1 Evidence-based policy requires researchers to provide the answers to ecological questions that are of interest to policy makers. To find out what those questions are in the UK, representatives from 28 organizations involved in policy, together with scientists from 10 academic institutions, were asked to generate a list of questions from their organizations. 2 During a 2-day workshop the initial list of 1003 questions generated from consulting at least 654 policy makers and academics was used as a basis for (...) generating a short list of 100 questions of significant policy relevance. Short-listing was decided on the basis of the preferences of the representatives from the policy-led organizations. 3 The areas covered included most major issues of environmental concern in the UK, including agriculture, marine fisheries, climate change, ecosystem function and land management. 4 The most striking outcome was the preference for general questions rather than narrow ones. The reason is that policy is driven by broad issues rather than specific ones. In contrast, scientists are frequently best equipped to answer specific questions. This means that it may be necessary to extract the underpinning specific question before researchers can proceed. 5 Synthesis and applications. Greater communication between policy makers and scientists is required in order to ensure that applied ecologists are dealing with issues in a way that can feed into policy. It is particularly important that applied ecologists emphasize the generic value of their work wherever possible. (shrink)

ABSTRACTCase summary, by James Cook :In the final issue of the 2015 volume of the Journal of Military Ethics, we published a case study entitled “Coining an Ethical Dilemma: The Impunity of Afghanistan’s Indigenous Security Forces”, written by Paul Lushenko. The study detailed two extra-judicial killings by Afghan National Police personnel in an area stabilized and overseen by a US-led Combined Task Force. To deter further EJKs following the first incident, the CTF’s commander reported the incidents up his chain (...) of command and used the limited tools at his disposal to influence local indigenous officials directly. Apparently, the ANP unit took no notice. In his commentary on the case study, Paul Robinson considered moral compromise in war more generally. Coalition troops in Afghanistan, for instance, have encountered not just EJKs but also sexual abuse of minors, killing of non-combatants, kidnapping, torture, and widespread corruption. What should the soldier on the... (shrink)

The fundamentals of Kahn's architectural philosophy begin with his personal history: his inherent talent; his family background and childhood experiences; his education, from elementary school through architectural school; the influences of Paul Philippe Cret and Beaux Arts architecture; and his travels, especially those to study the antique monuments of Egypt, Greece, and Rome. Because the causal aspects of these experiences were absorbed by him, rather than being the products of Kahn's own thinking, he rarely acknowledged them. His conclusions led (...) to a philosophy that echoed some of the thoughts of earlier philosophers, like Spinoza and Heidegger, but were arrived at independently.1 Kahn expressed his philosophy in lectures, seminars, writings, interviews, conversation, and often through sketches. However, he habitually expressed himself elliptically-his phrasing poetic, his metaphors original and apt. Therefore, his meaning was often felt rather than understood. Extensive studies of Louis Kahn's architecture exist, but few focus on his fully developed architectural philosophy.2 This text addresses that subject, incorporating his own words (in italics) and relating them where relevant to his final work, the Yale Center of British Art (hereafter, "the Center"). Kahn died during the construction of the building, the last material expression of his architectural philosophy. I was the first director of the Center, a participant in the selection of the architect and throughout the building's planning and creation. Coincidental with the early years of Kahn's planning for the Center, two young architectural historians-John Cook and Heinrich Klotz-interviewed several leading architects, including Kahn. Working with a verbatim transcript of the Kahn interviews, made by Karen Denavit, I produced an edited version of the interviews in book format. Louis I. Kahn in Conversation: Interviews with John W. Cook and Heinrich Klotz (hereafter, "Kahn in Conversation") is the source for many of the Kahn quotations included here. A researcher can consult the full, verbatim transcript of the interviews in the Center's Institutional Archives, in the Manuscripts and Archives collections in Sterling Memorial Library at Yale University, and in the Architectural Archives of the University of Pennsylvania. (shrink)

I examine Descartes's theory of cognition, taking as a starting point his account of how misperception is possible. In the Third Meditation Descartes introduces the hypothesis that there are ideas (such as the idea of cold) which seem to be of something real but which in fact represent nothing (if, for example, cold is a privation or absence of heat, rather than the presence of a positive quality). I argue, against Margaret Wilson, that Descartes does not think there are any (...) such ideas and that he introduces the hypothesis only in order to formulate an objection to his argument for the existence of God. I argue further that while he agrees with Arnauld in accepting the Aristotelian account of cognition according to which the very objects in the world that we perceive exist in the soul or its ideas objectively, he still has a satisfactory response to Arnauld's objection that since an idea can represent only what it appears to be of, all error must reside solely in our judgment. I claim that Arnauld's objection that an idea represents what it appears to be of is based on the assumption that an idea appears to be of what exists in it objectively. But Descartes makes room for the possibility of misrepresentation by distinguishing between what exists objectively in an idea and what that idea appears to be of. First, he thinks that it is at least coherent to suppose that an idea lacking objective reality could appear to be of something in virtue of its material reality. Since an idea lacking objective reality would not represent any thing that exists in the world, Descartes concedes that it would not misrepresent any actually existing thing, but it could still appear to be of some thing and in that way misrepresent the way the world is. Second, there is reason to claim that like some of his Aristotelian predecessors Descartes holds that what exists in the soul objectively can appear to be other than it is. This interpretation has the implication that Descartes's theory of ideas, in contrast to sense datum theories, is not driven by the motive of finding some entity which is exactly as it appears to serve as the object of immediate awareness. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Cartesian CompositesPaul HoffmanTowards the end of a paper in which I argued that Descartes thinks a human being is a genuine unity, I invited other commentators to come to Descartes’s defense by accounting for his apparently contradictory claims that a human being is an ens per se and that it is an ens per accidens.1 These claims seem to be contradictory, because in saying that a human being is (...) an ens per se, Descartes appears to be asserting that a human being is genuinely one, and in saying that a human being is an ens per accidens, he appears to assert that a human being is not genuinely one, but instead is a mere heap or aggregate. In the ensuing eleven years no one has taken up my invitation, except to argue that I was mistaken in claiming that Descartes thinks a human being has per se unity in any robust sense.2In this paper I will take up the challenge myself, having noticed a similarity between Descartes’s account of the unity of composite substances and his account of composite figures having true and immutable natures. After showing how he can consistently maintain that a human being is both an ens per se and ens per accidens in roughly the same way he can consistently maintain that composite figures both do and do not have true and immutable natures, I will try to respond to criticisms of my claim that he thinks of a human being as a substance or an ens per se.Let me begin with an analysis and comparison of two passages from the Objections and Replies. In the first, from the Replies to the First Objections, Descartes [End Page 251] discusses composite figures. In the second, from the Replies to the Fourth Objections, Descartes discusses composite substances.Next, to remove the other part of the difficulty, it should be noted that those ideas which do not contain true and immutable natures, but contain only ones which are fictitious and composed by the intellect, can be divided by the same intellect, not only through abstraction, but through a clear and distinct operation, so that any ideas which the intellect cannot so divide were undoubtedly not composed by it. As, for example, when I think of a winged horse, or an actually existing lion, or a triangle inscribed in a square, I easily understand that I can also in opposition think of a horse without wings, a non-existing lion, a triangle without a square, and so on; from which it follows that these do not have true and immutable natures. But if I think of a triangle or a square (I do not speak here of a lion or horse because their natures are not clearly evident to us), then certainly whatever I apprehend as contained in the idea of a triangle, as that its three angles are equal to two right angles, etc., I will truly affirm of the triangle, and of the square whatever is found in the idea of the square. For even if I can understand a triangle, abstracting from the fact that its angles should equal two right angles, I cannot nevertheless deny that of it by a clear and distinct operation, that is, correctly understanding this is what I say. Furthermore, if I consider a triangle inscribed in a square, not in order to attribute to the square those things which pertain only to the triangle or to the triangle those things which pertain to the square, but in order to examine only those things which arise from the conjunction of the two, then its nature will be no less true and immutable than the square or triangle alone, and it will be permitted to affirm that the square is not less than twice the triangle inscribed in it and similar things which pertain to the nature of this composite figure. (AT VII 117–8; CSM II 83–4)3I am not unaware that some substances are commonly called ‘incomplete.’ But if they are said to be incomplete because they cannot exist per se alone, I confess that it seems contradictory to me that... (shrink)

: Thomas Reid uses the notion of exertion in various ways that have not been distinguished in the secondary literature. Sometimes he uses it to refer to the exercise of a capacity or power, sometimes to the turning on or activitating of a capacity or power, and still other times to the attempt to activate a capacity or power. Getting clear on Reid's different uses of the term 'exertion' is essential to understanding his account of the sequence of events in (...) human action. It is also helpful in defending Reid against the objection that his account of action is subject to an infinite regress. (shrink)

Thomas Reid uses the notion of exertion in various ways that have not been distinguished in the secondary literature. Sometimes he uses it to refer to the exercise of a capacity or power, sometimes to the turning on or activitating of a capacity or power, and still other times to the attempt to activate a capacity or power. Getting clear on Reid's different uses of the term 'exertion' is essential to understanding his account of the sequence of events in human (...) action. It is also helpful in defending Reid against the objection that his account of action is subject to an infinite regress. (shrink)

This volume brings together insights from religion (represented by Buddhism and Christianity) and science to address the question, What can we know about ...

« Point de cantique, Tenir le pas gagné. Cependant c’est la veille. Recevons tous les influx de vigueur et de tendresse réelle. Et à l’aurore, armés d’une ardente patience, nous entrerons aux splendides villes. »Gageons que la guerre n’est rien d’autre que l’affrontement, par des moyens violents de groupes politiques et/ou sociaux qui cherchent, par ce biais, à résoudre..

When is war just? What does justice require? If we lack a commonly-accepted understanding of justice – and thus of just war – what answers can we find in the intellectual history of just war? Miller argues that just war thinking should be understood as unfolding in three traditions: the Augustinian, the Westphalian, and the Liberal, each resting on distinct understandings of natural law, justice, and sovereignty. The central ideas of the Augustinian tradition can and should be recovered and worked (...) into the Liberal tradition, for which human rights serves the same function. In this reconstructed Augustinian Liberal vision, the violent disruption of ordered liberty is the injury in response to which force may be used and war may be justly waged. Justice requires the vindication and restoration of ordered liberty in, through, and after warfare. (shrink)

In Chapter One I present an interpretation of Descartes' theory of distinction. I argue that the best understanding of the notion of separate existence at stake in the real distinction between mind and body is not that each can exist without the other existing, nor that each can exist without a real union with the other, but that each can exist without the attributes of the other. However, the only notion of separate existence which can provide an adequate acccount of (...) all three kinds of distinction--real, modal, and of reason--is that of one thing existing without a real union with another thing. ;In Chapter Two I examine Descartes' claims about the dependence of created substances on God and their independence from other creatures. The pure substances, those which are not composed of parts, can be caused to come into existence and go out of existence only by God, and they can perish only by annihilation. These substances include individual created minds and the extended universe considered as a whole. In contrast, bodies and human beings, which are composed of parts, can be caused to go out of existence by other creatures, and they can perish without being annihilated. Nevertheless, I argue that Descartes thinks bodies and human beings are full-fledged substances. ;In Chapter Three I discuss the union of mind and body. I argue that Descartes thinks the human soul is the only substantial form and that it inheres in the body as form inheres in matter. I defend his account of how two substances can form a unity by comparing it with medieval accounts of the unity of composites. ;Chapter Four examines Descartes' arguments for rejecting substantial forms and the so-called real qualities. I argue that his earliest series of arguments, those from perception and scientific explanation, is the most successful. ;Finally, in Chapter Five, I consider Descartes' positive account of the status of those so-called real qualities which he asserts are merely sensations, for example, color, sound, and heat. I argue that he is best understood as holding that they are modes of both thought and extension which are property ascribed to the composite of mind and body. (shrink)

In Beyond Physicalism, an interdisciplinary group of physical scientists, behavioral and social scientists, and humanists from the Esalen Institute’s Center for Theory and Research argue that physicalism must be replaced by an expanded scientific naturalism that accommodates something spiritual at the heart of nature.

ObjectivesThe purpose of the current study was to examine whether a self-report measure identifies prenatal substance use and predicts resulting adverse birth outcomes in a large cohort using electronic medical records.MethodsPregnant patients who were admitted between 2014 and 2015 at Christiana Care Health System and delivered singleton birth were included in the analyses. Participant demographic information, pregnancy comorbidities, self-reported substance use, and birth outcomes were retrieved from electronic medical records. Detailed descriptive analyses of prenatal substance use were conducted, and logistic (...) models were evaluated for the associations between substance use and each birth outcome.ResultsThe average maternal age was 30 years, 37% receiving Medicaid. Over 58% were White, 26% were Black, and 13% were Hispanic. Cigarette smoking only showed the highest prevalence among substance u... (shrink)

This editorial outlines the articles included in the special thematic symposium on corporate social responsibility and employees and highlights their contributions to the literature. In doing so, it highlights the novel theoretical and empirical insights provided by the articles, how the articles inform and expand the methods and research designs researchers can use to study phenomena in this area, and identifies promising directions for future research.

Should a principle of charity be applied to the interpretation of the colour concepts exercised in visual experience? We think not. We shall argue, for one thing, that the grounds for applying a principle of charity are lacking in the case of colour concepts. More importantly, we shall argue that attempts at giving the experience of colour a charitable interpretation either fail to respect obvious features of that experience or fail to interpret it charitably, after all. Charity to visual experience (...) is therefore no motive for resisting the natural, Galilean response to a scientific understanding of light and vision. The best interpretation of colour experience ends up convicting it of widespread and systematic error. (shrink)

We present data and argument to show that in Tetris - a real-time interactive video game - certain cognitive and perceptual problems are more quickly, easily, and reliably solved by performing actions in the world rather than by performing computational actions in the head alone. We have found that some translations and rotations are best understood as using the world to improve cognition. These actions are not used to implement a plan, or to implement a reaction; they are used to (...) change the world in order to simplify the problem-solving task. Thus, we distinguish pragmatic actions ñ actions performed to bring one physically closer to a goal - from epistemic actions - actions performed to uncover information that is hidden or hard to compute mentally. To illustrate the need for epistemic actions, we first develop a standard information-processing model of Tetris-cognition, and show that it cannot explain performance data from human players of the game - even when we relax the assumption of fully sequential processing. Standard models disregard many actions taken by players because they appear unmotivated or superfluous. However, we describe many such actions that are actually taken by players that are far from superfluous, and that play valuable roles in improving human performance. We argue that traditional accounts are limited because they regard action as having a single function: to change the world. By recognizing a second function of action - an epistemic function - we can explain many of the actions that a traditional model cannot. Although, our argument is supported by numerous examples specifically from Tetris, we outline how the one category of epistemic action can be incorporated into theories of action more generally. (shrink)

The dispute between realists about color and anti-realists is actually a dispute about the nature of color properties. The disputants do not disagree over what material objects are like. Rather, they disagree over whether any of the uncontroversial facts about material objects--their powers to cause visual experiences, their dispositions to reflect incident light, their atomic makeup, and so on--amount to their having colors. The disagreement is thus about which properties colors are and, in particular, whether colors are any of the (...) properties in a particular set that is acknowledged on both sides to exhaust the properties of material objects. In a previous paper we discussed at length one attempt to identify colors with particular properties of material objects--namely, with their dispositions to cause visual experiences. Here we shall discuss a different and perhaps more influential version of realism, which says that the colors of material objects are microphysical properties of their surfaces. We shall call this theory physicalism about color (physicalism, for short). In order to evaluate this theory, however, we shall first have to clarify some methodological issues. Our hope is that we can bring some further clarity to the question of color realism, whether or not we succeed in our critique of the physicalists' answer. (shrink)

Die Leitgedanken meiner Untersuchungen über die Grundlagen der Mathematik, die ich - anknüpfend an frühere Ansätze - seit 1917 in Besprechungen mit P. BERNAYS wieder aufgenommen habe, sind von mir an verschiedenen Stellen eingehend dargelegt worden. Diesen Untersuchungen, an denen auch W. ACKERMANN beteiligt ist, haben sich seither noch verschiedene Mathematiker angeschlossen. Der hier in seinem ersten Teil vorliegende, von BERNAYS abgefaßte und noch fortzusetzende Lehrgang bezweckt eine Darstellung der Theorie nach ihren heutigen Ergebnissen. Dieser Ergebnisstand weist zugleich die Richtung (...) für die weitere Forschung in der Beweistheorie auf das Endziel hin, unsere üblichen Methoden der Mathematik samt und sonders als widerspruchsfrei zu erkennen. Im Hinblick auf dieses Ziel möchte ich hervorheben, daß die zeit weilig aufgekommene Meinung, aus gewissen neueren Ergebnissen von GÖDEL folge die Undurchführbarkeit meiner Beweistheorie, als irrtüm lich erwiesen ist. Jenes Ergebnis zeigt in der Tat auch nur, daß man für die weitergehenden Widerspruchsfreiheitsbeweise den finiten Stand punkt in einer schärferen Weise ausnutzen muß, als dieses bei der Be trachtung der elementaren Formallsmen erforderlich ist. Göttingen, im März 1934 HILBERT Vorwort zur ersten Auflage Eine Darstellung der Beweistheorie, welche aus dem HILBERTschen Ansatz zur Behandlung der mathematisch-logischen Grundlagenpro bleme erwachsen ist, wurde schon seit längerem von HILBERT ange kündigt. (shrink)

This paper reflects on ethical issues raised in research with homeless people in rural areas. It argues that the significant embracing of dialogic and reflexive approaches to social research is likely to render standard approaches to ethical research practice increasingly complex and open to negotiation. Diary commentaries from different individuals in the research team are used to present self-reflexive accounts of the ethical complexities and dilemmas encountered in offering explanations of the validity of the research, in carrying out ethnographic encounters (...) with homeless people and in producing and evaluating the outputs of research. Reflexivity does not dissolve ethical tensions, but opens up possibilities for new ethical and moral maps with which to explore ethical terrains more appropriately and more honestly. (shrink)

Recent reflection on the professional knowledge of teachers has been marked by a shift away from more reductive competence and skill-focused models of teaching towards a view of teacher expertise as involving complex context-sensitive deliberation and judgement. Much of this shift has been inspired by an Aristotelian conception of practical wisdom (phronesis) also linked by Aristotle to the development of virtue and character. This has in turn led recent educational philosophers and theorists – inspired by latter-day developments in virtue ethics (...) and virtue epistemology – to investigate the contribution of various forms of virtue to the effective practice of teaching. In this light, the present paper undertakes further exploration of the logical geography of virtue, character and practical deliberation in teaching. (shrink)

As the interest in the quality of work life grows, it becomes increasingly apparent that certain practices within this arena require critical scrutiny. This paper is an examination of one such area, performance appraisal (PA). We examine some of the main conceptual issues in PA, and we sketch some key, practical dilemmas that may arise in the use of PA. We conclude that one can morally justify the use of PA under certain condition, and we suggest possible solutions to key (...) ethical dilemmas that are faced by the manager and the employee. (shrink)

Spermatogenesis is an elaborate process involving both cell division and differentiation, and cell‐cell interactions. Defects in any of these processes can result in infertility, and in some cases these can be genetic in cause. Mapping experiments have defined at least three regions of the human Y chromosome that are required for normal spermatogenesis. Two of these contain the genes encoding the RNA binding proteins RBM and DAZ, suggesting that the control of RNA metabolism is likely to be an important control (...) point for human spermatogenesis. A similar analysis in mice has shown that at least two regions of the mouse Y chromosome are essential for spermatogenesis. Both genetic and reverse genetic approaches have been used to identify mouse autosomal genes required for spermatogenesis. These studies have shown that genes in a number of different pathways are essential for normal spermatogenesis, and also provide putative models of human infertility. (shrink)

This article offers a critical examination of the notion of the common good in Catholic social ethical teaching, comparing this concept with utilitarianism and examining parallels between them and common critiques of both. Rather than focusing on the common good and trying to reach agreement on its content as a maximum standard for persons and communities in society, we argue that it is preferable to focus on the common harm. The common harm serves as a minimum standard of what causes (...) harm to individuals and communities in society and should be avoided. The common harm provides both a conceptually sound and practically achievable construct for contributing positively to the social ethical discussion in an increasingly secular society. National Catholic Bioethics Quarterly 13.4 : 617–623. (shrink)

This paper reflects on ethical issues raised in research with homeless people in rural areas. It argues that the significant embracing of dialogic and reflexive approaches to social research is likely to render standard approaches to ethical research practice increasingly complex and open to negotiation. Diary commentaries from different individuals in the research team are used to present self-reflexive accounts of the ethical complexities and dilemmas encountered in offering explanations of the validity of the research, in carrying out ethnographic encounters (...) with homeless people and in producing and evaluating the outputs of research. Reflexivity does not dissolve ethical tensions, but opens up possibilities for new ethical and moral maps with which to explore ethical terrains more appropriately and more honestly. (shrink)

Biologists and philosophers often use the language of determination in order to describe the nature of developmental phenomena. Accounts in terms of determination have often been reductionist. One common idea is that DNA is supposed to play a special explanatory role in developmental explanations, namely, that DNA is a developmental determinant. In this article we try to make sense of determination claims in developmental biology. Adopting a manipulationist approach, we shall first argue that the notion of developmental determinant is causal. (...) We suggest that two different theses concerning developmental determination can be articulated: determination of occurrence and structural determination. We shall argue that, while the first thesis is problematic, the second, opportunely qualified, is feasible. Finally, we shall argue that an analysis of biological causation in terms of determination cannot account for entangled dynamics. Characterising causal entanglement as a particular kind of interactive causation whereby difference-making causes ascribable to different levels of biological organisation influence a particular ontogenetic outcome, we shall, via two illustrative examples, diagnose some potential limits of a reductionist, molecular and intra-level understanding of biological causation. (shrink)

This article explores the implications of the prevalence of suicide attacks or 'martyrdom operations' in contemporary Islam. Historical and legal precedents from Islam and Christianity are adduced for the analysis and placed within the context of radical Islam.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfängen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen für die historische wie auch die disziplingeschichtliche Forschung zur Verfügung, die jeweils im historischen Kontext betrachtet werden müssen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Paul Ricoeur was one of the foremost interpreters and translators of Edmund Husserl's philosophy. These nine essays present Ricoeur's interpretation of the most important of Husserl's writings, with emphasis on his philosophy of consciousness rather than his work in logic. In Ricoeur's philosophy, phenomenology and existentialism came of age and these essays provide an introduction to the Husserlian elements which most heavily influenced his own philosophical position.

The material contained in the following translation was given in substance by Professor Hilbertas a course of lectures on euclidean geometry at the University of G]ottingen during the wintersemester of 1898-1899. The results of his investigation were re-arranged and put into the formin which they appear here as a memorial address published in connection with the celebration atthe unveiling of the Gauss-Weber monument at G]ottingen, in June, 1899. In the French edition, which appeared soon after, Professor Hilbert made some additions, (...) particularly in the concludingremarks, where he gave an account of the results of a recent investigation made by Dr. Dehn.These additions have been incorporated in the following translation.Geometry, like arithmetic, requires for its logical development only a small number ofsimple, fundamental principles. These fundamental principles are called the axioms ofgeometry. The choice of the axioms and the investigation of their relations to one anotheris a problem which, since the time of Euclid, has been discussed in numerous excellentmemoirs to be found in the mathematical literature.1 This problem is tantamount to thelogical analysis of our intuition of space. (shrink)

How do educators better reach their students, better capture their attention and imagination without sacrificing scholarship? Teachable Moments: Essays on Experiential Education examines the pedagogy of Prescott College, a school that has embraced experiential education and been finding success with it for over thirty years. These essays—from scholars in fields as wide ranging as religious studies, environmental science, psychology, dance, literature, adventure education, and peace studies—examine the challenges and, ultimately, the rewards of student-centered education.

Gilbertson, Savulescu, Oakley and Wilkinson propose extending the availability of terminal sedation (TS) to patients with intractable pain and/or suffering who are expected to live more than 2 weeks (hence the designation of extended TS (ETS)) and to patients whose values are known but who do not have decision-making capacity.1 Their plan is worthy of serious consideration: it is, after all, based on the fundamental and well-recognised medical ethical values of patient autonomy and beneficence. But, even when restricted to jurisdictions (...) that allow assisted dying, the ETS proposal raises three important issues. When the authors speak of ‘assisted dying’ and of ‘Voluntary Assisted Dying (VAS)’, they refer specifically to the laws in Australia and similar ones in New Zealand, the Netherlands, Belgium, Luxembourg, Switzerland, Spain and Canada that permit clinicians either to provide patients with lethal medications for self-administration (formerly called physician-assisted suicide) or to administer lethal medications themselves (voluntary euthanasia). First, the authors distinguish—as do many patients and the public—between sedation to unconsciousness and death. Indeed, as the authors point out, the difference seems obvious: unconsciousness can be reversed, death cannot. Yet in the case of TS, this may be …. (shrink)