This study describes which clinical ethics approaches are available to support healthcare personnel in clinical practice in terms of their construction, functions and goals. Healthcare personnel frequently face ethically difficult situations in the course of their work and these issues cover a wide range of areas from prenatal care to end-of-life care. Although various forms of clinical ethics support have been developed, to our knowledge there is a lack of review studies describing which ethics support approaches are available, how they (...) are constructed and their goals in supporting healthcare personnel in clinical practice. This study engages in an integrative literature review. We searched for peer-reviewed academic articles written in English between 2000 and 2016 using specific Mesh terms and manual keywords in CINAHL, MEDLINE and Psych INFO databases. In total, 54 articles worldwide described clinical ethics support approaches that include clinical ethics consultation, clinical ethics committees, moral case deliberation, ethics rounds, ethics discussion groups, and ethics reflection groups. Clinical ethics consultation and clinical ethics committees have various roles and functions in different countries. They can provide healthcare personnel with advice and recommendations regarding the best course of action. Moral case deliberation, ethics rounds, ethics discussion groups and ethics reflection groups support the idea that group reflection increases insight into ethical issues. Clinical ethics support in the form of a “bottom-up” perspective might give healthcare personnel opportunities to think and reflect more than a “top-down” perspective. A “bottom-up” approach leaves the healthcare personnel with the moral responsibility for their choice of action in clinical practice, while a “top-down” approach risks removing such moral responsibility. (shrink)

This provocative and original book challenges the commonplace that contemporary international interactions are best understood as struggles for power. Eschewing jargon and theoretical abstraction, Mervyn Frost argues that global politics and global civil society must be understood in ethical terms. International actors are always faced with the ethical question: So, what ought we to do in circumstances like these? Illustrating the centrality of ethics to our understanding of global politics and global civil society with detailed case studies, Frost shows (...) how international actors constitute one another in global social practices that are underpinned by specific ethical commitments. Case Studies examined include: The War on Iraq The 'Global War on Terror' Iran Human Rights Globalization and Migration The use of Private Military Companies. Global Ethics forces readers to confront their own necessary ethical engagement as citizens and rights holders in global society. Failure to understand international relations in ethical terms will lead to misguided action. This book should be read by all scholars and students of international relations as well as the general reader seeking an accessible account of the importance of ethical decisions in world affairs. (shrink)

Most questions commonly asked about international politics are ethical ones. Should the international community intervene in Bosnia? What do we owe the starving in Somalia? What should be done about the genocide in Rwanda? Yet, Mervyn Frost argues, ethics is accorded a marginal position within the academic study of international relations. In this book he examines the reasons given for this, and finds that they do not stand up to scrutiny. He goes on to evaluate those ethical theories which (...) do exist within the discipline - order based theories, utilitarian theories, and rights based theories - and finds them unconvincing. He elaborates his own ethical theory, constitutive theory, which is derived from Hegel, and highlights the way in which we constitute one another as moral beings through a process of reciprocal recognition within a hierarchy of institutions which include the family, civil society, the state, and the society of states. (shrink)

Dictionary of Critical Realism fills a vital gap in the literature. The dictionary seeks to redress the problem of accessibility by explaining all the main concepts and key developments. It has more than 500 entires on these themes, with contributions from many leading critical realists, and is thoroughly cross-referenced. However, this text does not stop at the elucidation of concepts. It incorporates surveys of critical realist work and prospects in more than fifty areas of study across the humanities and social (...) sciences, thereby demonstrating the appropriate use and possibilities of the concepts in action."--BOOK JACKET. (shrink)

A pioneer work in comparative philosophy, this book approaches the question of being through a range of traditions: the Greek, the Christian, the post-Nietzschean European, the Hindu, and the Buddhist. _The Question of Being_ therefore is both a fresh, cross-cultural approach to a vital issue and also an example of comparative philosophy in action. The editor's introduction clarifies historically the concept of comparative philosophy from A. du Perron's journey to Persia in the late 18th century to the work of such (...) modern thinkers as Deussen, Jung, and Aurobindo. Chapters by Owens and Kahn are concerned with the questions of being in Greek philosophy; Gadamer, Adamczewski, and Scharff relate Heidegger's though variously to Plato and the Greeks, the Upanishads, and the question of being. From the Eastern perspective: Halbfass examines the Indian realist school of Vaisesika with reference to Aristotle; Arapura writes of Advaita Vedanta thought of sat and brahman; Sprung discusses the importance of the Buddhist middle way in relation to the question of being and Mohanty contrasts Vedanta, Nyaya, and Buddhist theories about being. Each chapter is historical and yet not merely so: the pervasive theme ensures treatment of the historical material in a contemporary philosophical context. Ultimately this book demonstrates that all philosophical problems reach beyond the bounds of any one tradition, being essentially human. Every chapter contains a carefully selected bibliography. (shrink)

_Edward Bibring Photographs the Psychoanalysts of His Time_ provides us with a unique pictorial window into a fascinating period of psychoanalytic history. It is the gift of Edward Bibring, a passionate photographer who, Rolleiflex in hand, chronicled international psychoanalytic congresses from 1932 to 1938. The period in question spans the ascendancy of Hitler, the great exodus of analysts to England and the U.S., and the Anschluss of 1938. A year after the Paris Congress, the last meeting photographed by Bibring, Europe (...) would be in flames. At Wiesbaden in 1932, we find an ever dignified Ernest Jones relaxing aboard a sight-seeing ship, and Helene Deutsch and Heinz Hartmann delightfully at ease at a coffee shop. At the Lucerne Congress of 1934, Anna Freud, Ludwig Jekels, Wilhelm Reich, Grete Bibring, Max Eitingon, and Franz Alexander happily converse outside a hotel. At Marienbad in 1936, there are smiling new faces: Annie Reich, Ernst Kris, Otto Fenichel, Edward Glover, and others. At Budapest in1937 the women – Anna Freud, Vilma Kovacs, Dorothy Burlingham, and Elisabeth Geleerd – speak animatedly among themselves. A demure Margaret Mahler and a chic Marianne Kris make their appearance. In 1938, we see a series of table shots, where analysts, now with suit jackets removed and even a few collars loosened, relax with their food, wine, and cigars. Bracketed by Sanford Gifford’s brief introduction and biographical sketches of all the captured parties, Bibring’s photographs, digitized and enlarged, retain just enough graininess to evoke a different era in the history of psychoanalysis. It is heartening to see the paragons of “classical psychoanalysis” as warmly human, their analytic reserve supplanted by relaxed affability. But it is sobering to remember that the high spirit engendered by Congresses – in Bibring’s time no less than our own – may overlay the gravest political developments and the deepest personal anxieties. (shrink)

This essay sets out some key qualities of love according to the philosophy of critical realism, together with Roy Bhaskar's arguments for them. It then considers how Bhaskar's claims stack up with the findings of modern physics, indicates how the category of love unifies the philosophical system of critical realism and critiques Luc Ferry's view that the reign of love has already begun in the West, before briefly discussing the practical application of Bhaskar's philosophy of love in the work of (...) feminist critical realist social theorist Lena Gunnarsson. (shrink)

For Gifford, the profoundest explorer of the human consciousness, time, and memory is James Joyce and in its range of reference, wit, and humanity the spirit of ...

Some philosophers argue that we are justified in rejecting skepticism because it is explanatorily inferior to more commonsense hypotheses about the world. Focusing on the work of Jonathan Vogel, I show that this “abductivist” or “inference to the best explanation” response rests on an impoverished explanatory framework which ignores the explanatory gap between an object's having certain properties and its appearing to have those properties. Once this gap is appreciated, I argue, the abductivist strategy is defeated.

Dear EditorOn the face of it, it is surprising that well-respected proponents of critical realism have taken the piece by Tom Fryer and Cristián Navarrete seriously in the roundtable discussion ‘Do...

During the past four years, the International Institute for Indigenous Resource Management has sponsored and co-sponsored a series of discursive roundtables on the ethical, legal, social, and cultural implications of genetic research on Indian tribes and Indian people. The deliberations of the tribal leaders, legal scholars, researchers, representatives of non-governmental organizations, and others who participated in these roundtables laid out a range of barriers to informed tribal participation in genetic research and proposed a policy, legal, and scientific research agenda to (...) fill gaps in knowledge and to otherwise support indigenous peoples' decision-making on genetic research issues.An understanding of Native American attitudes toward genetic research on their community cannot be fully understood absent an appreciation of the interrelationship among native peoples, genetic research, and the landscape, contaminated as it is by governmental and other factors. The deliberations described herein present invaluable insights into tribal attitudes toward genetic research that have application to ethical, legal and social aspects of forensic DNA databanks, sample collection and retention, and, in particular, issues of secondary non-forensic uses of such DNA. (shrink)

The Magic of Unknowing is a unique philosophical and literary work. Cast in the dialogue form, it unfolds in the mood of soliloquy. Mervyn Sprung has created an imaginative meeting of the minds of great western philosophers: Aristotle, Descartes, Kant, Hume, Nietzsche, Wittgenstein and Pyrrho. All are brothers, the more skeptical sons of Aristotle. Later they hear as well from Chang, a Taoist, and Nagaraj, a Buddhist, both lately adopted into the family. The dialogue dramatises the erosion in modern (...) times of Aristotelian rationality under the pressures of its own logic. The two eastern thinkers throw the weight of their own skepticism into the discussion at the critical point. In the end the brothers realize that they have moved away from Western philosophy's faith in the singular power of reason to establish truth and sense in the human world. They discover the magic of unknowing that lies in the reciprocal penetration of knowledge and behavior, each receiving its sense from the other. They discover that philosophies are not the issue of reasoning alone but are themselves already inseparably thought and action. And they realise that this entails an unheard-of future for philosophy. (shrink)

This essay calls attention to robust synergies between Roy Bhaskar’s philosophy of dialectical critical realism and Terrence W. Deacon’s recent investigation of the geo-historical emergence of ententional or teleological phenomena, as well as important differences. Deacon has independently arrived at an understanding of absence as causally efficacious in the emergence of life and consciousness, and deploys a range of other concepts that resonate with DCR. He develops a critique both of eliminativist and monovalent approaches to ententionality, on the one hand, (...) and their panpsychist foil, on the other, and elaborates a polyvalent scientific alternative – the theory of emergent dynamics. Though this theory is not without problems, as its immanent critique reveals – and indeed in part because of these – it opens up the prospect of a mutually illuminating dialogue between DCR and metaRealism, on the one hand, and the life sciences, on the other, in which DCR/mr underlabours for these sciences, which in turn feed back into DCR/mr philosophy and social theory, thereby helping to actualize the possibility of non-positivist naturalism. (shrink)

Volume 20, Issue 3, March 2020, Page 73-74.

Cheryl Misak (2000; 2008a; 2008b; Misak and Talisse 2014; Misak and Talisse 2021) has presented an argument for democracy based on her analysis of the writings of Charles Sanders Peirce: If we care about the truth of our beliefs – as everyone does, according to Misak – then we ought to support democratic norms and democratic political institutions. We argue in the present paper that Misak’s argument does not adequately justify a democratic political system. Her argument does, however, justify a (...) rational commitment to the standard liberal-democratic values of freedom of expression, freedom of association, and the like. We demonstrate as well that Misak’s argument for the democratic values withstands well-known objections against her argument for a democratic political system. We also show that weaker premises involving every agent’s commitment to pursuing their own subjective ends can get us to Misak’s conclusions regarding liberal values using reasoning otherwise similar to Misak’s in that our alternative premises also get us to the commitment to taking the experiences of others seriously. These weaker premises avoid objections raised against Misak’s Peircean view and are acceptable even to those who reject Misak’s idea, taken from her reading of Peirce, that truth is a constitutive norm of belief. (shrink)

Uniquely among contemporary philosophies, Roy Bhaskar’s system of critical realism attempts to sublate (draw out the real strengths of and surpass) the philosophical discourse of modernity considered as a dialectically developing totality. This paper systematically expounds and comments on Bhaskar’s metacritique of that discourse and situates it briefly in relation to Jürgen Habermas’s earlier critique.

Since its inception in the 1970's, critical realism has grown to address a broad range of subjects, including economics, philosophy, science, and religion. It has also gone through a number of key evolutions that have changed its direction, and seen it develop into a complex and mature branch of philosophy. Critical Realism: A Brief Introduction, is the first book to look back over the entire field of critical realism in one concise and accessible volume. As the originator and chief exponent (...) of CR, Roy Bhaskar draws from his experience of countless introductory lectures, seminars, workshops and courses to give a definitive and compelling account of this increasingly influential, international and multi-disciplinary approach. Its eight chapters examine the following topics: Transcendental Realism and the Philosophy of Science Critical Naturalism and the Philosophy of Social Science Explanatory Critique and Ethics Language and Critical Discourse Analysis The Development of Critical Realism Interdisciplinarity and Applied Critical Realism Modernity, Theories of Science and Metacritique The Advantages of Critical Realism Everything from the definition of CR and its applicability to the social sciences, to explanations of dialectical critical realism and the philosophy of meta-reality are addressed in detail, making this the essential introduction for students of CR at all levels. (shrink)

Actors in international politics need to navigate a host of ethical challenges when deciding how to act in a certain context. They are confronted by the question: "What, from an ethical point of view, should I do?" with regard to a wide range of issues including the conduct of war, the just distribution of aid and trade, human rights, the care of the global environment, the rights of asylum seekers and refugees, genocide, money laundering, global terror, and many others. This (...) collection looks at classical and seminal research in the field with the broad framework of the moral standing of states; the moral standing of non-state actors; and the ethics of international relations. (shrink)

The present study of the manuscripts of the Knights arose out of the preparation of a text of the scholia for a forthcoming edition. The completion of a collation of all the manuscripts for the scholia seemed a suitable occasion for extending the inquiry and re-examining our manuscript tradition in both text and scholia, especially as the scholia in a manuscript, provided they come from the same source as the text, can often reveal facts that might escape an investigator who (...) confined himself to the text. The scholia are far greater in bulk than the text, and scribes are often less careful and so more self-revealing in scholia; so that both from the quantitative and qualitative points of view scholia are important for the student of the tradition. (shrink)

The rise of neo-integrative worldviews : towards a rational spirituality for the coming planetary civilization -- Beyond fundamentalism : spiritual realism, spiritual literacy and education -- Realism, literature and spirituality -- Judgemental rationality and the equivalence of argument : realism about God, response to Morgan's critique -- Transcendence and God : reflections on critical realism, the "new atheism", and Christian theology -- Human sciences at the edge of panentheism : God and the limits of ontological realism -- Beyond East and (...) West -- Meta-Reality (re-)contextualized -- Anti-anthropic spirituality : dualism, duality and non-duality -- "The more you kick God out the front door, the more he comes in through the window" : Sean Creaven's critique of transcendental dialectical critical realism and the philosophy of meta-Reality -- Resisting the theistic turn -- The pulse of freedom and the existential dilemma of alienation -- Meta-Reality, creativity and the experience of making art. (shrink)

This paper critically examines a particular strategy for resolving the central ethical dilemma associated with randomized clinical trials — the “community equipoise” strategy . The dilemma is that RCTs appear to violate a physician's duty to choose that therapy which there is most reason to believe is in the patient's best interest, randomizing patients even once evidence begins to favor one treatment. The community equipoise strategy involves the suggestion that our judgment that neither treatment is to be preferred is to (...) be assessed according to a community rather than an individual standard. Thus, though a physician may personally believe that there is some reason to prefer one treatment, patients can legitimately be randomized if there remains disagreement in the community of medical professionals. Rationales in favor of this conception include the following: medical knowledge is best understood as residing in the community, the judgments of others count as evidence, and so should change one's own opinion, subjects would not be better off outside the trial, and the point of any trial is the resolution of dispute in the medical community. I critically examine these rationales and argue that they are insufficient. Amongst the problems are tensions between various of these underlying rationales, and important ambiguities in just what the CE criterion is to amount to. Finally, I argue that even if use of CE was justified, it would not justify carrying out RCTs anywhere near long enough to discharge our duty to gain reliable knowledge on which to base safe and effective medical practice. Hence, we need some different justification for carrying out RCTs. (shrink)

Hare has written a clear, brief, and readable introduction to ethics which looks at all the fundamental problems of the subject.

The central dilemma concerning randomized clinical trials (RCTs) arises out of some simple facts about causal methodology (RCTs are the best way to generate the reliable causal knowledge necessary for optimally-informed action) and a prima facie plausible principle concerning how physicians should treat their patients (always do what it is most reasonable to believe will be best for the patient). A number of arguments related to this in the literature are considered. Attempts to avoid the dilemma fail. Appeals to informed (...) consent and mechanisms for minimizing the resulting harm are important for policy, but informed consent is problematic and mechanisms for minimization of harm do not address the dilemma. Appeals to some sort of contract model of justification are promising and illuminating. Keywords: randomized clinical trials, ethics CiteULike Connotea Del.icio.us What's this? (shrink)

In order to participate effectively in international relations, this essay argues that international actors of all kinds, including states, international organizations, corporations, and individuals, have to acquire the skills necessary to protect freedom and diversity in the modern world.

: As clinicians, researchers, bioethicists, and members of society, we face a number of moral dilemmas concerning randomized clinical trials. How we manage the starting and stopping of such trials—how we conceptualize what evidence is sufficient for these decisions—has implications for both our obligations to trial participants and for the nature and security of the resultant medical knowledge. One view of how this is to be done, "clinical equipoise," recently has been given an extended defense by Paul Miller and Charles (...) Weijer in their article "Rehabilitating Equipoise." The present paper critiques this position and Miller and Weijer's defense of it. I argue that their attempted rehabilitation fails. Their analysis suffers from a number of confusions, as well as a failure to make crucial distinctions, adequately to clarify key concepts, or to think through exactly what needs to be established to justify their claim. We are left with little reason to uphold the clinical equipoise criterion. (shrink)