The use of platelet rich plasma as a novel treatment is discussed in the context of a qualitative research study comprising 38 interviews with sports medicine practitioners and other stakeholders working within the English Premier League during the 2013–16 seasons. Analysis of the data produced several overarching themes: conservatism versus experimentalism in medical attitudes; therapy perspectives divergence; conflicting versions of appropriate evidence; subcultures; community beliefs/practices; and negotiation of medical decision-making. The contested evidence base for the efficacy of PRP is presented (...) in the context of a broader professional shift towards evidence based medicine within sports medicine. Many of the participants while accepting this shift are still committed to casuistic practices where clinical judgment is flexible and does not recognize a context-free hierarchy of evidentiary standards to ethically justifiable practice. We also discuss a tendency in the data collected to consider the use of deceptive, placebo-like, practices among the clinician participants that challenge dominant understandings of informed consent in medical ethics. We conclude that the complex relation between evidence and ethics requires greater critical scrutiny for this emerging specialism within the medical community. (shrink)

Traditional welfare states were based on passive solidarity. Able bodied, healthy minded citizens paid taxes and social premiums, usually according to a progressive taxation logic following the ability to pay principle. Elderly, fragile, weak, unhealthy and disabled citizens were taken care of in institutions, usually in quiet parts of the country. During the nineteen eighties and nineties of the twentieth century, ideas changed. Professionals, patients and policy makers felt that it would be better for the weak and fragile to live (...) in mainstream society, rather than be taken care of in institutions outside society. This might be cheaper too. Hence policy measures were taken to accomplish deinstitutionalization. This article discusses the implications of deinstitutionalization for distributive justice. It is argued that the weakest among the weak and fragile stand to lose from this operation. For able bodied citizens deinstitutionalization entails a move from passive to active solidarity. Rather than just pay taxes they have to actively care for and help the needy themselves. The move from passive to active solidarity tends to take advantage of benevolent citizens and burden the socioeconomically disadvantaged. This may be a reason to reconsider the policy move toward deinstitutionalization. (shrink)

In the first part of this paper it is argued that Vendler's classification of verbs into aspectual categories, called activities, accomplishments, achievements, and states, is better seen as classifying the meanings of sentences, and a recursive scheme for describing the aspectual character of sentences is presented.In the second part, this scheme is applied to the discussion of the epistemic and deontic meanings of the modal verbs must, will, and may. In particular, the relation between the “future” and “nonfuture” senses of (...) epistemic will is examined. (shrink)

Pufendorf's chief contribution to political thought is to be found in his dedicated effort to defend the modern state as a fundamental feature of humankind's moral development, and thus to reconcile the artificiality of civil association with its moral necessity. By exploring the state's moral character, Pufendorf helped move political discourse beyond a focus on the practical need for civil association and towards a search for a modern theory of political legitimacy, i.e., a theory that is both compelling enough to (...) demonstrate the moral legitimacy of political authority regardless of one's religious beliefs or moral convictions, and precise enough to permit insight into the nature and limits of this authority. (shrink)

I. Introduction Hegel's political philosophy is best understood as being both moderate and critical in character. While the recent scholarship is partially correct in its “centrist-reformist” image of Hegel's political philosophy, I argue that this image is incomplete. Hegel's project in the Philosophy of Right is moderate in the respect that it is a defense of his conceptualization of the modern state—it is the attempt to make explicit the implicit rationality of the modern state form. But his prescient critique of (...) the intractable contradictions of the open capitalist market and his identification of civil society with…. (shrink)

When people hear the name of Cardinal Newman, one of the first associations they make is to his Idea of a University. However, it is rarely known that his first love was Catholic education at the elementary and secondary levels, so that the Oratory School he founded has been described as the “apple of his eye.” Interestingly, Pope Francis is the first pontiff in modern history, at least, to have taught high school (chemistry and Latin) and who has reflected extensively (...) on his own personal experiences of being raised by the Salesian Fathers in Argentina. Both Newman and Francis would regard Catholic elementary and secondary schools as essential to producing what Newman repeatedly referred to as “an educated laity” – equally essential for what St. John Paul II dubbed “the new evangelization.”. (shrink)

The Venerable John Henry Cardinal Newman seemingly had the “Midas touch” in reverse. Oxford, Littlemore, Dublin were all sites of failures; the “Achilli Affair” was a humiliation; the quarrel with Faber was an embarrassment. Nonetheless, most people today think of Newman as a rousing success story. Why? Newman serves as an object lesson in living the Paschal Mystery, whereby each moment of crisis can be transformed into a moment of grace.

Johannes Kinker (1764–1845) who tried to promote Kantian philosophy in different ways, was also interested in the phenomenon of language. His general language theory is presented in Inleiding eener Wijsgeerige Algemeene Theorie der Talen, published in 1817. An impression of that theory is given in this paper. Some important questions arise, viz. whether Kinker was influenced by others; whether his theory was an original one and what the place of the theory is in the linguistic situation of the eighteenth and (...) the beginning of the nineteenth century. (shrink)