia, which are characterized as empathic deficits, relate to utilitarian moral judgments in sacrificial dilemmas. As predicted, primary and secondary psychopathy traits and alexithymia were associated with reduced empathic concern. However, primary psychopathy and difficulty identifying feelings (one of three alexithymia traits), but not secondary psychopathy and other two alexithymia traits, were associated with utilitarian judgments. Moreover, hierarchical regression analysis showed that primary psychopathy, difficulty identifying (...) feelings, and empathic concern made unique contributions to the prediction of direct harm on the victim, whereas alexithymia traits made weaker contributions. Although the lack of affective empathy is found in psychopathy and alexithymia, the process through which the two traits lead to utilitarian judgment in sacrificial dilemmas may be distinct. The present findings add to the growing literature, contributing to a fuller picture of the relationship between empathy, trait psychopathy, and alexithymia. (shrink)