This paper represents a preliminary investigation relating Bernard Lonergan’s thought to health science and the healing arts. First, I provide background for basic elements of Lonergan’s theoretical terminology that I employ. As inquiry is the engine of Lonergan’s method, next I specify two questions that underlie medical insights and define several terms, including health, disease, and illness, in relation to these questions. Then I expand the frame of reference to include all disciplines involved in the cycle of clinical interaction under (...) the heading health science and the healing arts. Finally, I analyze the cycle of clinical interaction in terms of Lonergan’s cognitive theory. I compare and contrast my analysis, based on Lonergan, with that of Pellegrino, Thomasma and Sulmasy as I proceed. In closing, I comment briefly on the next stage of this project regarding Lonergan’s theory of the human good in relation to the practice of the healing arts. (shrink)
At the forefront of international concerns about global legislation and regulation, a host of noted environmentalists and business ethicists examine ethical issues in consumption from the points of view of environmental sustainability, economic development, and free enterprise.
Objective:Prior research examining sexual and intimacy concerns among metastatic breast cancer patients and their intimate partners is limited. In this qualitative study, we explored MBC patients’ and partners’ experiences of sexual and intimacy-related changes and concerns, coping efforts, and information needs and intervention preferences, with a focus on identifying how the context of MBC shapes these experiences.Methods:We conducted 3 focus groups with partnered patients with MBC [N = 12; M age = 50.2; 92% White; 8% Black] and 6 interviews with (...) intimate partners [M age = 47.3; 83% White; 17% Black]. Participants were recruited through the Fox Chase Cancer Center Tumor Registry and the Cancer Support Community. Qualitative data were analyzed using the Framework Method and Dedoose software.Results:Qualitative analyses revealed several key themes reflecting ways in which MBC shapes experiences of sex/intimacy: the heavy disease/treatment burden leads to significant, long-term sexual concerns and consequent heightened emotional distress for both patients and partners ; viewing the relationship as having “an expiration date” influences patients’ and partners’ concerns related to sex/intimacy and complicates coping efforts; and information needs extend beyond managing sexual side effects to include emotional aspects of intimacy and the added strain of the life-limiting nature of the disease on the relationship. The heightened severity of sexual concerns faced by patients with MBC, compounded by the terminal nature of the disease, may place patients and partners at risk for significant adverse emotional and interpersonal consequences.Conclusion:Findings suggest unique ways in which sex and intimate relationships change after a diagnosis of metastatic breast cancer from both patients’ and partners’ perspectives. Consideration of the substantial physical and emotional burden of MBC and the broader context of the relationship and intimacy overall is important when developing a sexuality-focused intervention in this population. Addressing sexual concerns is a critical part of cancer care with important implications for patients’ health and quality of life. (shrink)
La publication des Actes du colloque de Bordeaux (16-19 Juin 2010) présente seize communications accompagnées d’une introduction d’E. Bermon, d’une courte préface de R. Williams, d’une bibliographie et de trois index : biblique, œuvres d’Augustin, auteurs anciens et médiévaux. Elle reprend une manière classique de structurer le De Trinitate en trois grands blocs (I-IV ; V-VII ; VIII-XV) dont les intitulés signalent, dès la couverture, l’angle sous lequel ils seront abordés : exégèse, logique...
Suicide is amongst the top ten causes of death for all age groups in most countries of the world. It is the second most important cause of death in the younger age group (15-19 yrs.) , second only to vehicular accidents. Attempted suicides are ten times the successful suicide figures, and 1-2% attempted suicides become successful suicides every year. Male sex, widowhood, single or divorced marital status, addiction to alcohol ordrugs, concomitant chronic physical or mental illness, past suicidal attempt, adverse (...) life events, staying in lodging homes or staying alone, or in areas with a changing population, all these conditions predispose people to suicides. The key factor probably is social isolation. An important WHO Study established that out of a total of 6003 suicides, 98% had a psychiatric disorder. Hence mental health professionals have an important role to play in the prevention and management of suicide. Moreover, social disintegration also increases suicides, as was witnessed in the Baltic States following collapse of the Soviet Union. Hence, reducing social isolation, preventing social disintegration and treating mental disorders is the three pronged attack that must be the crux of any public health programme to reduce/prevent suicide. This requires an integrated effort on the part of mental health professionals (including crisis intervention and medication/psychotherapy), governmental measures to tackle poverty and unemployment, and social attempts to reorient value systems and prevent sudden disintegration of norms and mores. Suicide prevention and control is thus a movement which involves the state, professionals, NGOs, volunteers and an enlightened public. Further, the Global Burden of Diseases Study has projected a rise of more than 50% in mental disorders by the year 2020 (from 9.7% in 1990to 15% in 2020). And one third of this rise will be due to Major Depression. One of the prominent causes of preventable mortality is suicidal attempts made by patients of Major Depression. Therefore facilities to tackle this condition need to be set up globally on a warfooting by governments, NGOs and health care delivery systems, if morbidity and mortality of the world population has to be seriously controlled . The need, first of all, is to identify suicide prevention as public health policy, just as we think in terms of Malaria or Polio eradication, or have achieved smallpox eradication. (shrink)
We investigate dynamic operations acting over a knowing how logic. Our approach makes use of a recently introduced semantics for the knowing how operator, based on an indistinguishability relation between plans. This semantics is arguably closer to the standard presentation of knowing that modalities in classic epistemic logic. Here, we discuss how the semantics enables us to define dynamic modalities representing different ways in which an agent can learn how to achieve a goal. In this regard, we study two types (...) of updates: ontic updates (for which we provide axiomatizations over a particular class of models), and epistemic updates (for which we investigate some semantic properties). (shrink)
This paper introduces and studies a notion of cautious distributed belief. Different from the standard distributed belief, the cautious distributed belief of a group is inconsistent only when all group members are individually inconsistent. The paper presents basic results about cautious distributed belief, investigates whether it preserves properties of individual belief, and compares it with standard distributed belief. Although both notions are equivalent in the class of reflexive models, this is not the case in general. While we argue that an (...) understanding of the concept of cautious distributed belief from first principles is important, cautious distributed belief can be expressed using standard distrbuted belief and we show that the propositional language extended only with cautious distributed belief is in fact strictly less expressive than the propositional language extended only with standard distributed belief. We, finally, identify a small extension of the language making the former as expressive as the latter. (shrink)
Public funders of health research have been widely criticized on the grounds that their allocations of funding for disease-specific research do not reflect the relative burdens imposed by different diseases. For example, the US National Institutes of Health spends a much greater fraction of its budget on HIV/aids research and a much smaller fraction on migraine research than their relative contribution to the US burden of disease would suggest. Implicit in this criticism is a normative claim: Insofar as the scientific (...) opportunities are equal, each patient merits research into their condition proportional to the burden of disease for which that condition is responsible. This claim—the proportional view—is widely accepted but has never been fully specified or defended. In this paper, I explain what is required to specify the view, attempt to do so in the most charitable way, and then critically evaluate its normative underpinnings. I conclude that a severity-weighted proportional view is defensible. I close by drawing out five key lessons of my analysis for health research priority-setting. (shrink)
As a whole these essays take their cue from the later Wittgenstein in an effort to get beyond the verifiability/falsifiability cul-de-sac and to "get clear" on some religious concepts by exploring religious language at work. The opening two essays, by E. Heller and P. Holmer, are the only two that deal directly with Wittgenstein. Heller shows some interesting parallels between Wittgenstein and Nietzsche, but largely these essays are for introductory purposes. Although Wittgenstein's presence is felt in the remaining essays, his (...) name is seldom mentioned. Ian Ramsey has two contributions, one on paradox and one on religion and science. He is up to his usual method of making plausible suggestions by means of careful distinctions, always with a careful eye on the phenomenology of the religious universe of discourse. F. Ferré explores the notion of "models" as it works in science and sees how this concept can work in the examination of religious language. T. McPherson uses a distinction between literal, semiotic, and symbolic meaning to explore religious assertions and analogy. R. C. Coburn suggests that a neglected use of theological statements is to answer the limiting questions of religion in a manner that is logically complete. B. Mitchell talks about justifying religious belief in answer to MacIntyre's charge that such a project reveals a basic misunderstanding of religious discourse. There are two intriguing essays by Wm. Poteat, one of which draws an analogy between birth and suicide to build a doctrine of creation. C. B. Daly writes on metaphysics and the limits of language. Although there is same familiar wrangling over tired issues, the book does manage to collect some refreshing although not strikingly original essays.--S. O. H. (shrink)
This initial volume in a series of new translations of Plato’s works includes a general introduction and interpretive comments for the dialogues translated: the _Euthyphro, Apology, Crito, Meno, Gorgias, _and _Menexenus. _ _ _“Allen’s work is very impressive. The translations are readable, lucid, and highly accurate. The general introduction is succinct and extremely clear. The discussion of the dating of the dialogues is enormously useful; there has previously been no brief account of these issues to which one could refer the (...) student. Finally, the particular introductions are first rate: fine jobs of clear philosophical and historical explanation—succinct and yet sophisticated, both close to the text and philosophically incisive.”—Martha Nussbaum, _Brown University_ “This is an important work that deserves our respect and attention.”—_Ethics _ _ _“This and the promised succeeding volumes will probably become the standard English version of the complete dialogues…. The commentaries take advantage of the best scholarship, judge judiciously between divergent views, and often introduce new and brilliant interpretations. This is true both in the area of philosophy and in that of literary criticism.”—Anthony C. Daly, S.J., _Modern Schoolman_ _ _“Allen is a superb translator, whose elegantly simple yet precise language gives access to Plato both as a philosopher and as a literary artist.”—_Library Journal__ _ “An important event in the world of scholarship.”—_London Review of Books_ _ _R.E. Allen is professor of classics and philosophy at Northwestern University. (shrink)
This book contains a collection of papers from the 1985, 1987 and 1989 Australian Lonergan Workshops. Contents: A Summary of Lonergan's Economic Diagram, S.P. Burley; How Lonergan Illuminates Aristotle, T.V. Daly, S.J.; Lonergan and the Philosophy of Science, Dr. W.J. Danaher; "Transubstantiation Over Transsignification": Giovanni Sala and Edward Schillebeeckx on the Eucharistic Presence, P. Beer, S.J.; Schillebeeckx's Philosophic Prologomenon: A Dialectic Analysis, Dr. N. Ormerod; Mutual Self-Mediation with Christ, F. Fletcher, M.S.C.; The Integration of Trinitarian Theology and Spirituality, Bishop (...) J. Bathersby; A Von Neumann Representation of Lonergan's Production Model, S.P. Burley; Chemistry and Insight, Dr. W.J. Danaher; Rediscovering Philosophies through Cognitional Models, T. Daly, S.J.; The Holy Spirit and Lonergan's Psychological Analogy, P. Beer, S.J.; Lonergan and Finnis on the Human Good, Dr. N. Ormerod; A Response to Lonergan and Finnis, Rev. G. Moses; Insight in Science, Dr. W.J. Danaher; Learning-Levels, T.V. Daly, S.J.; Lonergan as a Neo-Schumpeterian, S.P. Burley; Bernard Lonergan, Mechanism and Evolution, L. Drake, S.J.; Can I Be Certain That I Am Justified?, P. Beer, S.J.; The A Priori in Human Knowledge: A Critique of Kant from the Point of View of Lonergan's Insight, M. Brennan, R.C.S.J.; The Foundational Theologian as Prophet, F. Fletcher, M.S.C. (shrink)
Ẓuhūr al-amān (The advent of security) is a book on civics published during the reign of Ammanullah Khan (1919-29) as amir of Afghanistan. The book's title pays homage to the name of Ammanullah Khan himself. In its treatment of the duties of the members of Afghan society to the ruler and to each other, Ẓuhūr al-amān appears to highlight the challenges faced by Ammanullah Khan in his efforts to modernize Afghanistan. The book is divided into more than 30 short chapters (...) describing the rights and responsibilities of the ruler, of persons living within a family unit, and of members of Afghan society as a whole. Some sections, such as one on the rights that are to be afforded to the king (ḥuquq-i lazima bar padishah), are further divided into subsections. The book begins with several chapters on religious matters, including those on tauhid (the unity of God), on ʻibada (worship), and on fahm-i sharīʻat-i rasūl ʻalayhi al-salām (the sharia). Ẓuhūr al-amān was published on October 11, 1923, by the then newly established Ministry of Education. The author of the work, a religious scholar by the name of ʻAbd al-Haqq, lists his father as ʻAbd al-ʻAziz from the village of Lower Arghanda in the township of Paghman, near Kabul. He highlights, as well, his tribal affiliation with the well-known Pushtun tribe of Suleimankhel. (shrink)
It is 2048 BE; the Anonyma Network, represented by a young philosopher known affectionately as Annie, offers this fiftieth anniversary edition of Mary Daly's revolutionary work of Radical Elemental Feminism, Quintessence ... Realizing the Archaic Future. Mary Daly has, for the past thirty years, been at the forefront of radical feminist thinking. Here she exposes and examines the abuses women face at the end of the twentieth century - for example, the dangerous rhetoric of the Promise Keepers; the (...) systematic rape of women in war zones like Bosnia; and the invasive manipulation of women's bodies and all of nature in genetic engineering, fertility experiments, and cloning. But she also offers a "Far-Out Vision and Hope for Wonderlusting Women" who are beginning to discover Quintessence: Spirit that fills the universe and gives it life and vitality. (shrink)
Ed Freeman’s influential ideas on stakeholder theory, business ethics, humanities, and capitalism became foundational in the management field and turned around the mainstream thinking about business. Stakeholder theory developed by Freeman and others posits that business is not as much about profits, but rather about creating value for its stakeholders, including employees, customers, communities, financiers, and suppliers. The relationship between a company and its stakeholders is the essence of business and should be of utmost attention to its managers. Managers should (...) avoid resorting to trade-offs by prioritizing one stakeholder group (e.g., shareholders) over the others and strive to run their companies in the interests of all stakeholders. The idea of pursuing the interests of all stakeholders became revolutionary in management and went far beyond the management field, expanding to Law, Health Care, Education, Public Policy and Administration, and Environmental Policy. This book is a collection of Ed Freeman’s most influential and important works on stakeholder theory as well as business ethics, humanities, and capitalism. (shrink)
XLRI, in association with a few Tata Group companies, established the XLRI-JRD Tata Foundation in Business Ethics in 1991 to mark their long-standing commitment and contribution to business ethics in India. The foundation seeks to address this by publicly affirming the urgent need for ethics in business and the need to bring about a conducive culture in which it can thrive.