This article offers a novel historical interpretation of the problem of jihadism through a critique of the philosophical foundations of Olivier Roy’s scholarship on Islam and jihadism. In particular, the article elucidates the consequences of the dominant positivist ontology and secular episteme of the social sciences for the analysis of jihadism. To this end, it formulates an alternative conceptualization of the main terms of analysis (namely, Islam, the ummah, the caliphate, and jihad), highlighting their political significance and disavowing thereby the (...) epistemic prejudices of Eurocentric social science. The article argues jihad designates a political phenomenon tied to Islam’s presence as a universal order and Muslims as an autonomous community. It is a signifier of the organized, collective warfare of Muslims as a distinct political group, represented by the caliphate as an ‘Islamicate great power’, and waged by its professional armies. Jihadism represents the venture to recover jihad in a world without a caliphate, its condition of possibility being the disappearance of the caliphate, and in that it signifies the fragmentation, disorganization, and de-politicization of jihad. (shrink)

In view of the heightened societal attention to the ethical aspects of business behaviour, there has been, in recent years, a great deal of discussion regarding individual and organisational factors influencing managerial decision making. The main focus of this paper is on understanding the attitudes of managers toward ethical dimension of their choices and judgments, as also the forces that pressurise, provide them with opportunities, or contribute to shaping their intentions, for ethical or unethical actions. Findings reported here are based (...) on a questionnaire-survey of 381 managers from 41 commercial organisations in Malaysia. (shrink)

Social entrepreneurship orientation is a behavioral construct of social entrepreneurship ; therefore, we examined the influence of SEO of the organization on social and financial performance. A random sample of 810 employees was drawn from social enterprises of Pakistan during the COVID-19 pandemic. Although increasing research focuses on SE, the discipline continues to disintegrate, and this has led to appeals for a careful investigation of the associations of firms’ SE. In the recent decade, “social entrepreneurship” has earned its importance as (...) a segment of entrepreneurship. Instead of mixed activity, firms are more likely to engage in either for-profit or non-profit activities. The causes for and consequences of this conduct has been mainly studied using objective measures of SEO, social performance, and financial performance, with little attention paid to the subjective experiences of social enterprises. We rely on the theory of stakeholder and mixed structuring to postulate that social performance intermediates the SEO-financial performance relation. By assessing a sample of 810 employees from active enterprises, we discover that social performance mediates positively and partially between SEO and financial performance, and both direct and indirect paths are in the same direction and significant. Our findings exhibit that social performance variance explained 74% of the mediating role, and the remaining 26% of the effect is because of SEO. We consider the functions by which an SEO influences enterprise performance and delivers more prominent understanding into multiple spectrums of performance. We discuss the prospective suggestions of our research and foster an encouraging pathway for more enquiry on the SEO paradigm. The study adds contribution to the literature, which has not been testified before on hybrid firms. SEO is a newly defined construct and requires more prospective research. This research gives the researchers/scholars new directions to address related disciplines and further explore this domain. (shrink)

The entrepreneurial element is one of the aspects emphasized in the primary school mathematics education curriculum in Malaysia. However, previous studies have found that application of entrepreneurial elements in mathematics teaching is still lacking. This study was therefore conducted to identify the real challenges that mathematics teachers face in applying the entrepreneurial element in mathematics teaching. This study is qualitative case study which involved six primary school mathematics teachers. Semi-structured interviews, observation, document analysis and field notes were used for the (...) data collection process in this study. The data obtained was analyzed using the constant comparative analysis method to determine themes and sub-themes. The findings were that a teacher’s knowledge, teaching style, limited time of teaching, and attitudes, and in-service courses and training are among the identified challenges in applying entrepreneurial elements in mathematics teaching. This study expands knowledge and the literature on the challenges faced by school mathematics teachers in applying entrepreneurial elements in mathematics teaching. Various initiatives need to be taken to ensure that all the challenges can be overcome, and ultimately enable the entrepreneurial elements to be applied to students more widely. (shrink)

The people's‐led Separatist movement was justified as an effort to bring about self‐determination, freedom, and justice for marginalized planets that did not feel represented by the Republic. The same spirit of resistance of the Separatist movement can also be found in the citizens of the Republic itself. The Clone Wars depicts the dangers and costs of endless militarism and highlights problems with the Jedi. Cornel West discusses the ways democratic traditions and values are under threat in the US, highlighting three (...) dogmas that seriously threaten democratic sensibilities: free‐market fundamentalism, aggressive militarism, and escalating authoritarianism. In the Clone Wars episode “Sabotage,” the end of the war is near, and the Republic's increasing militarization foreshadows its transition to the Empire. With Admiral Tarkin in command, the Republic becomes more ruthless in carrying out the war effort. (shrink)

On ethics and conduct of life for the Indonesians; collected articles.

Our examination of Javanese Islam has attempted 1) to assess aesthetics as a major component of religious revelation, 2) to establish aesthetic elements as major factors in motivating religious conversion into Islam for the Javanese (or others), and 3) to delineate aesthetic elements as stimulants to subsequent spiritual growth for the born-Muslims. We attempt to describe a highly sophisticated sensitivity to aesthetic elements within their religious rites and rituals among the village Javanese, along with sometimes eloquent expressions of these understandings. (...) Hopefully, our results will serve to inspire further studies of aesthetic rather than theological validation of Revealed or Prophetic Knowledge, a form of cognition and knowledge long familiar to traditional religious cultures that is now coming to be considered a valid form of reality even in the western world, by such influential scholars as Leo Strauss. (shrink)

— Y.K. Karaosmanoglu: "General, this party has no doctrine...".— Mustafa Kemal: "Of course it hasn't, my son; if we had a doctrine, we would paralyze the movement”.The many studies, articles, essays, conferences and seminars dedicated to the personality and the work of Mustafa Kemal are still far from having exhausted an area of knowledge with many facets, a historical reality with unending extensions. By studying the apologetic literature about the civilizing hero and a historiography which is limited to the relatively (...) neutral description of the rich career of an individual, it can be noted that there are very few writings inspired by the desire not only to analyze, to explain and to understand but also to think through the Kemalist revolution. (shrink)

A comprehensive introduction to the life and thought one of the Islamic intellectual tradition's most original and profound authors.

We show that the U.S. anti-discriminatory laws prohibiting discrimination in the workplace based on sexual orientation and gender identity identities) spur innovation, which ultimately leads to higher firm performance. We use the Human Rights Campaign’s Corporate Equality Index of 398 U.S. firms between 2011 and 2014, and find a significantly positive relationship between CEI and firm innovation. We also find that an interacting effect of CEI and firm innovation leads to higher firm performance. We use our understanding of Rawls’ Theory (...) of Justice and stakeholder theory to show that firms with workplace diversity policies are likely to be more innovative and perform better than those without such policies. Our results are robust to endogeneity, reverse causality and simultaneity issues. Our results will trigger debate in similar markets around the globe on the economic benefits of LGBT workplace diversity policies for firms. (shrink)

This study investigates how Islamic religiosity affects ethical decision making. The study was conducted in the Malaysian workforce across the public and private sectors with a sample of N = 160. Five factors are tested to determine if they mediate the relationship between Islamic religiosity and ethical intention. These factors are: perceived importance of the ethical issue, moral judgment, ego strength, spiritual intention, and conscience. A parallel mediation design was chosen to test six hypotheses derived from the theoretical literature. The (...) findings indicate that only the variable conscience mediates the relationship between religiosity and ethical intention. This study gives insights into the role of Islam in ethical decision-making, especially for Muslims in Malaysia, an area which has limited exploration. More generally, it contributes to the ongoing discussion in the literature on the relationship between religiosity and ethical decision-making. (shrink)

In recent years there has been a number of promising technical and institutional developments regarding use of ontologies in industry. At the same time, however, most industrial ontology development work remains within the realm of academic research and is without significant uptake in commercial applications. In biomedicine, by contrast, ontologies have made significant inroads as valuable tools for achieving interoperability between data systems whose contents derive from widely heterogeneous sources. In this position paper, we present a set of principles learned (...) from the successful Open Biomedical Ontologies (OBO) Foundry initiative to guide the design and development of the Industrial Ontologies Foundry (IOF), which is a counterpart to the OBO Foundry initiative for the manufacturing industry. We also illustrate the potential utility of these principles by sketching the conceptual design of a framework for sustainable IOF development. (shrink)

1. Object of Study and Basic Epistemological Questions -- 2. Basic Questions Regarding the Rational Justifiability of the Šarīʻa's Moral Theology -- 3. Maṣlaḥa as the Cornerstone of Ethical Orientation -- 4. Ethical Orientation as Identity Building -- 5. Al-Aḥkām at-taklīfiyya: Basic Questions of Maqāṣid's Morality of Obligations -- 6. Al-Aḥkām al-waḍʻiyya as the Constitutive Rules of Moral Action -- Closing Remarks and Prospects -- Glossary -- Bibliography -- Index.

Substantial literature has investigated the relationship between religiosity and ethical decision-making (the what), while lesser consideration has been given to exploring why decisions are made. As part of a larger study, this paper aims to delve beyond the descriptive relationship between religiosity and ethical decision-making of Muslim employees in Malaysia. We analyse the qualitative data received from 160 employees by using thematic analysis. Our results reveal that, while religious values are important for Muslims in Malaysia, there are other factors that (...) are also pertinent when making decisions at work, namely the organization’s interest and the context of the decision. We also found that individuals’ reasoning based on Islamic teachings is embedded in rules and regulations, which suggests lower levels of ethical reasoning. This study extends the current understanding of the processes of ethical reasoning in highly religious contexts by individuals at their workplace. Implications and suggestions for future research are discussed. (shrink)

L'auteur analyse les contributions de quatre penseurs arabes ayant travaillé sur le rapport au Turâth (tradition) et à la modernité : Abdallah Laroui, Mohamed Abed Al Jabri, Georges Tarabishi et Taha Abderrahmane. L'analyse tente de montrer que les apports divergents de ces quatre penseurs, quant à la manière d'assimiler le Turâth et la modernité occidentale afin d'échapper à leur emprise dans le but de façonner sa propre modernité, pourraient constituer le point de départ pour un nouveau rapport à la (...) tradition et à la modernité. (shrink)

The purpose of this paper is to investigate the nature of rhetoric and rhetorical strategies that are implicit in the standalone sustainability reporting of the top 24 companies of the Fortune 500 Global. We adopt Bormann’s :396–407, 1972) SCT framework to study the rhetorical situation and how corporate sustainability reporting messages can be communicated to the audience. The SCT concepts in the sustainability reporting’s communication are subject to different types of legitimacy strategies that are used by corporations as a validity (...) and legitimacy claim in the reports. A content analysis has been conducted and structural coding schemes have been developed based on the literature. The schemes are applied to the SCT model which recognizes the symbolic convergent processes of fantasy among communicators in a Society. The study reveals that most of the sample companies communicate fantasy type and rhetorical vision in their corporate sustainability reporting. However, the disclosure or messages are different across locations and other taxonomies of the SCT framework. This study contributes to the current CSR literature about how symbolic or fantasy understandings can be interpreted by the users. It also discusses the persuasion styles that are adopted by the companies for communication purposes. This study is the theoretical extension of the SCT. Researchers may be interested in further investigating other online communication paths, such as human rights reports and director’s reports. (shrink)

In a sense it is easier to talk about human unity in the biological sciences than from the perspective of the human and social sciences, especially as these have developed over the last thirty years. If paleontology, biology and neurology make it possible to emphasize physical constants evident for the entire human race, to the contrary it seems impossible to find similar unity in the social systems and the cultural values that define the radical identity of a group, a community (...) or a nation. Apartheid, racism, intolerance and prejudices everywhere express differences that most frequently derive from social imagination but that function no less strongly as determining forces for human cultural production and historical conduct. (shrink)

The term takyīf fiqhī stands for one crucial concept in Islamic jurisprudence and refers to one of the important steps in the process of formulating fatwā. It basically revolves around the categorization of particular issues under the appropriate rules and precedents established in Islamic juristic thought. The present article attempts to examine the concept of takyīf fiqhī in a comprehensive manner in terms of its meaning, authority, types, importance, and governing criteria as can be gleaned from the works of Sharī‘ah (...) scholars. This is then followed by an exploration of its application to modern contracts, taking as a case study the Central Provident Fund Nomination in Singapore. The article concludes with the view that the Central Provident Fund Nomination, in terms of its essential characteristics and objective, resembles the Islamic will contract as discussed in books of Islamic Jurisprudence. (shrink)

Islamic Thought and the Art of Translation honors two of the most beloved and productive scholars in the field of Islamic Studies, Professors William Chittick and Sachiko Murata. For the past five decades, and in over 40 books (monographs, editions, translations, edited volumes) and more than 300 articles, Professors Chittick and Murata have presented us with philologically astute and analytically sound expositions of the pre-modern Islamic intellectual tradition, particularly in the areas of Sufism and philosophy. They have done so primarily (...) by zeroing in on the technical vocabularies of these disciplines (in Arabic, Persian, and Chinese), demonstrating just how important the functions of philology and cross-cultural translation are when studying pre-modern cultures and civilizations. (shrink)

This book offers the first comprehensive introduction to one of the most significant Arab thinkers of the late 20th century and the early 21st century: the Moroccan philosopher and social theorist Mohammed Abed al-Jabri. With his intellectual and political engagement, al-Jabri has influenced the development of a modern reading of the Islamic tradition in the broad Arab-Islamic world and has been, in recent years, subject to an increasing interest among Muslims and non-Muslim scholars, social activists and lay men. The contributors (...) to this volume read al-Jabri with reference to prominent past Arab-Muslim scholars, such as Ibn Rushd, al-Ghazali, al-Shatibi, and Ibn Khaldun, as well as contemporary Arab philosophers, like Hassan Hanafi, Abdellah Laroui, George Tarabishi, Taha Abderrahmane; they engage with various aspects of his intellectual project, and trace his influence in non-Arab-Islamic lands, like Indonesia, as well. His analysis of Arab thought since the 1970s as a harbinger analysis of the ongoing “Arab Spring uprising” remains relevant for today's political challenges in the region. (shrink)

This examination of the mythification of al-Ḥasan al-Baṣrī shows how the transformation of his historical person into a complete myth was accomplished, along with the groups responsible for making him say and do what legitimizes their own views and practices.

Discusses philosopher Mulla Sadra's commentary on the opening chapter of the Qur'an.

A new form of software piracy known as digital piracy has taken the spotlight. Lost revenues due to digital piracy could reach $5 billion by the end of 2005.Preventives and deterrents do not seem to be working – losses are increasing. This study examines factors that influence an individual’s attitude toward pirating digital material. The results of this study suggest that attitude toward digital pirating is influenced by beliefs about the outcome of behavior (cognitive beliefs), happiness and excitement (affective beliefs), (...) age, the perceived importance of the issue, the influence of significant others (subjective norms), and machiavellianism. Given these results, measures can be developed which could alter attitudes toward digital piracy. (shrink)

Normativity is assessed as we evaluate and compare the environmental reporting practices of a sample of French and Canadian companies through the lens of institutional legitimacy. More specifically, we examine how French and Canadian firms changed their reporting practices in reaction to the promulgation of laws and regulations in their respective countries, i.e., the NER and Grenelle II Acts in France, and National Instrument 51-102 and CSA Staff Notice NR 51-333, issued by the Canadian Securities Administrators. The firms’ voluntary disclosures (...) according to GRI guidelines are also investigated. Substantive legitimacy theory is used to explore the level of substantive disclosures provided by Canadian and French firms. The findings reveal that the French parliamentary regime is more successful than the Canadian stock exchange regulation in triggering environmental reporting, and that the GRI combined with local regimes prompts environmental disclosures. Notwithstanding the improvements in environmental reporting under all three regimes, a very low level of substantive disclosure is noted in both countries. (shrink)

The main purpose of this paper is to better understand how sustainability rating agencies, through discourse, promote an “ideology of numbers” that ultimately aims to establish a regime of normalization governing social and environmental performance. Drawing on Thompson’s (Ideology and modern culture: Critical social theory in the era of mass communication, 1990 ) modes of operation of ideology, we examine the extent to which, and how, the ideology of numbers is reflected on websites and public documents published by a range (...) of sustainability rating agencies. Our analysis indicates that the ideology of numbers promotes a relatively narrow vision of corporate social and environmental responsibility. That is, it establishes some areas of visibility while leaving in the shadow certain aspects of the ways in which companies fulfill, or fail to meet, their social and environmental responsibilities. The ideology of numbers also exerts power by identifying those companies that are deemed to be worthy of inclusion, or not, in a supposedly socially responsible corporate elite. (shrink)

Focusing on Abu Hamid al-Ghazali (d. 1111) - one of the foremost scholars and authorities in the Muslim world who is central to the Islamic intellectual tradition - this book embarks on a study of doubt (shakk) and certainty (yaqin) in his epistemology. The book looks at Ghazali's attitude to philosophical demonstration and Sufism as a means to certainty. In early scholarship surrounding Ghazali, he has often been blamed as the one who single-handedly offered the death-blow to philosophy in the (...) Muslim world. In much of contemporary scholarship, Ghazali is understood to prefer philosophy as the ultimate means to certainty, granting Sufism a secondary status. Hence, much of previous scholarship has either focused on Ghazali as a Sufi or as a philosopher; this book takes a parallel approach, and acknowledges each discipline in its right place. It analyses Ghazali's approach to acquiring certainty, his methodological scepticism, his foundationalism, his attitude to authoritative instruction (ta'lim), and the place of philosophical demonstration and Sufism in his epistemology. Offering a systematic and comprehensive approach to Ghazali's epistemology, this book is a valuable resource for scholars of Islamic philosophy and Sufism in particular, and for educated readers of Islamic studies in general. (shrink)

Quarante ans après la mort de Jean-Paul Sartre et à un moment où les bouleversements liés à la mondialisation déchirent l'humanité, cet ouvrage rappelle son engagement de philosophe et d'intellectuel après la Seconde guerre mondiale. Sartre n'a eu de cesse de transformer le mode contemporain de penser notre existence individuelle et collective en plaçant la liberté au centre de l'agir humain. Son oeuvre littéraire et ses prises de position politiques contre le racisme et le colonialisme ont rappelé vigoureusement qu'il fallait (...) prendre parti pour la liberté, l'égalité et la fraternité. La relecture critique de son oeuvre permet aujourd'hui de découvrir tant l'ampleur de son engagement que son ambiguïté pour une culture fière d'être humaniste. (shrink)

ويروم هذا الكتاب التفكير في قضايا النصّ القرآني، منطلقا في ذلك من افتحاص الفرضيات التي قامت عليها القراءات الاستشراقية، ومن خلال بيان حدودها المعرفية والمنهجية، والوقوف عند الأبعاد الأيديولوجية التي اختلطت فيها المساعي العلمية بالرهان التبشيري، والوعي العلمي باللاوعي الثقافي. ومن جهة أخرى يحاول هذا المؤلف التفكير في أشكال تلقي النص القرآني ضمن أفق الفكر العربي المعاصر، والوقوف عند أبرز المشاريع التي اتخذت من القرآن مركز اهتمامها، وتوسلت بأساليب الدرس الحديث في التعاطي معه تأويله.

End-of-life organ donation is controversial in Islam. The controversy stems from: scientifically flawed medical criteria of death determination; invasive perimortem procedures for preserving transplantable organs; and incomplete disclosure of information to consenting donors and families. Data from a survey of Muslims residing in Western countries have shown that the interpretation of religious scriptures and advice of faith leaders were major barriers to willingness for organ donation. Transplant advocates have proposed corrective interventions: reinterpreting religious scriptures, reeducating faith leaders, and utilizing media (...) campaigns to overcome religious barriers in Muslim communities. This proposal disregards the intensifying scientific, legal, and ethical controversies in Western societies about the medical criteria of death determination in donors. It would also violate the dignity and inviolability of human life which are pertinent values incorporated in the Islamic moral code. Reinterpreting religious scriptures to serve the utilitarian objectives of a controversial end-of-life practice, perceived to be socially desirable, transgresses the Islamic moral code. It may also have deleterious practical consequences, as donors can suffer harm before death. The negative normative consequences of utilitarian secular moral reasoning reset the Islamic moral code upholding the sanctity and dignity of human life. (shrink)

This essay is an attempt to assess critically the wax and gold tradition as a philosophical foundation of Ethiopian hermeneutics. In the first part, I shall analyze the wax and gold tradition as a poetic and literary tradition. After exploring how this tradition has shaped social and political interaction in the second part, in the third part I will show the implications of the wax and gold tradition for hermeneutics. I shall then make a critical assessment of the wax and (...) gold tradition as an interpretive philosophy before closing the essay with concluding remarks. (shrink)

The ethical climate in Turkey is beset by ethical problems. Bribery, environmental pollution, tax frauds, deceptive advertising, production of unsafe products, and the ethical violations that involved politicians and business professionals are just a few examples. The purpose of this study is to compare and contrast the ethical beliefs of American and Turkish consumers using the Ethical Position Questionnaire (EPQ) of Forsyth (1980), the Machiavellianism scale, and the Consumer Ethical Practices of Muncy and Vitell questionnaire (MVQ). A sample of 376 (...) subjects that consists of American consumers (n = 188) and Turkish consumers (n = 199) was used to compare the ethical beliefs and practices of the two samples. The MANOVA results for the two nationality groups found that five out of six criterion variables differed between the two groups. The implications of this study are intended to assist marketers to develop strategies that suit a particular market and lessen their risk of entry. (shrink)

Using a sample of 21,030 US firm-year observations that represents more than 3000 individual firms over the 1998–2012 period, we investigate the relationship between Corporate Social Responsibility (CSR) and investment efficiency. We provide strong and robust evidence that high CSR involvement decreases investment inefficiency and consequently increases investment efficiency. This result is consistent with our expectations that high CSR firms enjoy low information asymmetry and high stakeholder solidarity (stakeholder theory). Moreover, our findings suggest that CSR components that are directly related (...) to firms’ primary stakeholders (e.g. employee relations, product characteristics, environment, and diversity) are more relevant in reducing investment inefficiency compared with those related to secondary stakeholders (e.g. human rights and community involvement). Finally, additional results show that the effect of CSR on investment efficiency is more pronounced during the subprime crisis. Taken together, our results highlight the important role that CSR plays in shaping firms’ investment behaviour and efficiency. (shrink)

Recently, due to the rapid progress of computer technology, researchers develop an effective computer program to enhance the achievement of the student in learning process, which is Intelligent Tutoring System (ITS). Science is important because it influences most aspects of everyday life, including food, energy, medicine, leisure activities and more. So learning science subject at school is very useful, but the students face some problem in learning it. So we designed an ITS system to help them understand this subject easily (...) and smoothly by analyzing it and explaining it in a systematic way. In this paper, we describe the design of an Intelligent Tutoring System for teaching science for grade seven to help students know the 7 characteristics for living things smoothly. The system provides all topics of living things and generates some questions for each topic and the students should answer these questions correctly to move to the next level. In the result of an evaluation of the ITS, students like the system and they said that it is very useful for them and for their studies. (shrink)

Islamic bioethics is in good health, this article argues. During the twentieth century, academic researchers had to deal with a number of difficulties including the scarcity of available Islamic sources. However, the twenty-first century witnessed significant breakthroughs in the field of Islamic bioethics. A growing number of normative works authored by Muslim religious scholars and studies conducted by academic researchers have been published. This nascent field also proved to be appealing for research-funding institutions in the Muslim world and also in (...) the West, such as the Qatar National Research Fund (QNRF) and the Netherlands Organization for Scientific Research (NWO). On the other hand, the article argues that contemporary Islamic bioethics is in need of addressing news issues and adopting new approaches for the sake of maintaining and improving this good health in the future. (shrink)

The Royal College of Physicians of London published the 2013 national clinical guidelines on prolonged disorders of consciousness in vegetative and minimally conscious states. The guidelines acknowledge the rapidly advancing neuroscientific research and evolving therapeutic modalities in PDOC. However, the guidelines state that end-of-life decisions should be made for patients who do not improve with neurorehabilitation within a finite period, and they recommend withdrawal of clinically assisted nutrition and hydration . This withdrawal is deemed necessary because patients in PDOC can (...) survive for years with continuation of CANH, even when a ceiling on medical care has been imposed, i.e., withholding new treatment such as cardiopulmonary resuscitation for acute life-threatening illness. The end-of-life care pathway is centered on a staged escalation of medications, including sedatives, opioids, barbiturates, and general anesthesia, concurrent with withdrawal of CANH. Agitation and distress may last from several days to weeks because of the slow dying process from starvation and dehydration. The potential problems of this end-of-life care pathway are similar to those of the Liverpool Care Pathway. After an independent review in 2013, the Department of Health discontinued the Liverpool Care pathway in England. The guidelines assert that clinicians, supported by court decisions, have become the final authority in nonconsensual withdrawal of CANH on the basis of “best interests” rationale. We posit that these guidelines lack high-quality evidence supporting: 1) treatment futility of CANH, 2) reliability of distress assessment from starvation and dehydration, 3) efficacy of pharmacologic control of this distress, and 4) proximate causation of death. Finally, we express concerns about the utilitarian-based assessment of what constitutes a person’s best interests. We are disturbed by the level and the role of medical authoritarianism institutionalized by these national guidelines when deciding on the worthiness of life in PDOC. We conclude that these guidelines are not only harmful to patients and families, but they represent the means of nonconsensual euthanasia. The latter would constitute a gross violation of the public’s trust in the integrity of the medical profession. (shrink)