Christians look to Scripture to inform their ethical decision-making, believing that God speaks through it. However, disagreement as to what the Bible requires us to do can often lead to acrimonious splits within the church. So long as sharp divisions amongst Christians over ethical issues remain, injustices continue, and the reputation of the church is undermined. This article suggests that lessons may be learned from the story of the use of the Bible in the American Abolitionism debate which can help (...) the contemporary church to discuss and perhaps even resolve some enduring ethical questions which are dividing Christians today. (shrink)

As a contribution to a wider discussion on moral discernment in theological anthropology, this paper seeks to answer the question “What is the impact of mental illness on an individual’s ability to make moral decisions?” Written from a clinical psychiatric perspective, it considers recent contributions from psychology, neuropsychology and imaging technology. It notes that the popular conception that mental illness necessarily robs an individual of moral responsibility is largely unfounded. Most people who suffer from mental health problems do not lose (...) the capacity to make moral decisions, and mental illness on its own rarely explains anti-social or criminal behaviour. Moreover, the assumptions of some scientists, that recent developments in neuropsychology and brain imaging suggest biological determinism, must be treated with caution. (shrink)

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)

For as long as humans have pondered philosophical issues, they have contemplated the good life. Yet most suggestions about how to live a good life rest on assumptions about what the good life actually is. Thomas Carson here confronts that question from a fresh perspective. Surveying the history of philosophy, he addresses first-order questions about what is good and bad as well as metaethical questions concerning value judgments. Carson considers a number of established viewpoints concerning the good life. (...) He offers a new critique of Mill's and Sidgwick's classic arguments for the hedonistic theory of value, employing thought experiments that invite us to clarify our preferences by choosing between different kinds of lives. He also assesses the desire- or preference-satisfaction theory of value in detail and takes a fresh look at both Nietzsche's Übermensch ideal and Aristotle's theory of the good life. In exploring foundational questions, Carson observes that many established theories rest on undefended assumptions about the truth of moral realism. Arguing against this stand, he defends the view that good means desirable and presents a divine-preference version of the desire-satisfaction theory. In this he contends that, if there exists a kind and omniscient God who created the universe, then what is good or bad is determined by His preferences; if such a God does not exist, what is good or bad depends on what we as rational humans desire. Value and the Good Life is the only book that defends a divine-preference theory of value as opposed to a divine-command theory of right and wrong. It offers a masterfully constructed argument to an age-old question and will stimulate all who seek to know what the good life truly is. (shrink)

This paper addresses the following three claims that Frankfurt makes about the concept of bullshit:1. Bullshit requires the intention to deceive others.2. Bullshit does not constitute lying.3. The essence of bullshit is lack of concern with the truth of what one says.I offer counterexamples to all three claims. By way of defending my counterexamples, I examine Cohen’s distinction between bullshiting and bullshit and argue that my examples are indeed cases of bullshiting that Frankfurt’s analysis is intended to cover. My examples (...) of bullshitters who are very concerned to say only things that are true show that Frankfurt is mistaken in claiming that the “essence” of bullshit is lack of concern with the truth of what one says. (shrink)

The recent accounting scandals at Enron, WorldCom, and other corporations have helped to fuel a massive loss of confidence in the integrity of American business and have contributed to a very sharp decline in the U.S. stock market. Inasmuch as these events have brought ethical questions about business to the forefront in the media and public consciousness as never before, they are of signal importance for the field of business ethics. I offer some observations and conjectures about the bearing of (...) the recent scandals on the literature on business ethics. I defend the following contentions: 1. Recent events reveal serious weaknesses of the stakeholder theory about the social responsibilities of business which lacks prohibitions against fraud and deception. This is a glaring deficiency of standard versions of the stakeholder theory, but it is easily remedied by adding explicit prohibitions against fraud and deception. In addition, recent events highlight the stakeholder theory's very naive and unrealistic hopes and expectations for business executives as moral arbiters and agents of social improvement. 2. Recent events do not constitute an objection to the shareholder theory about the social responsibilities of business, however, these events make evident the implausibility of strong versions of the invisible hand theory. 3. Schemes of payment and reward often create perverse incentives for individuals to engage in unethical conduct. 4. Both the shareholder theory and the stakeholder theory need to add a constraint that requires executives to respect the professional obligations of employees. (shrink)

This paper presents an analysis of bluffing in labor negotiations from legal, economic, and ethical perspectives. It is argued that many forms of bluffing in labor negotiations are legal and economically advantageous, but that they typically constitute lying. Nevertheless it is argued that it is generally morally acceptable to bluff given a typical labor-management relationship where one's negotiating partner is familiar with and most likely employing bluffing tactics him/herself. We also consider whether it is an indictment of our present negotiating (...) practices and our economic system as a whole that, given the harsh realities of the marketplace, bluffing is usually morally acceptable. (shrink)

Standard definitions of lying imply that intending to deceive others is a necessary condition of one's telling a lie. In an earlier paper, which appeared in this journal, Wokutch, Murrmann and I argued that intending to deceive others is not a necessary condition of one's telling a lie and proposed an alternative definition. In a reply which also appeared in this journal, Gary Jones argues that our arguments fail to establish the claim that it is possible to lie without intending (...) to deceive others, and that the objections which we raise for standard definitions apply equally to our own. The present paper argues that one can lie without intending to deceive others. I concede Jones' second criticism and propose a new alternative definition. (shrink)

tentment and its relationship to the notions of happiness and the good life. Many philosophers have argued that the concept of happiness can be defined or analyzed simply in terms of "contentment" or "being satisfied (or pleased) with one' s life."' Others have made the more modest claim that being satisfied with one' s..

This paper focuses on the 1986 Amendments to the False Claims Act of 1863, which offers whistle-blowers financial rewards for disclosing fraud committed against the U.S. government. This law provides an opportunity to examine underlying assumptions about the morality of whistle-blowing and to consider the merits of increased reliance on whistle-blowing to protect the public interest. The law seems open to a number of moral objections, most notably that it exerts a morally corrupting influence on whistle-blowers. We answer these objections (...) and argue that the law is not objectionable on these grounds. Since there are no compelling moral objections to the law, it is appropriate and acceptable to judge the law in terms of its economic costs and benefits. We assess the most salient of these and conclude that the benefits outweigh the costs. We suggest that a mechanism similar to the Act should be considered for protecting stockholders’ interests in the private sector. We conclude by making several proposals for improving the existing legislation. (shrink)

This paper focuses on the 1986 Amendments to the False Claims Act of 1863, which offers whistle-blowers financial rewards for disclosing fraud committed against the U.S. government. This law provides an opportunity to examine underlying assumptions about the morality of whistle-blowing and to consider the merits of increased reliance on whistle-blowing to protect the public interest. The law seems open to a number of moral objections, most notably that it exerts a morally corrupting influence on whistle-blowers. We answer these objections (...) and argue that the law is not objectionable on these grounds. Since there are no compelling moral objections to the law, it is appropriate and acceptable to judge the law in terms of its economic costs and benefits. We assess the most salient of these and conclude that the benefits outweigh the costs. We suggest that a mechanism similar to the Act should be considered for protecting stockholders' interests in the private sector. We conclude by making several proposals for improving the existing legislation. (shrink)

Ian Maitland defends sweatshop labor on the grounds that “A wage or labor practice is ethically acceptable if it is freely chosen by informed workers” (he calls his view “the Classical Liberal Standard,” CLS). I present several examples of economic exchanges that are mutually beneficial and satisfy the requirements of the CLS, but, nonetheless, are morally wrong. Maitland’s arguments in defense of sweatshops are unsuccessful because they depend on the flawed “CLS.” My paper criticizes Maitland’s arguments in defense of sweatshops, (...) but I do not claim that his conclusions are false—I do not claim to have shown that the labor practices Maitland defends are morally wrong. I argue that some of the disagreements about sweatshops between Maitland and his critics depend on disagreements about the answers controversial questions in ethical theory. In the absence of definitive answers to those questions , there are no decisive arguments for or against Maitland’s view about sweatshops. (shrink)

This article examines 17 substance-abusing women's perceptions of their mothering practices in the context of a residential substance-abuse treatment program for women with children and pregnant women. Using in-depth semistructured interviews and observations of treatment groups, the participants' cultural knowledge about mothering is explored. Although the women in this study described how their substance-abusing lifestyle had a negative impact on their children, they also detailed practices that illustrated that they felt capable as parents. The women were silent about how race, (...) gender, or class arrangements affected their lives; their stories, however, showed active avoidance and manipulation of the contemporary ideology of mothering. (shrink)

I analyze a well-known and moving passage from John Steinbeck''s novelThe Grapes of Wrath. This passage provides an excellent illustration of one of the central questions about corporate moral agency: Is corporate moral agency anything over and above the agency of individual human beings? The passage in question is a debate about whether or not the actions of a particular company are anything over and above the actions of individual human beings.

RationaleSurrogates of critically ill patients often have inaccurate expectations about prognosis. Yet there is little research on how intensive care unit clinicians should discuss prognosis, and existing expert opinion-based recommendations give only general guidance that has not been validated with surrogate decision makers.ObjectiveTo determine the perspectives of key stakeholders regarding how prognostic information should be conveyed in critical illness.MethodsThis was a multicenter study at three academic medical centers in California, Pennsylvania, and Washington. One hundred eighteen key stakeholders completed in-depth semistructured (...) interviews. Participants included 47 surrogates of adult patients with acute respiratory distress syndrome; 45 clinicians working in study ICUs, including physicians, nurses, social workers, and spiritual care providers; and 26 experts in health communication, decision science, ethics, family-centered care, geriatrics, healthcare disparities, palliative care, psychology, psychiatry, and critical care.Measurements and main resultsThere was broad support among surrogates for existing expert recommendations, including truthful prognostic disclosure, emotional support, tailoring the disclosure strategy to each family's needs, and checking for understanding. In addition, stakeholders offered suggestions that add specificity to existing recommendations, including: In addition to conveying prognostic estimates, clinicians should help families "see the prognosis for themselves" by showing families radiographic images and explaining the clinical significance of physical manifestations of severe disease at the bedside. Many physicians did not support using numeric estimates to convey prognosis to families, whereas many surrogates, clinicians from other disciplines, and experts believed numbers could be helpful. Clinicians should conceptualize prognostic communication as an iterative process that begins with a preliminary mention of the possibility of death early in the ICU stay and becomes more detailed as the clinical situation develops. Although prognostic information should be initially disclosed by physicians, other members of the multidisciplinary team-nurses, social workers, and spiritual care providers-should be given explicit role responsibilities to reinforce physicians' prognostications and help families process a poor prognosis emotionally.ConclusionsFamily members, clinicians, and experts identified specific communication behaviors that clinicians should use to discuss prognosis in the critical care setting. These findings extend existing opinion-based recommendations and should guide interventions to improve communication about prognosis in ICUs. (shrink)

Unlike many important leaders and historical figures, Abraham Lincoln is generally regarded as a singularly good and morally virtuous human being. Lincoln's Ethics assesses Lincoln's moral character and his many morally fraught decisions regarding slavery and the rights of African-Americans, as well as his actions and policies as commander in chief during the Civil War. Some of these decisions and policies have been the subject of considerable criticism. Lincoln undoubtedly possessed many important moral virtues, such as kindness and magnanimity, to (...) a very high degree. Despite this, there are also grounds to question the goodness of his character. Many fault him as a husband, father and son, and many claim that he was a racist. Carson explains Lincoln's virtues and assesses these criticisms. (shrink)

In arecent paper, Kenneth Goodpaster formulates three versions of the stakeholder theory of corporate social responsibility. He rejects the first two versions and endorses the third. I argue that the theory that Goodpaster defends under the name “stakeholder theory” is aversion (albeit a somewhat different version) of Milton Friedman’s theory of corporate social responsibility. I also argue that the first two formulations of the stakeholder theory which Goodpaster discusses are at most only slight modifications of other theories. I conclude by (...) formulating a fourth version of the stakeholder theory which I believe does constitute a substantial departure from earlier theories of social responsibility. (shrink)

A well-known objection to divine will/divine command moral theories is that they commit us to the view that God's will is arbitrary. I argue that several versions of divine will/divine command moral theories, including two of Robert Adams's versions of the DCT and my own divine preference theory, can be successfully defended against this objection. I argue that, even if God's preferences are somewhat arbitrary, we have reasons to conform our wills to them. It is not a fatal objection to (...) divine will/divine command moral theories if they imply that God's will/God's commands is/are arbitrary, to some extent. (shrink)

R. M. Hare's Nora/ Thinking is surely one of the most compelling defenses of utilitarianism to appear in many years. Hare defends utilitarianism at some length against the objection that it has consequences that are inconsistent with our common-sense or intuitive moral judgments. Hare also offers a positive argument for utiTitarianism. In this paper I shall only concern myself with the latter argument. In the first part of the paper, I shall set out Hare's argument in some detail. In the (...) second part of the paper, I shall suggest criticisms of Hare's argument. I shall argue that two of the assumptions upon.. (shrink)

provide a plausible alternative to utilitarianism. Rawls gives two kinds of arguments to show that his two principles of justice are more plausible or more nearly correct than utilitarianism. First, he argues that the two principles of justice provide a better match with our 'considered judgments in reflective equilibrium.' Second, he argues that his two principles would be chosen in preference to the principle of utility in 'the original position.' I shall be concerned only with the second of these two (...) arguments in this paper. According to Rawls, people in the original position choose principles on the assumption that whatever principles are chosen will be strictly complied with, i.e., they choose on the assumption that the basic institutions of their society and all of the actions of its members will be in compliance with whatever principles are chosen. (shrink)

The proper method for dealing with meta-ethical questions in introductory ethics courses requires that the instructor consider and address at least some of the meta-ethical views most commonly held by the instructor's own students. Too often the meta-ethical views that students bring to their courses are simply ignored,.and the relation of these views to the highly abstruse theories and positions discussed in the readings and in class is not made clear. It may be the case that many popular meta-ethical views (...) are confused, unclear, ill-supported, and subversive to the values presupposed by a rational inquiry into morality. But if this is true, then it is all the more important to address these popular views.' For students' uncritical acceptance of them can be a distinct hindrance to getting them to think critically about moral questions. Many popular beliefs about the status of morality deny the possibility of a rational inquiry about moral questions. These preconceptions must be addressed and attended to, otherwise some of our students are unwilling to engage in the kind of critical and rational reflection'on moral questions that we aim to achieve in courses in moral philosophy. We face a strange situation, in that many of our students come into our classes with the firm, if not always clearly formulated, belief that there is no point in trying to do what we are doing. It is almost impossible to get anywhere in our classes unless we can persuade our students to at least suspend this belief. This paper addresses one set or family of preconceptions about the status of moral judgments which, I think, needs to be considered in introductory ethics courses. My special concern will be the views and attitudes of students who think it objectionable or in some sense wrong to make moral judgments, and, therefore, objectionable or wrong to engage in philosophical reflection which has as its aim the rational justification of moral judgments. (shrink)

The human gene pool displays exuberant genetic variation; this is normal for a sexual species. Even small isolated populations contain a large percentage of the total variability, emphasizing the basic genetic unity of our species. As modern man spread across the world from its African source, the genetic basis for man''s unique mental acuity was retained everywhere. Nevertheless, some geographical genetic variation such as skin color, stature and physiognomy was established. These changes were biologically relatively insignificant. Most of the genetic (...) load in the genome has been carried throughout the history of the species. There is little hope of purging all of these harmful genes; we must accept them and continue to treat their syndromes medically. All populations carry extensive genetic variation due to genes that encode variations in quantitative traits. Of greatest importance among these is ubiquitous polygenic variability in brain function and intelligence. Mental acuity is what sets us apart from the rest of the biological world. Throughout our history, genetic recombination among the many genes involved in brain function has occurred. This has provided a genetic basis for the action of natural selection that favors intelligence in meeting the demands of the environment. As environments change in the future, this type of genetic variability will continue to be a crucial resource. (shrink)

An important test of any moral theory is whether it can give a satisfactory account of moral prohibitions such as those against promise breaking and lying. Act-utilitarianism (hereafter utilitarianism) implies that any act can be justified if it results in the best consequences. Utilitarianism implies that it is sometimes morally right to break promises and tell lies. Few people find this result to be counterintuitive and very few are persuaded by Kant’s arguments that attempt to show that lying is always (...) wrong, even if it is necessary to save someone’s life. One thing that makes Kant’s view about lying so implausible is that he is committed to the view that the duty not to lie is always more important than any conflicting duties. Even if we agree with utilitarianism that lying and promise breaking are sometimes morally permissible, we may still be inclined to think that utilitarianism is too permissive about lying and promise breaking. Ross gives the definitive statement of this criticism. He holds that there is a strong, but overrridable, moral presumption against telling lies and breaking promises that is independent of utilitarian considerations. Almost all utilitarians claim that there is a strong moral presumption against telling lies and breaking promises on account of the direct and indirect bad consequences of those actions. However, utilitarians cannot say that there is any moral presumption against lying and promise breaking that is independent of their bad consequences. Many philosophers think that Ross’s theory constitutes a kind of reasonable middle ground in ethics between Kant’s absolutism and utilitarianism. Ross’s theory is arguably the major ethical theory that is closest to most people’s commonsense moral beliefs. It is noteworthy that the two most important defenders of rule-utilitarianism/rule-consequentialism. (shrink)

Hfs paper is an analysis of the concept of contentment and its relationship to the notions of happiness and the good life. Many philosophers have argued that the concept of happiness can be defined or analyzed simply in terms of "contentment" or "being satisfied (or pleased) with one' s life."' Others have made the more modest claim that being satisfied with one' s life is necessary for being a happy person. Philosophers have also discussed the place of contentment in the (...) good life. Few of them attach any great value to contentment. (The stoics are a notable exception to this.) Nietzsche goes so far as to say that being contented is incompatible with having a good life. I will propose an analysis of the concept of contentment in the first section of the paper. Then, I will consider the relationship between happiness and contentment and argue that being contented (with one's life) is neither necessary nor sufficient for being a happy person. In the final section of the paper, I will propose and defend a view concerning the normative significance of contentment and its place in the good life. (shrink)

Contemporary moral philosophers have produced an enormous amount of rich and varied published work on virtually all the issues falling within the scope of ethics and moral philosophy. Morality and the Good Life is a comprehensive survey of contemporary ethical theory that collects thirty-four selections on morality and the theory of value. Emphasizing value theory, metaethics, and normative ethics, it is non-technical and accessible to a wide range of readers. Selections are organized under six main topics: Concepts of Goodness What (...) Things are Good? Virtues and Ethics Realism vs. Anti-Realism Value and Obligation The Value and Meaning of Life The text includes both a substantial general introduction featuring explanatory summaries of all the selections and an extensive topical bibliography, which enhance the volume's research and pedagogical utility. The most up-to-date and wide-ranging survey of its kind, Morality and the Good Life is ideal for advanced undergraduate and graduate courses in contemporary ethical theory, moral philosophy, and theory of value. (shrink)

Ethical issues in sales are an important and neglected topic in business ethics. Roughly 9% of the U.S. work force is involved in sales of one sort or another. But very little has been written about ethical issues in sales.

Gert’s Morality is a remarkably original, lucid, ambitious, and wide-ranging book. No short essay can do justice to it. I offer four criticisms of Gert. First, he doesn’t adequately defend the priority he gives to avoiding evils over seeking goods. Second, he begs some important questions about moral realism in a way that is crucial for his definition of rationality and his larger purposes in the book. Third, his rejection of utilitarianism and religious morality rests on an assumption he doesn’t (...) adequately defend. Fourth, he is mistaken in claiming that moral judgments are not overriding. (shrink)

Gert’s Morality is a remarkably original, lucid, ambitious, and wide-ranging book. No short essay can do justice to it. I offer four criticisms of Gert. First, he doesn’t adequately defend the priority he gives to avoiding evils over seeking goods. Second, he begs some important questions about moral realism in a way that is crucial for his definition of rationality and his larger purposes in the book. Third, his rejection of utilitarianism and religious morality rests on an assumption he doesn’t (...) adequately defend. Fourth, he is mistaken in claiming that moral judgments are not overriding. (shrink)

In 1992, I sent Milton Friedman a draft of my 1993 paper “Friedman's Theory of Corporate Social Responsibility.” He and I corresponded at length. My 1993 paper argues that Friedman's published formulations of his theory are not equivalent and that they prescribe different courses of action in many possible cases. In our correspondence, Friedman conceded that his two formulations of his theory are inconsistent and, at my suggestion, he endorsed a modified version of the view he presented in Capitalism and (...) Freedom as the preferred version of his theory. This modified theory is an important formulation of his position. In one of his letters to me, Friedman writes: “I agree that corporate executives might have duties to the general public which sometimes outweigh their duties to the shareholders.” I argue that this creates major problems for his theory. I also answer Friedman's published response to one of my criticisms. (shrink)

Richard Henson has argued that hedonistic-average-act-utilitarianism has the extremely counter-intuitive consequence that certain individuals ought to be killed simply because they are unhappy and because their deaths would raise the average level of happiness. It is argued that Henson's criticisms are correct and that they can be extended to other versions of utilitarianism: total (as opposed to average) utilitarianism, non-hedonistic versions of utilitarianism, and those versions of act-utilitarianism that have originated in the recent controversy about population control.

Purpose/methods: This study investigated the relationship between ethics education and training, and the use and usefulness of ethics resources, confidence in moral decisions, and moral action/activism through a survey of practicing nurses and social workers from four United States (US) census regions. Findings: The sample (n = 1215) was primarily Caucasian (83%), female (85%), well educated (57% with a master's degree). no ethics education at all was reported by 14% of study participants (8% of social workers had no ethics education, (...) versus 23% of nurses), and only 57% of participants had ethics education in their professional educational program. Those with both professional ethics education and in-service or continuing education were more confident in their moral judgments and more likely to use ethics resources and to take moral action. Social workers had more overall education, more ethics education, and higher confidence and moral action scores, and were more likely to use ethics resources than nurses. Conclusion: Ethics education has a significant positive influence on moral confidence, moral action, and use of ethics resources by nurses and social workers. (shrink)

In the superannuation/pension industry, ordinary investors entrust their retirement savings to the trustees of the superannuation plan. Investors rely on the trustees to ensure that ethical business and risk management practices are implemented to protect their retirement savings. Governance practices ensure the monitoring of ethical risk management (Drennan, L. T.: 2004, Journal of Business Ethics 52, 257-266). The Australian superannuation industry presents a unique scenario. Legislation requires employers to contribute a minimum of 9% of the employees wage to retirement savings. (...) However, there are no legislated governance standards, although there are standards of recommended governance practices. In this article, we examine the level of voluntary adoption of governance practices by the trustees of Australian public sector and industry superannuation funds. We also assess whether superannuation governance practices are associated with performance and volatility /riskiness of returns. Survey results show that the majority of superannuation plans adopt recommended governance practices supporting the concept of ethical management of the member's retirement savings. The examination of governance principles that impact returns and risk shows that board size and regular review of conflicts are positively associated with return. Superannuation plans with higher volatility in returns meet more frequently. (shrink)

A review of George Kateb's book, Lincoln's Political Thought.

Experiential evidence shows that pain is associated with common meanings. These include a meaning of threat or danger, which is experienced as immediately distressing or unpleasant; cognitive meanings, which are focused on the long-term consequences of having chronic pain; and existential meanings such as hopelessness, which are more about the person with chronic pain than the pain itself. This interdisciplinary book - the second in the three-volume Meanings of Pain series edited by Dr Simon van Rysewyk - aims to better (...) understand pain by describing experiences of pain and the meanings these experiences hold for the people living through them. The lived experiences of pain described here involve various types of chronic pain, including spinal pain, labour pain, rheumatic pain, diabetic peripheral neuropathic pain, fibromyalgia, complex regional pain syndrome, endometriosis-associated pain, and cancer-related pain. Two chapters provide narrative descriptions of pain, recounted and interpreted by people with pain. Language is important to understanding the meaning of pain since it is the primary tool human beings use to manipulate meaning. As discussed in the book, linguistic meaning may hold clues to understanding some pain-related experiences, including the stigmatisation of people with pain, the dynamics of patient-clinician communication, and other issues, such as relationships between pain, public policy and the law, and attempts to develop a taxonomy of pain that is meaningful for patients. Clinical implications are described in each chapter. This book is intended for people with pain, their family members or caregivers, clinicians, researchers, advocates, and policy makers. (shrink)

Patronizing the Public is the first detailed and comprehensive examination of how American philanthropy has transformed culture, communication, and the humanities. Drawing on an impressive range of archival and secondary sources, the chapters in the volume shed light on philanthropic foundations have shaped numerous fields, including film, television, radio, journalism, drama, local history, museums, as well as art and the humanities in general.

Inner speech has been shown to vary in form along several dimensions. Along condensation, condensed inner speech forms have been described, that are supposed to be deprived of acoustic, phonological and even syntactic qualities. Expanded forms, on the other extreme, display articulatory and auditory properties. Along dialogality, inner speech can be monologal, when we engage in internal soliloquy, or dialogal, when we recall past conversations or imagine future dialogues involving our own voice as well as that of others addressing us. (...) Along intentionality, it can be intentional (when we deliberately rehearse material in short-term memory) or it can arise unintentionally (during mind wandering). We introduce the ConDialInt model, a neurocognitive predictive control model of inner speech that accounts for its varieties along these three dimensions. ConDialInt spells out the condensation dimension by including inhibitory control at the conceptualization, formulation or articulatory planning stage. It accounts for dialogality, by assuming internal model adaptations and by speculating on neural processes underlying perspective switching. It explains the differences between intentional and spontaneous varieties in terms of monitoring. We present an fMRI study in which we probed varieties of inner speech along dialogality and intentionality, to examine the validity of the neuroanatomical correlates posited in ConDialInt. Condensation was also informally tackled. Our data support the hypothesis that expanded inner speech recruits speech production processes down to articulatory planning, resulting in a predicted signal, the inner voice, with auditory qualities. Along dialogality, covertly using an avatar’s voice resulted in the activation of right hemisphere homologues of the regions involved in internal own-voice soliloquy and in cerebellar deactivation, consistent with internal model adaptation. Switching from first-person to third-person perspective resulted in activations in precuneus and parietal lobules. Along intentionality, compared with intentional inner speech, mind wandering with inner speech episodes was associated with greater bilateral inferior frontal activation and decreased activation in left temporal regions. This is consistent with the reported subjective evanescence and presumably reflects condensation processes. Our results provide neuroanatomical evidence compatible with predictive control and in favor of the assumptions made in the ConDialInt model. (shrink)

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Marion Bourbon Que l’activité philosophique chez la plupart des philosophes antiques ait prétendu disposer d’une fonction thérapeutique, psychothérapeutique, nous le savons bien, tant cette dernière s’est explicitement pensée sur le modèle médical. Il ne faut néanmoins pas oublier qu’alors, dans le même temps, c’est la médecine elle-même qui s’est trouvée apparentée à la philosophie en ce qu’elle suppose intrinsèquement un usage du logos, ce que Platon le premier pose sans ambages. Cette métaphore de la philosophie comme thérapie a aussi (...) ressurgi plus récemment en philosophie analytique, sous la plume de Wittgenstein pour lequel « la philosophie traite une question comme une maladie ». Mais jusqu’à quel point s’agit-il de dire la même chose? (shrink)

Le don d’ovocytes est une technique d’assistance médicale à la procréation dont peuvent parfois bénéficier des femmes qui souhaitent ne pas prendre le risque de transmettre une maladie génétique. Aucune étude ne s’étant spécifiquement intéressée à ces dernières, l’auteur de cet article a souhaité mieux connaître la façon dont elles se préparent à devenir mères dans ce contexte singulier. Les pistes de réflexion proposées sont issues d’entretiens cliniques menés auprès de deux femmes enceintes souffrant d’une maladie génétique. Ces dernières doivent (...) s’engager dans un processus d’élaboration des angoisses suscitées par la figure de la donneuse, notamment celle de ne pas être reconnue comme mère par leur enfant et que celui-ci veuille retrouver la donneuse. De plus, le choix de recourir à un don d’ovocytes les conduit à réinterroger l’histoire de leur maladie et peut réactiver l’hostilité à l’égard des parents qui ont transmis les gènes de la maladie. L’engagement dans un processus de renoncement de la transmission de leur filiation génétique sera étroitement lié au destin de cette hostilité. (shrink)

Le don d’ovocytes est une technique d’assistance médicale à la procréation dont peuvent parfois bénéficier des femmes qui souhaitent ne pas prendre le risque de transmettre une maladie génétique. Aucune étude ne s’étant spécifiquement intéressée à ces dernières, l’auteur de cet article a souhaité mieux connaître la façon dont elles se préparent à devenir mères dans ce contexte singulier. Les pistes de réflexion proposées sont issues d’entretiens cliniques menés auprès de deux femmes enceintes souffrant d’une maladie génétique. Ces dernières doivent (...) s’engager dans un processus d’élaboration des angoisses suscitées par la figure de la donneuse, notamment celle de ne pas être reconnue comme mère par leur enfant et que celui-ci veuille retrouver la donneuse. De plus, le choix de recourir à un don d’ovocytes les conduit à réinterroger l’histoire de leur maladie et peut réactiver l’hostilité à l’égard des parents qui ont transmis les gènes de la maladie. L’engagement dans un processus de renoncement de la transmission de leur filiation génétique sera étroitement lié au destin de cette hostilité. (shrink)

Les études menées sur la parentalité des mères présentant un trouble psychotique portent majoritairement sur leurs dysfonctionnements ou sur les conséquences pour l’enfant. Plusieurs recherches ont montré l’importance de l’environnement comme soutien à la parentalité. La littérature s’est toutefois peu intéressée au vécu de ces mères. Cette étude exploratoire interroge, à travers l’entretien de recherche et l’échelle d’ insight Q8 de Bourgeois, le vécu de la parentalité de neuf mères, suivies en services de psychiatrie pour adultes, ainsi que leur perception (...) du soutien extérieur dans l’après-coup, alors que leurs enfants sont déjà adultes. Les résultats suggèrent une parentalité partielle et la nécessité de favoriser des dispositifs d’aide adaptés aux périodes du développement de l’enfant. Des violences intrafamiliales sont également mises en exergue. (shrink)

Les études menées sur la parentalité des mères présentant un trouble psychotique portent majoritairement sur leurs dysfonctionnements ou sur les conséquences pour l’enfant. Plusieurs recherches ont montré l’importance de l’environnement comme soutien à la parentalité. La littérature s’est toutefois peu intéressée au vécu de ces mères. Cette étude exploratoire interroge, à travers l’entretien de recherche et l’échelle d’ insight Q8 de Bourgeois, le vécu de la parentalité de neuf mères, suivies en services de psychiatrie pour adultes, ainsi que leur perception (...) du soutien extérieur dans l’après-coup, alors que leurs enfants sont déjà adultes. Les résultats suggèrent une parentalité partielle et la nécessité de favoriser des dispositifs d’aide adaptés aux périodes du développement de l’enfant. Des violences intrafamiliales sont également mises en exergue. (shrink)

Le présent volume, coordonné par S. Delcomminette & R. Van Daele, consiste dans les actes de deux journées d’études qui se sont tenues à la Fondation Universitaire de Belgique et à l’Université Libre de Bruxelles les 13 et 14 juin 2019. Les neuf contributions sont précédées d’une introduction qui procède à un très rapide état de la question et esquisse de façon convaincante la cohérence de l’itinéraire suivi. Le collectif vise à étudier, chronologiquement, l’histoire de la réception dans l...