Background Informed consent is an integral component of good medical practice. Many researchers have investigated measures to improve the quality of informed consent, but it is not clear which techniques work best and why. To address this problem, we propose developing a core outcome set to evaluate interventions designed to improve the consent process for surgery in adult patients with capacity. Part of this process involves reviewing existing research that has reported what is important to patients and doctors in (...) the informed consent process. Methods This qualitative synthesis comprises four phases: identification of published papers and determining their relevance; appraisal of the quality of the papers; identification and summary of the key findings from each paper while determining the definitiveness of each finding against the primary data; comparison of key themes between papers such that findings are linked across studies. Results Searches of bibliographic databases returned 11,073 titles. Of these, 16 studies met the inclusion criteria. Studies were published between 1996 and 2016 and included a total of 367 patients and 74 health care providers. Thirteen studies collected data using in-depth interviews and constant comparison was the most common means of qualitative analysis. A total of 94 findings were extracted from the primary papers and divided into 17 categories and ultimately 6 synthesised findings related to: patient characteristics, knowledge, communication, the model patient, trust and decision making. Conclusions This qualitative meta-aggregation is the first to examine the issue of informed consent for surgery. It has revealed several outcomes deemed important to capture by patients and clinicians when evaluating the quality of a consent process. Some of these outcomes have not been examined previously in research comparing methods for informed consent. This review is an important step in the development of a COS to evaluate interventions designed to improve the consent process for surgery. Registration The study protocol was registered on the international prospective register for systematic reviews. (shrink)

Health care services increasingly face patient populations with high levels of ethnic and cultural diversity. Cultures are associated with distinctive ways of life; concepts of personhood; value systems; and visions of the good that affect illness experience, help seeking, and clinical decision-making. Cultural differences may impede access to health care, accurate diagnosis, and effective treatment. The clinical encounter, therefore, must recognize relevant cultural differences, negotiate common ground in terms of problem definition and potential solutions, accommodate differences that are associated (...) with good clinical outcomes, and manage irresolvable differences. Clinical attention to and respect for cultural difference (a) can provide experiences of recognition that increase trust in and commitment to the institutions of the larger society, (b) can help sustain a cultural community through recognition of its distinct language, knowledge, values, and healing practices, and (c) to the extent that it is institutionalized, can contribute to building a pluralistic civil society. (shrink)

There is one nautical term which has been neglected by those who have written about the Greek ship—for the very good reason that it had ceased to be used literally by the time our records, literary and epigraphic, begin. This is a pity, since the silence of experts has resulted in an absurdity, or at least obscurity, appearing in the dictionaries. An unattested original meaning ‘under-rower’ has been universally assumed for the word ujnjpenjs . This assumption not merely requires (...) proof but is in sore need of explanation. What is an ‘under-rower’? And why did the term pass out of use in that sense? (shrink)

Reale points out that the good and the demiurgic intelligence are radically distinct, a conclusion denied by J. Seifert in the last paper of the book. Fourteen characteristics of the idea of the good are listed by T. A. Szlezák. It is obvious, he argues, that the theory of principles of Plato’s unwritten doctrines is not identical with what Republic 6 and 7 say about the good, but there is no real opposition. In the next paper, however, (...) H. W. Ausland, after a sober evaluation of the esoteric teachings, suspects that Reale and Szlezák succumb to a certain romanticism. According to L. Brisson, the good belongs to the sphere of being, even if it is not being ; it is not in every way beyond being. Plotinus was the first to place it above being. M. Erler shows what must be the attitude of the philosopher with regard to the information orally received by him. Although Plato did not want to define the good, he pointed out several of its characteristics. The good, M. Migliori notes, combines in itself beauty, proportion, and unity. The Philebus pursues the doctrine of the Republic and goes into the direction of the unwritten doctrines. The ultimate reality, however, is beyond our understanding. E. Cattanei attempts to explain how for Plato mathematics is a way of access to the knowledge of the good. R. Ferber, on the other hand, stresses that Plato nowhere directly says that the essence of the good is the one. Beauty, symmetry, and truth are not the good itself. According to C. Gill, Gadamer demystified the idea of the good, a view which shows some common ground with the position of analytical philosophy: the good is not a transcendent entity. M. Vegetti, however, upholds the transcendent character of the good as a cause of being. G. A. Press argues that over the past hundred years Plato was considered a dogmatic philosopher, and it was believed that the leading speaker in the dialogues states Plato’s own views, but the situation is far more complex. Plato wants us to acquire a vision rather than propositional knowledge. The idea of the good should not be accorded a special position. C. Rowe tries to demystify some current interpretations, whereas F. Ferrari insists on the causality of the good, and sees Plato’s teaching as the origin of the entire tradition of negative theology. Yet some texts give the impression that the good belongs to the ontological order. C. Porebski reminds us that problems of ethics are the starting point of what Plato says about the good in the Republic. According to F. Trabattoni, Aristotle’s description of Plato’s theory of principles is wrong and his philosophy differs fundamentally from Plato’s. The School of Tübingen is a prisoner of Aristotle’s interpretation. Plato’s reluctance to describe the good in detail may mark the beginning of a skeptic trend in the Academy. The Parmenides tells us, E. Berti says, that one has first to remove all hypotheses before a definition of the Good can be given. E. Moutsopoulos draws attention to some simplistic and wrong qualifications of Plato’s thought as related to idealism and mentions Kant and Hegel’s attitudes with regard to Platonism. J. F. Crosby points to a clear leaving behind of the Socratic “no one knowingly does wrong” in the Alcibiades 216b: as Plato explains in the Protagoras, one may live according to one’s lower appetite or follow the insight of the rational soul. G. Santos makes a strong stand in favor of the identity of goodness and reality. L. P. Gerson examines theories of Platos’s development: there is no evidence of a theory of the form of the good earlier than the Republic. Aristotle, J. Dudley writes, upheld an ethical ideal resembling that of Plato, substituting the contemplation of the unmoved mover for that of the idea of the good. In the last paper J. Seifert argues that Plato identified the demiurge and the good. (shrink)

The two last chapters of the book are a personal addition of Aquino giving a communal dimension to the illative sense and mapping how people ordinarily reach certitude by transmission of knowledge and by relying on the reason of others. He leaves behind certain limitations of Newman, his “personality quirks and cultural biases”, and stresses the need of the virtues and the damaging influence of the vices on the illative sense. Christian wisdom is a mature form of the illative sense. (...) In chapter 5 we are told that even in theology one needs this communal exchange to reach an informed judgment. Instead of solitary theological discernment we must form “communities of theological judgment.” This part of the book describes what happens in teaching and learning as an application of Newman’s illative sense. A good number of modern authors are quoted to strengthen the argument. (shrink)

"Remarkable how well Bouwsma understood Wittgenstein's approach to philosophical problems and how intelligently he was able to recount Wittgenstein's discussions. The bits about sensation are especially good. And the asides about the other philosophers--e.g. Dewey, Russell, Anscombe--are, while not frivolous, gossipy and titillating." --Riley Wallihan, Western Oregon University.

One of the Machiavelli's most famous and innovative thesis states that good laws arise from social conflicts, according to the Roman Empire example of the opposition between plebs and nobles. Conflicts are able to bring about order in virtue of the characteristic constrictive force of necessity, which prevents the ambition to prevail. Nonetheless, law does not neutralize the conflict; just give it a regulation. So, law is subjected to history, to the continuous change, which means that it is potentially (...) corruptible. On this account, Machiavelli says that a State can only maintain its authority through a continuous return to the originary moment, viz. to the revival of the experiences of "fear", "terror" and "punishment" lived in the originary event of the foundation. For that reason, in the origin of law is also the violence, whose combined function is to provide legitimacy to its exercise by the State apparatus as the only form to preserve political life from ruin.Uma das mais famosas e inovadoras teses de Maquiavel é a afirmação de que as boas leis nascem dos conflitos sociais, segundo o exemplo romano das oposições entre plebe e nobres. Os conflitos são capazes de produzir ordem por conter a força constritiva própria da necessidade, que impede a ambição de reinar. Contudo, a lei não neutraliza o conflito, mas apenas lhe dá uma ordenação. A lei está, pois, exposta à história, à contínua mudança, o que significa dizer que é potencialmente corruptível. Por causa desta possibilidade, Maquiavel afirma que um Estado somente mantém sua autoridade por meio de um retorno contínuo ao momento da origem, isto é, à revivência da experiência do "medo", do "terror" e da "punição" do acontecimento originário da fundação. Assim, na origem da lei está a violência, cuja função é proporcionar a legitimação de seu exercício pelo aparato estatal como única forma de preservar da ruína a vida política. (shrink)

Results of a study investigating the relation between personality traits and ethical-orientation indicate sex is not an good predictor for differences in Machiavellian-, Type A personality- or ethical-orientation. Intelligence is found to be positively associated with Machiavellian- and Type A personality-orientation but negatively associated with ethical-orientation. Machiavellians tend to have Type A personalities, but tend to be less ethically-oriented than Nonmachiavellians. Type A personalities are more ethically-orientated than Type B personalities.

What considerations place genuine constraints on an adequate semantics for normative and evaluative expressions? Linguists recognize facts about ordinary uses of such expressions and competent speakers’ judgments about which uses are appropriate. The contemporary literature reflects the widespread assumption that linguists don’t rely upon an additional source of data—competent speakers’ judgments about possible disagreement with hypothetical speech communities. We have several good reasons to think that such judgments are not probative for semantic theorizing. Therefore, we should accord these judgments (...) no probative value for the development of a semantics for our moral terms. Such judgments can no longer be presumed to put pressure on theories according to which our moral expressions share a semantics with ordinary, descriptive terms. Many rivals to pure, Descriptivist theories count among their advantages the ability to accommodate these judgments. If these judgments have no probative value, such theories lose an important source of support. (shrink)

Moral reasoning traditionally distinguishes two types of evil: moral and natural. The standard view is that ME is the product of human agency and so includes phenomena such as war, torture and psychological cruelty; that NE is the product of nonhuman agency, and so includes natural disasters such as earthquakes, floods, disease and famine; and finally, that more complex cases are appropriately analysed as a combination of ME and NE. Recently, as a result of developments in autonomous agents in cyberspace, (...) a new class of interesting and important examples of hybrid evil has come to light. In this paper, it is called artificial evil and a case is made for considering it to complement ME and NE to produce a more adequate taxonomy. By isolating the features that have led to the appearance of AE, cyberspace is characterised as a self-contained environment that forms the essential component in any foundation of the emerging field of Computer Ethics. It is argued that this goes some way towards providing a methodological explanation of why cyberspace is central to so many of CE’s concerns; and it is shown how notions of good and evil can be formulated in cyberspace. Of considerable interest is how the propensity for an agent’s action to be morally good or evil can be determined even in the absence of biologically sentient participants and thus allows artificial agents not only to perpetrate evil but conversely to ‘receive’ or ‘suffer from’ it. The thesis defended is that the notion of entropy structure, which encapsulates human value judgement concerning cyberspace in a formal mathematical definition, is sufficient to achieve this purpose and, moreover, that the concept of AE can be determined formally, by mathematical methods. A consequence of this approach is that the debate on whether CE should be considered unique, and hence developed as a Macroethics, may be viewed, constructively, in an alternative manner. The case is made that whilst CE issues are not uncontroversially unique, they are sufficiently novel to render inadequate the approach of standard Macroethics such as Utilitarianism and Deontologism and hence to prompt the search for a robust ethical theory that can deal with them successfully. The name Information Ethics is proposed for that theory. It is argued that the uniqueness of IE is justified by its being non-biologically biased and patient-oriented: IE is an Environmental Macroethics based on the concept of data entity rather than life. It follows that the novelty of CE issues such as AE can be appreciated properly because IE provides a new perspective. In light of the discussion provided in this paper, it is concluded that Computer Ethics is worthy of independent study because it requires its own application-specific knowledge and is capable of supporting a methodological foundation, Information Ethics. (shrink)

Such is John Stuart Mill's succinct exposition of the core of utilitarian theory. A contemporary philosopher has aptly described utilitarianism as ‘the combination of two principles: the consequentialist principle that the rightness, or wrongness, of an action is determined by the goodness, or badness, of the results that flow from it and the hedonist principle that the only thing that is good in itself is pleasure and the only thing bad in itself is pain. Although the consequentialistprinciple has attracted (...) the most attention in modern discussions of utilitarianism, it is the second principle which invites immediate comparison with the views of Plato. I propose therefore to start by comparing the Platonic and the utilitarian conceptions of the good in the hope that this will enable us to see too in what sense Plato's position is consequentialist, and whether his ethical and political theories in general can properly be described as utilitarian. (shrink)

Such is John Stuart Mill's succinct exposition of the core of utilitarian theory. A contemporary philosopher has aptly described utilitarianism as ‘the combination of two principles: (1)the consequentialist principlethat the rightness, or wrongness, of an action is determined by the goodness, or badness, of the results that flow from it and (2)the hedonist principlethat the only thing that is good in itself is pleasure and the only thing bad in itself is pain. Although the consequentialistprinciple has attracted the most (...) attention in modern discussions of utilitarianism, it is the second principle which invites immediate comparison with the views of Plato. I propose therefore to start by comparing the Platonic and the utilitarian conceptions of the good in the hope that this will enable us to see too in what sense Plato's position is consequentialist, and whether his ethical and political theories in general can properly be described as utilitarian. (shrink)

I first sketch an account of humility as a character trait in which we are unimpressed with our good, envied, or admired features, achievements, etc., where these lack significant salience for our image of ourselves, because of the greater prominence of our limitations and flaws. I situate this view among several other recent conceptions of humility (also called modesty), dividing them between the inward-directed and outward-directed, distinguish mine from them, pose problems for each alternative account, and show how my (...) understanding of humility captures truths present but exaggerated in several of them. Responding to some problems for my view, including what I call “Driver’s Paradox”(i.e., the strangeness of someone’s proclaiming ‘I’m humble!’), I suggest that some over-ambitious claims about our moral responsibilities may indicate a lack of proper humility. I discuss the relationship of the character trait of humility both to what humiliates and to what humbles, concluding with consideration of the background assumptions against which, and the circumstances in which, humility may reasonably be classified as a moral virtue. (shrink)

In this brief reply I argue that criticisms of the hiddenness argument recently published in this journal by Imran Aijaz and Markus Weidler are without force. As will be shown, their critique of my conceptual version of the argument misses the mark by missing crucial distinctions. Their critique of my analogical version of the argument misunderstands that argument and also misapplies the work of W. H. Vanstone. And their critique of my view that belief is necessary for a certain kind (...) of relationship with God overlooks both some central features of that kind of relationship and some good reasons for not accepting acceptance or anything similarly nonbelieving as a substitute for belief in this context. (shrink)

There is no phenomenal consciousness; there is nothing 'that it is like' to be me. To believe in phenomenal consciousness or 'what-it's-like-ness' or 'for-me-ness' is to succumb to a pernicious form of the Myth of the Given. I argue that there are no good arguments for the existence of such a kind of consciousness and draw on arguments from Buddhist philosophy of mind to show that the sense that there is such a kind of consciousness is an instance of (...) cognitive illusion. (shrink)

At the end of the Sixth Book of the Republic Plato explains the Idea of Good by means of the Figure of the Sun. As the sun is the cause both of the becoming of that which is subject to becoming and of our apprehension of it and of its changes through the eye, so the idea of good is the cause of the being of that which is and also of our knowledge of it. As the sun (...) is beyond γxs22EFνεσις, so the Idea of Good is beyond Being. Glaucon says he does not understand. The simile is further elucidated by means of a line, divided into two parts, of which one stands for the νιητxs22EFν γxs22EFνος τε καxs22EF τxs22EFπος, where the Idea of Good bears rule, the other for the xs22EFρατxs22EFν γxs22EFνος τε καxs22EF τxs22EFπος, over which the sun is lord. The line is to be divided unequally , and subdivided in the same proportions. Thus we get a line consisting of four parts in the ratio 4 : 6 : : 6 : 9. Let us call the four parts A B C D respectively, A being the smallest, D the greatest, B and C necessarily equal. A stands for εxs1F31κxs22EFνες, shadows, images in water and on polished surfaces, and the like: B stands for animals, plants, and the creations of human industry: C for the objects of that enquiry in which the objects denoted by B are treated as images, i.e. mathematical enquiries: D for the objects apprehended by dialectic, the Ideas themselves. The first equation asserted is—The objects of opinion : objects of knowledge : : representation : original . There follows an explanation of the inferiority of mathematical to philosophical reasoning, and an explanation of the statement that the objects denoted by B are used as images or symbols by the enquiry concerned with C; as a result of which Glaucon perceives that the general distinction between C and D is that between the τxs22EFχναι , i.e. those sciences in which the Guardians were to be educated, and Philosophy or Dialectic. Finally a special πxs22EFθημα or affection of the soul is allotted to each of the four divisions of the line, to A εxs1F31κασxs22EFα, to B πxs22EFστις, to C διxs22EFνοια, to D νxs22EFησις, each πxs22EFθημα being clear in the same degree in which the objects it is concerned with are true. (shrink)

A hippocampal patient is described who shows preserved item recognition and simple recognition-based recollection but impaired recall and associative recognition. These data and other evidence suggest that contrary to Aggleton & Brown's target article, Papez circuit damage impairs only complex item-item-context recollection. A patient with perirhinal cortex damage and a delayed global memory deficit, apparently inconsistent with A&B's framework, is also described.

This paper criticizes the assumption, omnipresent in contemporary philosophy of religion, that a perfectly good and loving God would wish to confer on finite persons free will. An alternative mode of Divine-human relationship is introduced and shown to be as conducive to the realization of value as one involving free will. Certain implications of this result are then revealed, to wit, that the theist's free will defence against the problem of evil is unsuccessful, and what is more, that free (...) will, if it exists, provides positive support for atheism. (shrink)

Getting oriented -- An (a)theological dead end -- Naturalism's shortcut -- Unexplored territory: moral evolution -- Updating God -- A relationally responsive god -- A kinder god -- A nonviolent god -- Challenging the new theism -- Atheism's brave new world.

Aristotle’s treatment of mixed, first-figure, problematic-assertoric syllogisms has generated a good deal of controversy among modern commentators.I argue that W.D.Ross’s criticism of A.Becker’s cr...

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Spatializing Culture: The Ethnography of Space and Place by Setha LowCarlos J. L. BalsasSpatializing Culture: The Ethnography of Space and Placeby setha low London: Routledge, 2017Spatializing Culture: The Ethnography of Space and Place adds clarity to our understanding of the value of ethnographic scholarship in the study of socio-economic, cultural, and developmental transformations. The book is a thorough review of two established conceptual frames of analysis—the social production (...) of space and the social construction of space—coupled with an in-depth discussion of four newer ways to make sense of the world around us: embodied space, language and discourse, emotion and affect, and translocal space. As the world is transformed by a myriad of forces and events occurring simultaneously, its complexity intensifies insurmountably and we require clear and robust concepts, theories, methods, and tools to not only interpret it, but above all to attempt to change it in ways that are more beneficial to our collective co-existence while enabling the flourishing of those most at risk.Readers of Spatializing Culture will find plentiful theoretical constructs, lineages, diverse viewpoints, examples, and overall opportunities for reflecting on how the (built) environment, spaces, and places have been changing mostly due to our behavior. Inspired by Foucault’s take on genealogy, in chapter 2, Setha Low traces the history of space and place according to distinct interpretative schools of thought ranging from philosophical and mathematical, French social theory, geographical, architectural, environmental psychology, to anthropological, and even archeological. Five Venn diagrams are utilized to illustrate the main conceptual relationships between space and place. Most of the book’s in-depth case studies were researched by the author with only a small number investigated and written up by fellow scholars, which Low utilizes in the book with gratitude. The interrelated thematic and distinct geographical scope of the cases is one of the book’s hallmarks. The illustrative case studies come from such faraway places as Latin America (San José, Costa Rica), Asia (Taipei, Taiwan), North America (New York City; Washington, D.C.; Philadelphia, Pennsylvania; and San [End Page 151] Antonio, Texas), Southern Europe (Smederevska Palanka, Serbia), and the Middle East (Beirut, Lebanon; Cairo, Egypt; and Tel Aviv, Israel).Spatializing Culture was first mentioned to me years ago by a former colleague at the University at Albany, SUNY. His ongoing work in Latin America, coupled with his ethnographic training and prior work in a region of the world also extensively examined by Low in other scholarly works, was likely the reason for bringing it up in a conversation about the latest developments in the field and potential research opportunities. I acquired the book when I was teaching Global Urbanism and Culture and International Urban Planning. I was pleasantly surprised with the book’s thorough conceptual lineage, historic characterizations, attention to detail, comprehensive ethnographic investigations, and implications for transforming reality as well as institutional processes. Spatializing Culture is a welcome addition to urban planning textbooks, which tend to be relatively less critical, are often covered with normative constructs and statistics, and are more institutional in their characterization of problems and recommendations for further action.For the most part, the ethnographic method is qualitative, participa-tory, detailed, and quite comprehensive in characterizing key variables as the researcher found them on the ground. This differs slightly from urban planning’s preoccupation with public policy, policy analysis, rules and regulations, institutionalized procedures, the public good, and overall positivist and rationalist concerns with documenting reality and helping to lead transformative planning processes, whether in the realm of land use, transportation, housing, economic development, infrastructure, or the environment. Although International Urban Planning was to be taught in a rather orthodox manner with recourse to understanding planning cultures, best practices, lessons learned, and implications for similar situations, the Global Urbanism and Culture course was slightly more aligned with the discussions put forward by Low. These included attention to postmodern ideals, the use of creativity in community planning, distinctions between popular and highbrow culture, and the building of iconic structures in contexts of urban regeneration and mega-event planning. As such, my students were somewhat already exposed to issues of embodied spaces and to ideas of... (shrink)

Contrasting loving our neighbors with utilitarians’ demand to maximize good reveals important metatheoretic structures and dynamics that I call virtues- basing, input drive, role centering, and patient focus. First, love (good will) is a virtue; such virtues are foundational to both moral obligations and the impersonally valuable. Second, part of loving is acting lovingly. Whether and how I act lovingly, and how loving it is, is a matter of motivation; this input-driven account contrasts with highlighting actions’ outcome. Third, (...) in regarding someone as our neighbor we view her in relation to ourselves; a role-centered perspective shows that a wide range of person-to-person role-relationships constitute moral life. Fourth, if our moral task is loving each person, the moral question is how we respond to each person’s relevant welfare and needs, focusing on those toward someone acts (moral patients), not on maximizing good across persons or producing an optimal world. (shrink)

Introduction While quizzing during informed consent for research to ensure understanding has become commonplace, it is unclear whether the quizzing itself is problematic for potential participants. In this study, we address this issue in a multinational HIV prevention research trial enrolling injection drug users in China and Thailand. Methods Enrolment procedures included an informed consent comprehension quiz. An informed consent survey followed. Results 525 participants completed the informed consent survey (Heng County, China=255, Xinjiang, China=229, Chiang Mai, Thailand=41). Mean age was (...) 33 and mean educational level was 8 yrs. While quizzing was felt to be a good way to determine if a person understands the nature of clinical trial participation (97%) and participants did not generally find the quiz to be problematic, minorities of respondents felt pressured (6%); anxious (5%); bored (5%); minded (5%); and did not find the questions easy (13%). In multivariate analysis, lower educational level was associated with not minding the quizzing (6–10 yrs vs 0–5 yrs: OR=0.27, p=0.03; more than 11 yrs vs 0–5 yrs: OR=0.18, p=0.03). There were also site differences (Heng County vs Xinjiang) in feeling anxious (OR=0.07; p=<0.01), not minding (OR=0.26; p=0.03), being bored (OR=0.25; p=0.01) and not finding the questions easy (OR=0.10; p=<0.01). Conclusions Quizzing during the informed consent process can be problematic for a minority of participants. These problems may be associated with the setting in which research takes place and educational level. Further research is needed to develop, test and implement alternative methods of ensuring comprehension of informed consent. Trial Registration clinicaltrials.gov number NCT00270257. (shrink)

This essay addresses two growing edges of the just war tradition. First, theorists have been accused of focusing narrowly on justifying war and governing its conduct, neglecting wider considerations that encompass justice during the years prior to and after war. Second, calling a war "just" allegedly makes it seem "good" so that it is easier to fight a war and to bend or set aside the rules. Based on "imperfect justice," we argue for a "justified" war theory, taking all (...) criteria and categories seriously, including jus ante bellum and jus post bellum. (shrink)

At the beginning of ch. xxv Socrates starts once more to prove his contention that courage is a form of wisdom. He begins by asking Protagoras whether pleasure is not always in itself good, pain in itself evil. Protagoras is not prepared to admit this, but he is willing to accept the position as a basis for discussion. Socrates then asks a second question : does Protagoras, like most people, think that knowledge has no power or authority in the (...) soul? does he think that knowledge may be present and yet not operative, being knocked about like a slave by the superior force of anger, pleasure, or passion? Must we not rather believe that knowledge can be conquered by nothing and is alone sufficient to salvation? (shrink)

At the beginning of ch. xxv Socrates starts once more to prove his contention that courage is a form of wisdom. He begins by asking Protagoras whether pleasure is not always in itself good, pain in itself evil. Protagoras is not prepared to admit this, but he is willing to accept the position as a basis for discussion. Socrates then asks a second question : does Protagoras, like most people, think that knowledge has no power or authority in the (...) soul? does he think that knowledge may be present and yet not operative, being knocked about like a slave by the superior force of anger, pleasure, or passion? Must we not rather believe that knowledge can be conquered by nothing and is alone sufficient to salvation? (shrink)

Ethics or Moral Philosophy investigates the application of the terms good and bad. We constantly use these predicates, and Ethics is an inquiry into our use of them. But this pair of terms is used over a very wide field and no one inquiry could cover it all. A ship or a tea or a house may be called good; and the investigation of such judgments would require a knowledge of ships, teas, or houses. Moral philosophy does not (...) pretend to cover the whole field or to investigate every use of the terms: it is concerned only with the. moral use, or more explicitly with the use of the terms in reference to human conduct. And even this limitation may not be sufficient. (shrink)

Consent plays a vital role in every aspect of medicine and surgery, facilitating the patient in making informed decisions about their treatment. The recently published Reference Guide to Consent, by the Department of Health (DH), notes that, although not a legal requirement, the completion of consent forms is good practice, particularly in interventions such as surgery. In addition, the Parliamentary and Health Service Ombudsman noted that a significant number of complaints about consent involved the complainant feeling that they did (...) not fully understand what was going to happen. It was often found that there was no documentation to clarify what the patient was told, when and by whom. We have performed an audit of 71 randomly selected consent forms, elective and trauma cases within our district general hospital orthopaedics department. Our data demonstrate that a significant number of consent forms were incorrectly or insufficiently completed. This could not only leave the patient confused about their procedure but also leaves the doctor open to litigation, with little in the way of documentation support. Minor changes in consenting methods and more precise documentation could significantly improve patient experience and satisfaction. (shrink)

In this paper I explore and defend the idea that those who struggle intellectually in theistic religious practice can be given a good reason to persist in it by treating their continuing practice as a way of paying tribute to people and projects and personal relationships and indeed to the whole moral dimension of human life, expressing how important and profoundly significant these things are to them. This ‘tribute of faith’ is a gesture that one makes with one’s life—a (...) moral gesture. The key thought is that the sayings and other doings of a religious life allow one to treat the world as one in which the things, such as projects and people, that are, for one, most deeply imbued with moral value will achieve fulfilment—a fulfillment that without the truth of religious claims they would often be denied. (shrink)

Perhaps no word has received such varied treatment from philosophers as the word ‘good’. No doubt this is largely due to the fact that it is a word with an unusually wide range of use. Aristotle, for example, realised that it is a term that can be applied to substances, qualities, relations, actions, passivities, times and places, and we may notice that he was of the opinion that the term must have different meanings when applied in these different categories. (...) Many of the usages which are distinguishable in everyday speech have given rise to corresponding theories about the nature of goodness. Indeed if we survey the history of philosophical speculation about goodness, we find that there are just about as many theories about goodness as there are distinct uses of the word ‘good’. For example, goodness has been variously described as an unique quality, as a consequential property, as a relational property, etc., and the word ‘good’ has been described as a term of commendation or approval, and its attributive, predicative and instrumental senses, to name a few, have been distinguished. (shrink)

A study of moral values is a study of the values relevant to character and conduct. Since conduct consists of actions and character is exhibited in and inferred from actions, the phrase “values relevant to actions” would perhaps suffice. The term “values” needs little amplification. But it is necessary to observe that there are on the face of it two sets of values relevant to actions, namely those which actions themselves possess, so that we differentiate them as good and (...) bad actions—a differentiation which may be made by a spectator in regard to a process in which he himself takes no part; those asserted implicitly by an agent in his action considered as an interference with the course of events. In the most obvious and typical cases this second set of values attach themselves, not to actions, but tothe environment of action as modifiable by it; in particular, to states or events which action may help to maintain or bring about. Thus the act of tidying a room implies a preference under the given circumstances for a tidy rather than an untidy room. (shrink)

In these days, when, if the words of constitutions can be trusted, sovereign Parliaments based on manhood or adult suffrage are rapidly extending their sway over the greater part of the world, there is surely no conception more deserving of the attention of the political theorist than that of Representation. There was a time when government for most men meant monarchy, when ruler meant king or king's minister. To-day for most men ruler means Parliament or ministers responsible to Parliament, and (...) government means representative government. In those former times the political theorist would naturally take the king or prince for his centre-piece, and devote himself to expounding the nature and attributes of the office. “For from the prince, as from a well spring, cometh the flood of all that is good or evil upon the people” . In our own day he would perhaps do well to devote himself first and mainly to reflection on the meaning of this term representation, standing as it does for something which is taken by general consent to constitute the distinctive feature of the normal modern type of government. He may run the risk of speaking merely for his own day; but he should at least be sure of remaining near the centre of his subject. (shrink)

At the start of her vigorously argued and classic article, “Modern Moral Philosophy,” G. E. M. Anscombe stated three focal theses. First, that philosophers of the time needed to dispense with investigation into talk of what is morally right, wrong; permissible, forbidden, required; and of moral obligation or duty, what we morally ought to do. Second, there was no adequate philosophical psychology then available of the sort needed for doing good moral philosophy. Third, the differences among the modernist moral (...) philosophers that had been most widely discussed were not as important as what they agreed on. I wish here to make some remarks about the sequel. More specifically, I will briefly discuss some aspects of how things have since played out with the first two theses, in order to say something about the relation between the first and second theses and about the state of things with respect to her third thesis, especially as it impacts today's medical ethics, a field of inquiry that barely existed at the time Anscombe wrote “Modern Moral Philosophy.&rdquo. (shrink)

I sketch and respond to Ryan Byerly’s distinction between a Value-Based Approach to assessing proposed accounts of a virtue-here, humility-and what he calls a Counterexample Based Approach. My first section, on method, argues that, though distinct, the two approaches are not mutually exclusive and answer different questions. Engaging his claim that the former approach is superior to the latter, I suggest that we apply Byerly’s own idea that there are different kinds of value to show, contra Byerly, each approach may (...) be better than the other in different ways, and for different purposes. Adapting and applying a point from Aristotle and Aquinas, I suggest that Byerly’s core question--what kind of values a virtue has--may rely on a mistake, that of misunderstanding a virtue’s work of making people and things good as its possessing goodness itself. My latter section, on results, points out difficulties for Byerly's altruistic conception of humility and defends my own view, developed in an earlier “Philosophia” article, that humility is essentially a matter of remaining unimpressed with oneself. I conclude by engaging and rebutting Byerly’s contention that his analysis of humility best captures a certain religious view. (shrink)