Purpose: to characterize ethics course content, structure, resources, pedagogic methods, and opinions among academic administrators and course directors at U.S. medical schools. Method: An online questionnaire addressed to academic deans and ethics course directors identified by medical school websites was emailed to 157 Association of American Medical Colleges member medical schools in two successive waves in early 2022. Descriptive statistics were utilized to summarize responses. Results: Representatives from 61 (39%) schools responded. Thirty-two (52%) respondents were course directors; 26 (43%) were (...) deans of academic affairs, medical education, or curriculum; and 3 with other roles also completed the survey (5%). All 61 schools reported some form of formal ethics education during the first year of medical school, with most (n = 54, 89%) reporting a formal mandatory introductory course during preclinical education. Schools primarily utilized lecture and small-group teaching methods. Knowledge-based examinations, attendance, and participation were most commonly used for assessment. A large majority regarded ethics as equally or more important than other foundational courses, but fewer (n = 37, 60%) provided faculty training for teaching ethics. Conclusions: Despite a response rate of 39 percent, the authors conclude that medical schools include ethics in their curricula in small-group and lecture formats with heterogeneity regarding content taught. Preclinical curricular redesigns must innovate and implement best practices for ensuring sound delivery of ethics content in future curricula. Additional large-scale research is necessary to determine said best practices. (shrink)

The literature about the history of eugenics in Britain and the U.S.A. is reviewed. The review is prefaced by a brief outline of the origins of eugenics in Britain. The material surveyed is grouped according to whether it deals with eugenics generally, or with the relationships between eugenics and particular biological or social sciences, or with other subjects to which the history of eugenics is relevant. The review concludes with remarks about the significance of the subject and some suggestions for (...) future research. (shrink)

Fourfold is thought to be a defining theme of Heidegger’s later thought, and yet it remains to be one of the most controversial notions in Heidegger scholarship. Interpreting the fourfold has been a challenging issue. Some of them dismissed it as having no real philosophical weight, despite its overarching presence in many of Heidegger’s later literature. Some of them tried to interpret it without giving due attention to the intricacies at hand. In this paper, we argue that, Julian Young’s understanding (...) of the fourfold in terms of the twofold of nature and culture has certain drawbacks owing to its emphasis on the literal meanings. We also suggest an interpretative strategy to avoid the pitfalls of literal and metaphorical readings, in which Andrew Mitchell’s interpretation is a good case in point. Mitchell’s marvelous attempt to think the fourfold in terms of relationality, can be seen as a best ever effort, in that, it not only remedies many of the problems of previous interpretations, including that of Young but it also gives due consideration to the intricate relations between what Heidegger would call the technological standing reserve and the thing of the fourfold. We will also discuss how Young’s interpretative problems can be remedied, in the new light provided by Mitchell. Finally, we suggest that Mitchell’s reading should be complemented with an adequate account of the holy, in which, the holy is understood as a principle of unification and wholesomeness of the members of the fourfold, apart from understanding it purely in terms of the God, one of the members of the fourfold. (shrink)

The cries of Lamentations are desperate, wailing up from the darkest side of human existence. They will not be silenced. Lament harasses those who oppress and calls all to justice—even God.

A Thinker's Note Book.. Published, edited and introduced by Ven. Nyanaponika, Forext Hermitage Kandy. 254pp.

Abhidhamma Studies at the British Buddhist Association, London, and a Review of A Comprehensive Manual of Abhidhamma. The Abhidhammattha Sangaha. Pali Text, Translation & Explanatory Guide, Bhikkhu Bodhi, General Editor. Buddhist Publication Society, Kandy 1993, 432 pp. $20.00.

In his first research project, Greimas developed and applied new methods in the historical lexicology of modern French. His theoretical articles formulate a sociological approach that analyses vocabulary as a history of culture, illustrated in his two dissertations on fashion in 1830. In the 1980s, from the perspective of his semiotics, Greimas dismissed his early scholarship as failed experiments that taught him what not to do. In the changed epistemological context of the 21st century, the work appears as pioneering research (...) in cultural studies which possesses clear scholarly value. Greimas’ philological and lexicological training bore fruit directly and indirectly throughout his career. Two decades before he launched his semiotics, his project for lexicology proposes a semantic methodology, envisions the construction of an organon for the human sciences, and explicitly calls for a multi-generational collaborative enterprise. Like his structural semantics and semiotics, this lexicology entails three inseparable components: epistemological foundations, concrete methodologies, and robust applications. Moreover, a focus on the lexeme characterizes Greimas’ structural semantics and persists in his semiotics.В своей первой научно-исследовательской работе Греймас разработал и применил новые методы в исторической лексикологии современного французского языка. В его теоретических статьях сформулирован социологический подход, который анализирует лексику как историю культуры. Это иллюстрируют две диссертации Греймаса о моде в 1830 году. В 1980-х годах он отошел от своих ранних работ, считая их неудачными. Но в изменившемся эпистемологическом контексте 21-го века эти работы выглядят в культурных исследованиях новаторскими, обладающими несомненными академическими достоинствами. Филологическое и лексикологическое образование Греймаса давало прямые и косвенные результаты в течение всей его карьеры. За два десятилетия до начала семиотических исследований Греймас предлагает в своем лексикологическом проекте семантическую методологию, строительство органона для гуманитарных наук, а также призывает к междисциплинарному сотрудничеству. Как и структурная семантика и семиотика Греймаса, эта лексикология включает в себя три неразделимых компонента: эпистемологические основы, конкретные методологии и возможности применения. Кроме того, внимание к лексеме характеризует всю структурную семантику Греймаса и сохраняется в его семиотике. Oma esimeses teadusprojektis tootas Greimas valja nuudisprantsuse keele ajaloolise leksikoloogia uued meetodid ning rakendas neid. Tema teoreetilistes artiklites sonastatakse sotsioloogiline lahenemine, mis analuusib sonavara kui kultuuriajalugu ja mida illustreerivad tema kaks vaitekirja 1830ndate aastate moe kohta. 1980ndatel aastatel taandus Greimas oma varajastest uurimustest kui ebaonnestunud katsetustest. 21. sajandi muutunud epistemolooglises kontekstis osutub tema looming teedrajavaks uurimistooks kultuuriuuringute vallas. Greimase fi loloogiline ja leksikoloogiline ettevalmistus kandis kogu tema karjaari valtel vilja nii otseselt kui kaudselt. Kaks aastakummet enne seda, kui ta tuli valja oma semiootikaga, pakkus tema leksikoloogiaprojekt valja semantilise metoodika, nagi ette humanitaarteaduste organoni loomist ning kutsus otsesonu ules multidistsiplinaarsele koostoole. Nagu tema strukturaalne semantika ja semiootika sisaldab ka see leksikoloogia kolme uksteisest lahutamatut komponenti: epistemoloogilisi aluseid, konkreetseid meetodeid ja julgeid rakendusi. Lisaks iseloomustab lekseemile keskendumine Greimase strukturaalset semantikat ning jaab pusima tema semiootikas. (shrink)

This article announces the discovery of a Sinhalese version of the traditional meditation ( borān yogāvacara kammaṭṭhāna ) text in which the Consciousness or Mind, personified as a Princess living in a five-branched tree (the body), must understand the nature of death and seek the four gems that are the four noble truths. To do this she must overcome the cravings of the five senses, represented as five birds in the tree. Only in this way will she permanently avoid the (...) attentions of Death, Māra, and his three female servants, Birth, Sickness and Old Age. In this version of the text, when the Princess manages not to succumb to these three, Māra comes and snatches her from her tree and rapes her. The Buddha then appears to her to explain the path to liberation. The text provides a commentary, padārtha , which explains the details of the symbolism of the fruit in terms of rebirth and being born, the tree in terms of the body, etc. The text also offers interpretations of signs of impending death and prognostications regarding the next rebirth. Previously the existence of Khmer and Lānnā versions of this text have been recorded by Francois Bizot and Francois Lagirarde, the former publishing the text as Le Figuier a cinq branches (Le figuier à cinq branches, 1976). The Sinhalese version was redacted for one of the wives of King Kīrti Śrī Rājasiṅha of Kandy by the monk Varañāṇa Mahāthera of Ayutthayā. This confirms earlier speculation that this form of borān/dhammakāya meditation was brought to Sri Lanka with the introduction of the Siyam Nikāya in the mid-eighteenth century. It also shows that in Sri Lanka, as in Ayutthayā, this form of meditation—which in the modern period was to be rejected as ‘unorthodox’—was promoted at the highest levels of court and Saṅgha. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 23 (2003) 189-193 [Access article in PDF] Buddhist Learning and Textual Practice in Eighteenth-Century Lankan Monastic Culture. By Anne M. Blackburn. Princeton, N.J.: Princeton University Press, 2001. x + 241 pp. Buddhist Learning is an important study of the emergence of the Siyam Nikaya (monastic order) in eighteenth-century Kandy, Sri Lanka's last Buddhist kingdom (which fell to the British only in 1815). Blackburn focuses on educational institutions (...) in her account, but frames it also to address larger issues in the study of Buddhist and non-Buddhist texts and history.An introductory chapter sets forth Blackburn's three central arguments (4): colonial and postcolonial scholarly constructions of Sri Lankan Buddhist "tradition" obscure the eighteenth-century phenomena that she reconstructs; the idea of "textual communities," developed in dialogue with contemporary scholarship on medieval European Christianity, provides a useful tool for analyzing those phenomena; [End Page 189] thus analyzed, the early Siyam Nikaya turns out to represent an innovative "reformulation" of Sri Lankan Buddhism, made possible by the establishment of the order itself, its systematization of monastic education, and the development of a bilingual commentarial genre for use within that system.Chapter 2 provides nonspecialists "at least a glimpse of the larger social context in which the emerging Siyam Nikaya participated" (23), with brief sketches of Sri Lankan Buddhist history, the structure and politics of the Kandyan court, the organization of monasticism prior to the rise of the Siyam Nikaya, and the presence of non-Buddhist religious leaders in Kandyan society. Chapter 3 begins with a discussion of Sri Lankan monastic education prior to 1730, then analyzes three stages in the emergence of distinctive Siyam Nikaya educational institutions (the early career of founder Valivita Saranamkara [1698-1778]; the late 1730s creation of a prototypical educational institution at Niyamakanda; and the 1753 importation of higher ordination [ upasampada ] from Thailand/formal establishment of the Siyam Nikaya, respectively), the history of royal patronage of these institutions, their new curriculum, its implementation and administration, its impact on monastic identity and lay-monastic relations, and the relationship of monastic erudition to prestige and patronage.Chapter 4 surveys Siyam Nikaya histories to argue that the order's rise was attended by "an innovative discourse on monasticism" that bolstered its authority by depicting its education-based interpretation of monastic virtue as "natural and desirable Buddhist practice" (105). Though these histories employed the rhetorical trope of decline and revival, their emphasis on Buddhist learning "signals a moment of profound change in Lankan Buddhism" (76-77), because they provided a charter for the new Nikaya while creating a perception that Siyam Nikaya monks practiced the best form of Buddhist monasticism. When imbibed by members of the royal court, this assured these monks steady patronage and prestige over their rivals, called ganinnanses, whom they directly and indirectly attacked. Chapter 5 zeroes in on Saranamkara and his Sararthadipani, a bilingual (Sinhala and Pali) commentary on the "four recitation sections" (catubhanavara) of protective (paritta) texts in Pali. This monumental work and the genre of bilingual commentaries (called sutra sannayas ) that it inspired, Blackburn maintains, were central to Saranamkara's claim to authority and created a distinctive monastic identity for Siyam Nikaya monks. Through close analysis of selected passages from Sararthadipani, Blackburn reveals the inner workings of bilingual commentary, particularly insofar as it allowed Saranamkara and his disciples to demonstrate their proper command of the classic Pali texts.In chapter 6 Blackburn argues that the sutra sannayas produced "a new Buddhist textual community" united in its reading and/or hearing of them. Exploring the ways in which Sararthadipani and the other sutra sannayas "constrained" readers to accept Saranamkara's vision of proper monasticism (such as direct instructions to readers and rhetorical structures), but recognizing that they also left open (in their use of simile, metaphor, and illustrative stories) the possibility of "less constrained" and "resistant" readings, Blackburn suggests that the genre extended the Siyam Nikaya's program beyond the small circle of Saranamkara's disciples to transform Sri Lankan monasticism [End Page 190] more generally. Moreover, she argues that given... (shrink)

This article examines the Phitsanulok Dhammakaya inscription of 1549 and other sources for the anonymous post-canonical recitation text called Dhammakaya. It discusses the significance of their paratextual framing and the conclusions that can be drawn from it. An annotated transcription and translation of the text is provided. We argue that the inscription provides the earliest objectively verifiable date for the traditional or non-reform type of Theravada practices elsewhere called boran (ancient) practices. These practices include a specific pre-modern form of boran (...) kammatthan (ancient meditation), Buddha image consecration and/or recitation. The article examines in some detail the context of the patronage and installation of the inscription, and includes a review of the historical evidence for this period, showing unambiguously that this form of Theravada received royal patronage in Siam during the Ayutthaya period in the sixteenth century. This is consistent with recent findings that establish its continued royal patronage in Ayutthaya and then Kandy two centuries later. The article is split into four sections: 1. the boran kammatthan context; 2. the Dhammakaya text; 3. the historical context for the inscription; 4. conclusions regarding its significance. (shrink)

In their forthcoming article, ‘What makes a medical intervention invasive?’ De Marco, Simons, and colleagues explore the meaning and usage of the term ‘invasive’ in medical contexts. They describe a ‘Standard Account’, drawn from dictionary definitions, which defines invasiveness as ‘incision of the skin or insertion of an object into the body’. They then highlight cases wherein invasiveness is employed in a manner that is inconsistent with this account (eg, in describing psychotherapy) to argue that the term invasiveness is often (...) used to explicitly or implicitly reference interventions that do not fall under the standard account. The authors offer an alternative ‘schematic’ definition of invasiveness, whereby medical interventions entail an underlying context-independent property of ‘basic invasiveness’ and may be understood both relative to each other and to a context-specific threshold of what is ‘invasive’.1 We propose that the meaning of terms such as ‘invasiveness’ is necessarily heterogeneous, and that what is implied by its usage will certainly depend on context, particularly in medical settings. Hence, the creation of a unifying definition is less critical than clarification of the implied and intended meanings of each instance of the term’s use. We further argue that interpreting the use of terms like ‘invasiveness’ in medical practice is complicated by the embedding of each use of this term in a different ‘language game’, whereby words and their meanings are understood by an in-group familiar with …. (shrink)

A growing body of literature has engaged with mass incarceration as a public health problem. This article reviews some of that literature, illustrating why and how bioethicists can and should engage with the problem of mass incarceration as a remediable cause of health inequities. “Mass incarceration” refers to a phenomenon that emerged in the United States fifty years ago: imprisoning a vastly larger proportion of the population than peer countries do, with a greatly disproportionate number of incarcerated people being members (...) of marginalized racial and ethnic groups. Bioethicists have long engaged with questions of health justice for incarcerated people, including consent issues for those participating in research and access to health care. This article provides an overview of the individual and public health impacts of mass incarceration. The article argues that mass incarceration is a bioethics issue that should be addressed in medical education, identifies opportunities for bioethicists to guide hospitals’ interactions with law enforcement officials, and calls on bioethicists to be in conversation with medical and nursing students and health care professionals about these groups’ advocacy efforts concerning structural racism, police violence, and mass incarceration. (shrink)

Виходячи з запитаності в сучасній культурі метафізичного осмислення природи людини, укоріненого в філософському спадку Канта, автор зосереджує увагу на експлікації антропологічних інтенцій кантівських «Критик», акцентуючи амбівалентність позиції мислителя на проблемі автентичної форми метафізичної антропології.

International Mindedness (IM) has become an underpinning philosophy of the International Baccalaureate and schools which adopt its programmes. However, the concept of IM is relevant to any school that offers international education given its potential and importance to drive the school’s mindset and mission. The international school market has grown significantly in terms of the number of schools and their diversity. Increasing in popularity are schools that follow the British-based International General Certificate of Secondary Education (IGCSE) and A-level programmes. Moreover, (...) the dgreatest expansion of international schools is now occurring in local markets, in which students are no longer predominantly expatriates but come from the host countries. This study explores the concept of international mindedness in six international schools in Cyprus. Based on data collected from headteachers and teachers, we argue that international mindedness is applicable in various contexts of international schooling and that factors other than the curriculum can affect its development within a school. (shrink)

Темпи соціального розвитку на початку ХХІ ст. стали настільки стрімкими і драматичними, що гострі та невідкладні питання, поставлені його зламами і змінами, вимагають не лише науково обґрунтованих теоретичних відповідей, а й відповідних конкретних і вчасних політичних дій. Вивчення історичного досвіду і уроків революцій другої половини ХХ і початку ХХІ ст. дає можливість завчасно прогнозувати подібні процеси. В періоди революційних потрясінь виникають такі стани, коли соціальний рух внаслідок заперечення існуючих порядків стає надзвичайно пластичним. Без наукового розуміння причин виникнення і свідомого запобігання (...) таким наслідкам масові соціально-політичні рухи не мають шансів виконати роль суб’єктів історичного розвитку. (shrink)

Explores intellectual and philosophical evolution of German philosopher Martin Heidegger, focusing on period after World War II. Analyzes how Heidegger s ideas, particularly his notion of being, influenced and were influenced by postwar context, including confrontation with Nazism and emergence of new philosophical currents. Argues that Heidegger s work offers relevant insights for contemporary philosophical debates and calls for a critical dialogue with his legacy. Discusses Heidegger s philosophy in the context of French and German philosophical schools, highlighting relevance of (...) his ideas and impact they had on contemporary philosophy. (shrink)

Social suffering commands increasing public attention in the wake of several historical processes that have changed the ways victims are perceived. In making suffering eloquent by rendering it in conceptual form, philosophy runs the risk of muting suffering, thereby neutralizing its ability to mobilize responses. In the experience of suffering philosophy finds a limit it must recognize as its own. Yet only by fulfilling its duty towards suffering - only by having the abolition of suffering as its ultimate goal - (...) can philosophical thinking withstand a tacit complicity with injustice. (shrink)

The conflict in Gaza and Israel that ignited on October 7, 2023 signals a catastrophic breakdown in the possibility of ethical dialogue in the region. The actions on both sides have revealed a dissolution of ethical restraints, with unimaginably cruel attacks on civilians, murder of children, destruction of health facilities, and denial of basic needs such as water, food, and shelter. There is a need both to understand the nature of the ethical singularity represented by this conflict and what, if (...) any, options are available to allow the reconstruction of communication between the warring parties. This article seeks to address these tasks by analysing the conflict as inherently an ethical one, in the sense that it exposes a rupture in the fabric of communicative relationships that has evolved systematically out of the deep cultural structures from which all protagonists have emerged. Drawing on the work of Levinas, Habermas, Arendt, and others, and referring to the specific circumstances in the region, it examines the ethical sources of the crisis and tries to identify conditions for its resolution. The possibility of reconciliation—that is, of refiguring relationships to open up a space for dialogue to create pathways to heal the ruptures—is examined. The dark legacy of the Holocaust is identified as an abiding cultural vulnerability for both societies. It is concluded, however, that the rich history of partnerships and collaborations between Jews and Palestinians provides a robust infrastructure on the basis of which a sustainable peace might be built, providing a much-needed source of hope. (shrink)

In _Discrimination Against the Dying_, Philip Reed argues, among other things, that ‘right to die laws (euthanasia and assisted suicide) also exhibit terminalism when they restrict eligibility to the terminally ill’. 1 Additionally, he suggests ‘the availability of the option of assisted death only for the terminally ill negatively influences the terminally ill who wish to live by causing them to doubt their choice’. 1 I argue that on scrutiny, neither of these two points hold. First, we routinely limit a (...) course of treatment to only those for whom we believe the treatment might provide a benefit. Typically, we do not think hastening death provides benefit when an individual is not experiencing a terminal illness. Thus, I conclude, either all treatments are discriminatory, or medical aid in dying is not. Second, I argue that permitting individuals to refuse or remove life sustaining care may very well cause... (shrink)

Some individuals facing dementia contemplate hastening their own death: weighing the possibility of living longer with dementia against the alternative of dying sooner but avoiding the later stages of cognitive and functional impairment. This weighing resonates with an ethical and legal consensus in the United States that individuals can voluntarily choose to forgo life‐sustaining interventions and also that medical professionals can support these choices even when they will result in an earlier death. For these reasons, whether and how a terminally (...) ill individual can choose to control the timing of their death is a topic that cannot be avoided when considering the dementia trajectory. With a focus on the U.S. context, this landscape review considers the status of provisions that would legally permit people facing dementia to hasten death with appropriate support from medical professionals. This review can be used to plan and guide clinical and legal practitioner discussion and policy development concerning evolving questions not fully covered by existing medical decision‐making provisions. (shrink)

The constitutional monarchy of present-day Britain hardly seems the same sort of institution as fourteenth-century feudal kingdoms, but Dante’s Monarchia (c. 1313) and Walter Bagehot’s The English Constitution (1872) share fundamental assumptions about what the purpose and strengths of monarchy are. In the Monarchia, Dante lays out the essential attributes of monarchy that endure even today: authority, impartiality, and unity. Dante values and promotes monarchy as final arbiter of conflicts, sole just judge without cupidity, and unifying will. More than 550 (...) years later, Bagehot, despite his distrust concerning the Crown’s actual effectiveness, conceives of monarchy in surprisingly similar terms. The monarch is ‘the regulating wheel of our Constitution’, an authority outside and above partisan politics, and the ‘dignified’, ‘intelligible’, unifying element of government. In both cases, the monarch functions as the government’s source of impartial, unifying authority – whether monarch or Parliament ultimately wields that authority. The broad outlines of monarchy are surprisingly similar for both writers, suggesting a basic continuity in the conceptualization of monarchy from the fourteenth to the nineteenth century (and beyond) and an abiding store of reserve symbolism within the monarchic concept that writers, thinkers, and politicians throughout those centuries are able to tap at will. (shrink)

This study concerns the ideas of one particular philosopher, Henri Bergson, whose views of time, intuition, and creativity have had a significant impact on art, literature, and the humanities, both in his time and in our own. Although it is generally recognized that Bergson's ideas have significantly impacted the arts and the humanities, it has not been recognized how they have also had a creative influence on the sciences as well. Nor has it been realized that this was one of (...) his most basic contentions. Bergson's conception of intuition--his fundamental insight into reality--was not limited to fugitive insights into human existence. By realizing previously unsuspected possibilities for research and discovery, his endeavors were also meant to make possible new advances in the sciences. If it enabled his cousin by marriage, Marcel Proust, to explore human memory in depth, it also inspired psychologists like Daniel Schachter to use Bergson's ideas to make real contributions to contemporary memory science. If his notion of creative evolution brought many thinkers to a belief in human creative freedom, it brought others (notably Alexis Carrel and Pierre Lecomte de Noüy) to a scientific study of biological time. Among his successful speculations was the theory of the Big Bang cosmology. 'Getting Bergson Straight' shows many points at which Bergson's ideas anticipated future developments in the sciences. This was seen clearly by the Nobel Prize-winning physicist Luis de Broglie who viewed Bergson's physics as presaging quantum physics. Thus, the text is well situated for arts, humanities, social science, and natural science classrooms studying creative thinking and/or intellectual history. (shrink)

Ray and Cooper (2024) make a very compelling argument for vastly increasing bioethicists’ engagement with environmental justice. I strongly support this proposal and agree with their arguments. Yet...