The development of clinical ethic support in the UK arguably brings with it a series of legal questions, which need to be addressed. Most particularly, these concern questions of due process and formal justice, which I argue are central to the provision of appropriate ethical advice. In this article, I will compare the UK position with the more developed system in the USA, which often provides a template for development in the UK. While it is not argued that the provision (...) of clinical ethics support in the UK will necessarily follow the path mapped in the USA, there are lessons that can be learned from the US experience – particularly in terms of attention to process – from which UK clinical ethics support service might well benefit. (shrink)

The system of clinical ethics committees (CECs) in the United Kingdom is based on goodwill. No formal requirements exist as to constitution, membership, range of expertise or the status of their recommendations. Healthcare professionals are not obliged to use CECs where they exist, nor to follow any advice received. In addition, the make-up of CECs suggests that ethics itself may be under-represented. In most cases, there is one member with a training in ethics – the rest are healthcare professionals or (...) administrators, although a lawyer is generally also included in the membership. This begs the question as whether CECs can ‘do ethics’, as well whether or not they can take seriously the requirements of due process, formal justice and human rights. Moreover, the role of the patient in this system is opaque. (shrink)

A medical profession which did not seek improved means to conquer disease would be condemned for dereliction of its duty, Members of the public will not accept the current state of the medical arts as finite but feel justified in expecting the development of more effective therapies for illness, and the promotion of improved means of preventive care.With this assertion, the distinguished academic, Bernard Dickens, places research firmly in the domain of the public interest. Foster agrees, saying that, “[t]o improve (...) medical care as much as we can, if not to perfect it, means that we have to accept the need for research.” Giesen adds a further emphasis to the search for medical advancements, saying that “freedom of research and scientific inquiry is, in itself, an important aspect of open societies.“. (shrink)

A medical profession which did not seek improved means to conquer disease would be condemned for dereliction of its duty, Members of the public will not accept the current state of the medical arts as finite but feel justified in expecting the development of more effective therapies for illness, and the promotion of improved means of preventive care.With this assertion, the distinguished academic, Bernard Dickens, places research firmly in the domain of the public interest. Foster agrees, saying that, “[t]o improve (...) medical care as much as we can, if not to perfect it, means that we have to accept the need for research.” Giesen adds a further emphasis to the search for medical advancements, saying that “freedom of research and scientific inquiry is, in itself, an important aspect of open societies.“. (shrink)

The so-called genetics revolution rests on a history which at its least can be described as controversial. Modern genetics needs to bear this history in mind. In particular, as with the past, the area of reproductive choice seems particularly vulnerable to potential abuse. Courts in the UK and elsewhere have already shown themselves willing to interfere with the choices of women in the management of their pregnancies. Medical advance, perhaps particularly the capacity to visualise the developing foetus, has added complexity (...) to the question of whether the health care provider has one patient or two patients . Additionally, pregnancy is thoroughly monitored in modern medical practice and genetics may provide a further impetus or incentive to mandate increased policing of pregnancy. Gene therapy, once offered, will add further to the desire to ensure that women make the ‘right’ choice, especially when the invasion required is relatively minimal. Further, genetic information is at best predictive, but may, because of its scientific nature, appear to those receiving it to be certain. Thus, the provision of genetic information may reduce rather than enhance choice, unless carefully and sensitively provided. A mature and sophisticated debate about the role of genetics in reproduction is required—engaging rather than bypassing the public—if the real potential of genetics is to be vindicated. (shrink)

As support for clinical ethics committees in the UK grows, care must be taken to define their function, membership and method of working and the status of their decisions.The modern practice of medicine raises a plethora of complex issues—medical, ethical and legal. Doctors and other healthcare professionals increasingly must try to resolve these and may sometimes have to do so in the face of contrary opinion expressed by patients and/or their surrogates. While clearly qualified in the medical arena, and although (...) there is now more ethics teaching in the medical curriculum, healthcare professionals are seldom qualified to adjudicate on ethical or legal matters, or even, perhaps, to recognise them when they arise. Yet, as Doyal says, “clinical life must go on and moral and legal indeterminacy within medicine cries out for practical resolution.”1 Meanwhile, the expectations of patients and their families—and, indeed, of wider society—are that decisions about patient care, resources and therapeutic regimes should be soundly based on appropriate ethicolegal, as well as scientific, principle.Recognition of these additional burdens on healthcare professionals has generated some interest in the provision of ethics consultation. In the USA this has been undertaken by a variety of tribunals and individuals. Hospital ethics committees and ethics consultants feature in many US hospitals and perform a variety of roles. In Europe, a number of countries have also established clinical ethics committees and they are becoming more common in the UK—primarily in England and Wales for the moment. Whereas, however, “[i]n North America, CECs have … become an integral part of the organisational infrastructure of hospitals ...”,1 in the United Kingdom they remain essentially ad hoc bodies, generated for a variety of reasons and with different goals, structures, membership, methods of working and functions. The initial impetus for the …. (shrink)

ABSTRACTThis report on end‐of‐life decision‐making in Canada was produced by an international expert panel and commissioned by the Royal Society of Canada. It consists of five chapters.Chapter 1 reviews what is known about end‐of‐life care and opinions about assisted dying in Canada.Chapter 2 reviews the legal status quo in Canada with regard to various forms of assisted death.Chapter 3 reviews ethical issues pertaining to assisted death. The analysis is grounded in core values central to Canada's constitutional order.Chapter 4 reviews the (...) experiences had in a number of jurisdictions that have decriminalized or recently reviewed assisted dying in some shape or form.Chapter 5 provides recommendations with regard to the provision of palliative care in Canada, as well as recommendations for reform with respect to the various forms of assisted death covered in this document. (shrink)

Logics for generally were introduced for handling assertions with vague notions,such as generally, most, several, etc., by generalized quantifiers, ultrafilter logic being an interesting case. Here, we show that ultrafilter logic can be faithfully embedded into a first-order theory of certain functions, called coherent. We also use generic functions (akin to Skolem functions) to enable elimination of the generalized quantifier. These devices permit using methods for classical first-order logic to reason about consequence in ultrafilter logic.

pt. 1. Background you need. -- What is brain-compatible teaching -- The old and new of it -- When brain research is applied to the classroom everything will change -- Change can be easy -- We're not in Kansas anymore -- Where's the proof -- Tools for exploring the brain -- Ten reasons to care about brain research -- The evolution of brain models -- Be a brain-smart consumer: recognizing good research -- Action or theory: who wants to read (...) all that research -- Excellent sources of research -- Fun factoids on the brain -- What's in the human brain -- Brain teaser -- The brain divided -- The brain connected -- Brain geography -- Brain "cell" ebration: far-out facts about brain cells -- Learning happens but how -- Are today's kids different -- Boy's and girl's brain differences -- Learning disabilities; different brains -- The cranial soup bowl: understanding the chemicals in our brains -- pt. 2. The foundation for teaching is principles, not strategies. What are the principles -- Principle 1: the principle of change: brain is dynamic, not fixed -- Principle 2: the principle of variety: all brains are unique -- Principle 3: the principle of developmental sensitivity -- Principle 4: the principle of interaction: we have a social brain -- Principle 5: the principle of connectivity: the brain is an integrated system of systems -- Principle 6: the principle of memory malleability -- Principle 7: the principle of resource consumption -- necessity for processing -- pt. 3. So what; now what. Asking big questions: what's in a brain-compatible curriculum -- Brain-compatible test-taking success strategies -- Systemic change: the next level -- Big picture analysis: transformation happens -- Action research makes a difference -- The learning community -- What's next. (shrink)

This article investigates the use of favors by managers of BRIC firms to accomplish business goals, the ethicality of which should be determined by the moral reasoning in these countries rather than from a developed country perspective. We define a favor as an exchange of outcomes between individuals, typically utilizing one's connections, that is based on a commonly understood cultural tradition, with reciprocity by the receiver typically not being immediate, and its value being less than what would constitute bribery within (...) that cultural context. This exchange normally takes place between and among members of networks, and may involve a network outsider contacted by a network insider on behalf of another insider. We see the giver and receiver of the favor, as well as network insiders and outsiders, as stakeholders. Additionally, society could also be considered to be a stakeholder since the practice of using favors generally inhibits the development of legitimate, strong formal institutions, since the use of favors in emerging economies is rooted in cultural traditions that we view as informal institutions. Furthermore, we assert that the practice of using favors can lead to bribery which harms society as a stakeholder both morally and economically. We posit that BRIC-country managers' behaviors stem from informal, culturally based practices—jeito in Brazil, blat/sviazi in Russia, jaan-pehchaan in India, and guanxi in China. We utilize institutional theory to explain why favors are relied upon, and ISCT to support the argument that the use of favors in environments like the BRICs is generally considered ethical. (shrink)

In this paper we show that the class of fork squares has a complete orthodox axiomatization in fork arrow logic (FAL). This result may be seen as an orthodox counterpart of Venema's non-orthodox axiomatization for the class of squares in arrow logic. FAL is the modal logic of fork algebras (FAs) just as arrow logic is the modal logic of relation algebras (RAs). FAs extend RAs by a binary fork operator and are axiomatized by adding three equations to RAs equational (...) axiomatization. A proper FA is an algebra of relations where the fork is induced by an injective operation coding pair formation. In contrast to RAs, FAs are representable by proper ones and their equational theory has the expressive power of full first-order logic. A square semantics (the set of arrows is U×U for some set U) for arrow logic was defined by Y. Venema. Due to the negative results about the finite axiomatizability of representable RAs, Venema provided a non-orthodox finite axiomatization for arrow logic by adding a new rule governing the applications of a difference operator. We address here the question of extending the type of relational structures to define orthodox axiomatizations for the class of squares. Given the connections between this problem and the finitization problem addressed by I. Németi, we suspect that this cannot be done by using only logical operations. The modal version of the FA equations provides an orthodox axiomatization for FAL which is complete in view of the representability of FAs. Here we review this result and carry it further to prove that this orthodox axiomatization for FAL also axiomatizes the class of fork squares. (shrink)

In this paper we show that the class of fork squares has a complete orthodox axiomatization in fork arrow logic (FAL). This result may be seen as an orthodox counterpart of Venema's non-orthodox axiomatization for the class of squares in arrow logic. FAL is the modal logic of fork algebras (FAs) just as arrow logic is the modal logic of relation algebras (RAs). FAs extend RAs by a binary fork operator and are axiomatized by adding three equations to RAs equational (...) axiomatization. A proper FA is an algebra of relations where the fork is induced by an injective operation coding pair formation. In contrast to RAs, FAs are representable by proper ones and their equational theory has the expressive power of full first-order logic. A square semantics (the set of arrows is ᵎ x ᵎ for some set ᵎ) for arrow logic was defined by Y. Venema. Due to the negative results about the finite axiomatizability of representable RAs, Venema provided a non-orthodox finite axiomatization for arrow logic by adding a new rule governing the applications of a difference operator. We address here the question of extending the type of relational structures to define orthodox axiomatizations for the class of squares. Given the connections between this problem and the finitization problem addressed by I. Németi, we suspect that this cannot be done by using only logical operations. The modal version of the FA equations provides an orthodox axiomatization for FAL which is complete in view of the representability of FAs. Here we review this result and carry it further to prove that this orthodox axiomatization for FAL also axiomatizes the class of fork squares. (shrink)

We compare fork arrow logic, an extension of arrow logic, and its natural first-order counterpart (the correspondence language) and show that both have the same expressive power. Arrow logic is a modal logic for reasoning about arrow structures, its expressive power is limited to a bounded fragment of first-order logic. Fork arrow logic is obtained by adding to arrow logic the fork modality (related to parallelism and synchronization). As a result, fork arrow logic attains the expressive power of its first-order (...) correspondence language, so both can express the same input–output behavior of processes. (shrink)

We compare fork arrow logic, an extension of arrow logic, and its natural first-order counterpart (the correspondence language) and show that both have the same expressive power. Arrow logic is a modal logic for reasoning about arrow structures, its expressive power is limited to a bounded fragment of first-order logic. Fork arrow logic is obtained by adding to arrow logic the fork modality (related to parallelism and synchronization). As a result, fork arrow logic attains the expressive power of its first-order (...) correspondence language, so both can express the same input-output behavior of processes. (shrink)

Adrian Viens, Guest Editor of this Olivieri symposium, and Julian Savulescu, the Editor of JME, set the scene for the symposium."In failing...[her] when she needed them most, it is now clear that some members of the University’s Faculty of Medicine heard her muffled cries of academic freedom from the back room, yet their response was to serve another round of drinks and turn the music up louder. With the bombshell revelations in the...affair, the plug may have been pulled on this (...) business sponsored party, and hopefully a sober re-examination of the university’s neglected role and responsibility toward independent inquiry and academic freedom can begin.1" "These guys don’t get one thing—we’re not going away. This isn’t a personal vendetta. This is something I want patients to be protected from when I’m dead, fifty years from now.2" "[The Olivieri affair is] not a mystery novel, but instead the latest skulduggery at Toronto’s Hospital for Sick Children.1" "The legal assaults which you have endured in your battle against the drug company, and in your battle against the medical establishment appear to have been fought with the type of uncommon bravery that is rarely seen. It is for this reason that our trustees have unanimously chosen to recognise you for this most prestigious award.3" "[The Olivieri affair resulted from] a fundamental misreading of the issue as a mere contractual and scientific dispute...[it is] Canada’s worst academic and research scandal in decades...[Since 1998, Olivieri has been] demoted, then restored, then harassed. She has been smeared with allegations attacking her competence, integrity, sanity and personality....4"The Olivieri affair is one of the most important events to occur in research ethics. From its dominance in the Canadian and international news media, to changes in the governance of public health, academic medicine, …. (shrink)

Parents’ freedom to choose infant male circumcision is the correct policyIndividuals and groups lobbying to have infant male circumcision prohibited or restricted often argue that the practice of routinely circumcising infants is unjustified. For instance, in this issue of the journal, John Hutson argues that it is virtually impossible to justify a policy in which the medical establishment should be able to embark on a “mass circumcision” campaign of 100% of the infant male population [see page 238].1Indeed, I would be (...) hard pressed to find anyone who could rationally disagree with this contention. However, this is because no one is currently arguing for the enactment of a policy that stipulates that all healthy male infants should be routinely circumcised . Arguments seeking to support a prohibition of “routine infant circumcision”, such as the one by Hutson, are arguing against a straw man—and a pitiful one at that.2 Such arguments only serve to misconstrue the debate and avoid engaging in the real and pressing issues concerning the legitimacy of the provision of this procedure.The questions that should be considered, and the ones which I shall be interested in discussing here, are what reasons are justifiable for allowing parents to choose to have their son circumcised? After well informed and careful deliberation should parents have the freedom to choose to have their son circumcised? These are the most relevant questions to be considered because there is a growing collection of citizens, medical practitioners, and lawyers who are currently lobbying for the practice of infant male circumcision to be outlawed—for example, there is a bioethicist who argues that the criminal law should be used …. (shrink)

Objective: To survey members of the American Society for Bioethics and Humanities and of the Society for Medical Decision Making to elicit the similarities and differences in their reasoning about two clinical cases that involved ethical dilemmas.Cases: Case 1 was that of a patient refusing treatment that a surgeon thought would be beneficial. Case 2 dealt with end-of-life care. The argument was whether intensive treatment should be continued of an unconscious patient with multiorgan failure.Method: Four questions, with structured multiple alternatives, (...) were asked about each case: identified core problems, needed additional information, appropriate next steps and who the decision maker should be.Observations and results: Substantial similarities were noticed between the two groups in identifying the core problems, the information needed and the appropriate next steps. SMDM members gave more weight to outcomes and trade-offs and ASBH members had patient autonomy trump other considerations more strongly. In case 1, more than 60% of ASBH respondents identified the patient alone as the decision maker, whereas members of SMDM were almost evenly divided between having the patient as the solo decision maker or preferring a group of some sort as the decision maker, a significant difference . In case 2, both groups agreed that the question of discontinuing treatment should be discussed with the family and that the family alone should not be the decision maker.Conclusion: Despite distinctively different methods of case analysis and little communication between the two professional communities, many similarities were observed in the actual decisions they reached on the two clinical dilemmas. (shrink)

Patient competence, defined as the ability to reason, appreciate, understand, and express a choice is rarely discussed in patients with obsessive compulsive disorder, and coercive measures are seldom used. Nevertheless, a psychiatrist of psychologist may doubt whether OCD patients who refuse treatment understand their disease and the consequences of not being treated, which could result in tension between respecting the patient’s autonomy and beneficence. The purpose of this article is to develop a notion of competence that is grounded in clinical (...) practice and corresponds with the experiences of patients with obsessions and/or compulsions. We present a naturalistic case study giving both the patient’s and the therapist’s perspective based on in-depth interviews and a narrative analysis. The case study shows that competence is not merely an assessment by a therapist, but also a co-constructed reality shaped by the experiences and stories of patient and therapist. The patient, a medical student, initially told her story in a restitution narrative, focusing on cognitive rationality. Reconstructing the history of her disease, her story changed into a quest narrative where there was room for emotions, values and moral learning. This fitted well with the therapist’s approach, who used motivational interventions with a view to appealing to the patient’s responsibility to deal with her condition. We conclude that in practice both the patient and therapist used a quest narrative, approaching competence as the potential for practical reasoning to incorporate values and emotions. (shrink)

_Purpose__._ The authors aim to reveal the peculiarity of comprehension of the human phenomenon in the process of referring to the text of "Observations on the Feeling of the Beautiful and Sublime" by the early Immanuel Kant, which is based on the critical rethinking of the Enlightenment position. A prerequisite for its substantial solution is addressing the problem of the place of the "Observations" in the evolution of Kant’s anthropological views. _Theoretical basis__._ Our view of Kant’s legacy is based upon (...) the conceptual positions of phenomenology, existentialism and hermeneutics. _Originality__._ We have proved that the anthropological interest was inherent in Kant already in the pre-critical stage of his work, as shown by the still underestimated treatise "Observation". The paper give arguments that this text highlights the main topics that will later be the subject of a detailed study of both Kant himself and philosophical anthropology of the 20th century. It is revealed that Kant overcomes the Enlightenment temptation to absolutize the power of human reason and emphasizes its limitations. The specified step is a necessary condition for him to comprehend the important role of the sensual-passionate component of human nature and to recognize the importance of the metaphysical nature of man. _Conclusions._ For us today, the pre-critical Kant appears as the developer of anthropological teaching, first presented in the treatise "Observations". Already at this stage, Kant demonstrates a holistic vision of human nature. In the process of creative evolution of the thinker, this treatise should be qualified as a kind of sketch of the future concentrated development of human nature, elaborated in the pages of "Anthropology" in 1798. The author gives a key place to the metaphysics of human nature, a vivid illustration of which is, in particular, the last paragraph of "Observations" dedicated to freedom. The conducted analysis provides sufficient grounds for qualifying this text as an outline of the anthropological basis of his doctrine of pure reason, the doctrine of metaphysics as the metaphysics of man, which, in turn, gives us the key to understanding "Anthropology" as his final text. (shrink)

Brendel and Miller (2008) take the most distinctive commitment in their pragmatic approach to be treating ethical principles as having a hypothetical status. I am sympathetic to a pragmatic approac...

Among the world richest people, who are the richest people in the world? Those with a spiritual code of ethics (highest ethics and values, and ethical behavior). In the book “The Science of Money”, Gnani Purush (embodiment of Self knowledge) Dada Bhagwan explains the spiritual science behind Money and it’s use. He describes that one’s ethical values create a spiritual balance sheet, influencing one’s financial balance sheet. Dadashri offers in-depth answers to questions such as: “How would a spiritual teacher define (...) business ethics? “In financial dealings, which moral ethics are to be followed?” “Among the ways to get rich, is it true that the simplest means is by giving away money?” “Why is it helpful to donate to charity, and what are the reasons to make an anonymous donation?” “Of the many charities to donate to, what are the best charities to donate to?” Among the myriad of spiritual books available today, it is rare to find spiritual guidance related to the use of money. For learning the hidden principles that govern one’s ultimate balance sheet (what one leaves behind or takes with him when he dies), this book will prove an invaluable resource. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:RECENT ACQUISITIONS: CORRESPONDENCE Recent Acquisitions: Correspondence 93 SHEILA TURCON The Bertrand Russell Archives McMaster University Libraty A.d •• PORTMItIRION HOTEL DEUDRAETU" CASTLE HOTEL PORTMEIRION PENINSULA : PENRHYNDEUDRAETH-·NORTHWALES -Telegrams & Telephone 39 - Passe"gers & G~ods Sialio", G,w'R. A.y Tile M)'Uoa a: M....W. Atehem. 8brewlbDry. T he last update of correspondence, completed in spring 1990 / listed a huge backlog. Since then, I have devised a new method of (...) preparing this listing for Russell As new items arrive, typed catalogue cards are still prepared and interfiled with our existing cards for researchers who can visit the Archives. At the same time, however, entries are put into the computer of the correspondence which will be reported in Russell, i.e., letters either to or from Russell. The listing can be printed out, proofread, and be ready for perusal and insertion in Russell at any time.. The Correspondence and the Manuscript listings are to become a regular feature of Russell With the help of the new methodology, readers will thus be kept informed of the arrival of most acquisitions within a reasonable amount of time. We do not report acquisitions of letters about Russell (of which there are many), photographs, drawings and canoons, audio and video cassettes, minutes of meetings, memorials or petitions on BR's behalf, and newsdippings. Readers interested in such holdings may contact the Russell Archives individually. There are 44 entries in this listing, covering approximately 167 letters and telegrams. Some of the items have been received from a total of ten other instirutions, to whom we are very grateful. The latest acquisition reponed is number 1,133, which arrived on 8 August 1991. The following abbreviations should be noted: L(s). or l(s). = letter (s); P(s). or p(s). = photocopy(ies); p.c(s). = post card(s). I Russel~ n.s. IO (1990); 30-67. The present listing is the last one to report not-sorecent acquisitions which had been overlooked. 1......- (6., (r>JI ~ ()~. ~-Jl.r~ ~-.~ f.o -t.--...f..tJ~ (i.~ S'o ~ " • •."-..A ~ ~ ~~ fP"'-.... Ca.H-. no ~C-.....:i. He.."; GIl-.... k ~... of- ~-~(y- ~·~~L ~ e:e.---..··fcL........., V'- ~'S- ~. (shrink)

In this paper I describe the conflict between happiness and culture, as it appears in Kant’s texts –almost as an unsolvable conflict, which partially follows from the contraposition between nature and reason. Next, I show how Kant’s philosophy of history may be approached as an attempt to construct an imaginary ideal, that can help us to mitigate that conflict. ------------------------- RESUMEN. En este artículo describo el conflicto entre felicidad y cultura, como se plantea en los textos kantianos: casi como un (...) conflicto irresoluble, en parte reconducible a la contraposición naturaleza-razón. A continuación muestro cómo la filosofía kantiana de la historia, puede considerarse un intento de construir un ideal imaginativo capaz de mitigar ese conflicto. (shrink)

This article is a response to David Jones’s “Germ-line Genetic Engineering: A Critical Look at Magisterial Catholic Teaching.” Here, Jones argues that the Magisterium’s teaching is inadequate in relation to germ-line genetic engineering (GGE) in that it neither settles the question of whether all GGE is illicit nor does it bring theological resources to bear on the issue. Jones himself argues against GGE, stating that it is not a therapy for a specific individual and that using the technique is incompatible (...) with the theology of marriage because children are not accepted as gifts. I argue that there is merit in Jones’s reasoning, as GGE can certainly be used in a manner contrary to the theology of marriage. However, I am less convinced as to whether Jones actually manages to make the case that GGE, in and of itself, may not be morally permissible. I would certainly agree with his ultimate conclusion that further theological reflection is needed. (shrink)

Littleton's introduction for the American reader to the eminent founder of neocomparativism in cultural anthropology remedies the unjustifiable neglect in which the contributions of this school are held, both by anthropologists and philosophers of the social sciences. Many suggestions from generative semantics and functional sociology are so pointed and so well founded that without them our analytical research efforts on human action and even our ordinary language techniques seem somewhat arbitrary and individualistic. Whether suggestions from these rich bodies of knowledge (...) will have the power to bring about wider acceptance of new and more sophisticated forms of comparativism is yet to be seen. The methodic principles applied by Dumézil throughout his extensive writings, over a forty year period, are principles which affect the very source of reason, viz., the language medium which gives life to structures and models. Dumézil argues that discourse and life obey the same logic, just as in a drama the plot provides both the form, the organization of the sense, and the sense itself. Such is for Dumézil the core of all symbolism, and the basis for the correspondence between linguistic fact and societal fact. There is an excellent bibliography.—A. M. (shrink)

Medicine and health care generate many bioethical problems and dilemmas that are of great academic, professional and public interest. This comprehensive resource is designed as a succinct yet authoritative text and reference for clinicians, bioethicists, and advanced students seeking a better understanding of ethics problems in the clinical setting. Each chapter illustrates an ethical problem that might be encountered in everyday practice; defines the concepts at issue; examines their implications from the perspectives of ethics, law and policy; and then provides (...) a practical resolution. There are 10 key sections presenting the most vital topics and clinically relevant areas of modern bioethics. International, interdisciplinary authorship and cross-cultural orientation ensure suitability for a worldwide audience. This book will assist all clinicians in making well-reasoned and defensible decisions by developing their awareness of ethical considerations and teaching the analytical skills to deal with them effectively. (shrink)

Though the book pretends to be little more than a sampling, Caturelli's intention is to philosophize while engaging in exposition. This means that the presentation of authors and schools—a vast array from logical positivism to Thomism—attempts to recover the dialectic of contacts and reactions actually at work in the unfolding of contemporary thought in Argentina. This intention, however, does not mar the author's objectivity. More importantly, all schools and all authors are treated on a par in terms of the importance (...) of their contribution. The reason for this is that national thought is considered as a unity resulting from the impact of all its sectors; not as a mere plurality of factions seriously engaging in mutual ignorance or insistently trying to be different. Refreshing—A. M. (shrink)

In this Habilitationsschrift a comparison is drawn between the concept of truth in Husserl and in Heidegger in order to elucidate the problem of truth in our time. According to Tugendhat, truth in the nominalistic sense of neo-positivism and truth in the vague mysticism of Heidegger have moved so far apart that it is now impossible to speak of either of them in terms of the other. Furthermore they have both lost their guiding role in human life. Tugendhat is convinced (...) that the reason for this dissolution of truth is the absence of precisely that sense of critical responsibility which he finds so conspicuous in Husserl--and of which the sixth volume of his Logical Investigation is a good example. Though the emphasis on this investigation is fully justified, the promise of far-reaching analysis never materializes. The comparison of logical and linguistic terminology and doctrine is confined to a few side remarks, the most interesting of which are about C. I. Lewis. The treatment of Heidegger is based primarily on Being and Time, On the Essence of Ground, and On the Essence of Truth, with some negligible references to later writings. Heidegger's theory of language is very much neglected. Even the question of propositional truth, which the author is avowedly trying to keep in the foreground, receives keener exposition than commentary.--A. M. (shrink)

This final volume of Rivaud's Histoire de la Philosophie is a posthumous volume in care of a group of his colleagues, some well known experts in the period such as R. Poirier and P. Burgelin. The second part of the volume: De Hegel à Schopenhauer is still in the press. The core of this first part is a masterful, 220 page exposition of Kant. Though the presentation is parsimonious in commentary, its awareness of issues and problems confronted by Kant, its (...) critical account of doctrinal variations in the different editions, and its sense of the growing objectives of the Kantian synthesis, provide a solid historical account of Kant. The other major authors are given ample treatment. It is to the credit of Rivaud's erudition, an erudition respected and accented by his posthumous editors, to be able to show the major figures of this period in such clear relation to one another: the polemics and correspondence which animated the thought of the times are faithfully recorded. For all these reasons this work is truly a feat of scholarship which compares favorably with Bréhier's and Copleston's works, and which is a worthy rival to the best documented German standard histories. The bibliographies demonstrate the great strides in historico-philosophical scholarship in all major European countries in recent years.--A. M. (shrink)

As the title indicates, the purpose of this book is twofold. First it offers a brief exposition of the fundamental doctrines of the Philosophical Investigations; secondly, it attempts to use some important concepts of the Investigations to justify religious language. The emphasis in the expository part is on language games as communication media, leading directly to forms of life as agreement situations, which would make indispensable the intervention of agents here conceived as persons. The application of these ideas to belief (...) statements is made in the course of analyses distinguishing first person from third person belief statements, assimilating the former to performatives, and then relating them to "believe in" assertions different from inductively justified "believe that" propositions. This study is interesting mostly as analytic argumentation reinforcing well known ideas and distinctions. A subservient attitude towards Wittgenstein leads to an unnecessary extension of his doctrines to cover intellectual achievements of various authors and even original insights of High himself. The final critique of Barth, Tillich, and Bultmann, all grouped under the sin of fideism, is a bit excessive. Better reasons might be found to show them as exponents of the symbolic ways of expression that High has so appropriately defended.--A. M. (shrink)

Fifteen years after the first edition of this comprehensive work, German historicism remains largely and conspicuously in the shadows. The great historico-philological and historico-sociological work produced by, and on the fringes of, this school has given way to specialization. Great polygraphs of the caliber of a Meinecke, a Vossler, a Curtius, a Cassirer, a Croce, or an Auerbach seem to have completely disappeared from the scene. But is the necessity for cultural synthesis that these men stressed any less urgent today (...) than before? One of the major tasks envisioned by thinkers of the early twentieth century was the development of a philosophical anthropology which would consolidate all the preceding work of cultural synthesis. Today this task remains in the far horizon after a series of distinguished but discontinuous achievements. Thus the reappearance of the ambitious work of Professor Rossi is a welcome event. There are now indications that sociology is moving away from the neutral functionalism of the consensus years and is beginning to show some interest in the subconscious and in concrete constellations of values representative of communal forms of consciousness in a situation. Post-industrial society can no longer be examined with the rough tools of micro- or even macro-analysis. Because of their refinements in quantification and their awareness of the most specific features of every particular form of group consciousness, the new middle range methods are akin to the synthetic spirit of the historical school. As middle range research progresses, its results can provide the ontic ground for an ontology of the human condition in its adjustment to the world, and in its communicative-transcendent goals. For this reason, Rossi’s work, though excellent in its expository aspects should be read with care to avoid overemphasizing, as he does, the distance between rationalism and irrationalism that was apparent in the main tendencies of the historical school. Surely it is a worthwhile thing to show the tensions between the relativists such as Simmel and Spengler, the intuitionists such as Windelband and Rickert, and finally the neo-idealists such as Troeltsch and Meinecke. The tension that pulled apart these intellectual currents shows by contrast the great synthetic force operative in the systems of Dilthey and Weber, which provided the dominant inspiration for the whole school. But the fundamental perspective in today’s reconsideration of historicism need not be the tempering of any search for ideals through the insistence on sober methodological limits. A more fruitful emphasis can be placed today on action as a mediator between thought and adjustment, on community as a mediator between society and individuals, and most of all on expression and adventure as mediators between survival and moral absolutes. With his neo-Kantian insistence on the historical method, on the discovery of the historical horizon of the human condition, and on the establishment of the institutional connections within historical periods, Professor Rossi: a) misses the point of the anti-mechanistic efforts of modern philosophy, i.e., the constitution of synthetic a priori judgments in their true home grounds, the field of spontaneous human communication and action; b) restricts the ability on the part of the historical method to penetrate and elucidate the areas of the unconscious and of passive syntheses ; c) both presupposes and trivializes the definition of freedom. Freedom in Rossi’s interpretation of historicism, seems to result from the objective displacement of values, rather than from the dramatic insufficiency of every finite person as it transpires in the highest forms of symbolic communication and interaction.—A. M. (shrink)

The general concern of the paper is to ponder whether religious views inform ethical views? This is explored through the issue of animal rights within Judaism. There is not only a great divergence, even today worldwide, on the realm of freedom that non-humans may enjoy, but historically this group of individuals has been most restricted in their behaviour, and level of value, by the Western religious worldviews. Hence it would be instructive to see to what extent an ethical attitude toward (...) animals is present, or absent, and whether the religious prescriptions are justified by moral reasoning. And where we have found textual basis, as we have here, for taking the moral considerability of animals seriously, the next question is: has our moral sense been informed by a religious tradition? And has this led to changes in our secular understanding of ethical treatment toward animals? Or has there been a moral intuition there all along in humans, which has incidentally been expressed in a religious mode? (shrink)

Purрose of the рaрer is to emphasize affinity and succession in the aррroaches of Descartes and Kierkegaard to the interpretation of key factors of their philosophical search. It could be implemented through understanding such viewpoints of both thinkers as a) appropriate reasons for human existence; b) possible factors for human freedom as a condition of self-actualization; c) original approach to prove the existence of God. Theoretical basis. The use of phenomenology and hermeneutics enable us to comprehend the key philosopher’s (...) ideas as the manifestation of their personalities. Originality. The author believes that it is quite right to refer to the philosophy of the early modern period as a form of its demand fulfillment for human development. An essential prerequisite for revealing the toрic of the article is a focus on the latest investigations of Descartes’ philosophy, which demonstrate the anthropological significance. Since Kierkegaard’s viewpoint was developed through depersonalized understanding of philosophy, related motives of their thoughts are expressed by emphasizing their personal motives of philosophizing. This affinity is reflected firstly, in distancing from depersonalized and dehumanized world view; secondly, in religion-oriented search and proof of God’s existence based on human nature. Conclusions. Due to the modern state of historical and philosophical science, it is possible to argue that Descartes and Kierkegaard had content-related philosophizing motives, which are close to current search. Interpreting Descartes’ anthropological project by Kierkegaard, the author states the accepted determining influence of Hegel’s philosophy interpretation in general and his interpretation of Descartes, in particular. This argument allows to understand Kierkegaard’s search as Hegel’s deconstruction, because further uncritical retention and reproduction of his viewpoints are evaluated as a threat to fulfill human spiritual calling. A common and important thing in the views of both thinkers is their strong interest in individual and personal aspects of human nature as a constituent factor of God’s existence. (shrink)

In this book Carnois analyzes the notion of freedom as the central concept which gives internal coherence to the Kantian enterprise. The book is divided into two parts: Freedom and Nature, and Freedom and Morality. Carnois begins his analysis with the third antinomy of the Critique of Pure Reason which questions whether a cause, of its own account, can initiate a series of effects. The double causality pointed to here is taken as a fact. The author shows that Kant distinguishes (...) the practical freedom "inserted" in nature from the transcendental freedom heterogeneous with the sensible world. The distinction indicates the speculative interest of reason in freedom, but since its real possibility cannot be shown by theoretical reason, freedom remains problematic: a rational hypothesis and a regulative principle. Carnois explores the double causality through the concept of character which is both empirical and intelligible. He shows that the relation between characters is one of causality or that of sign to signified; and that it is this relation which defines the human being. (shrink)

To commemorate 40 years since the founding of the Journal of Business Ethics, the editors in chief of the journal have invited the editors to provide commentaries on the future of business ethics. This essay comprises a selection of commentaries aimed at creating dialogue around the theme Business versus Ethics?. The authors of these commentaries seek to transcend the age-old separation fallacy :409–421, 1994) that juxtaposes business and ethics/society, posing a forced choice or trade off. Providing a contemporary take on (...) the classical question “if it’s legal is it ethical?”, David Hess explores the role of the law in promoting or hindering stakeholder-oriented purpose and governance structure. Jeffrey Harrison encourages scholars to move beyond the presupposition that businesses are either strategic or ethical and explore important questions at the intersection of strategy and ethics. The proposition that business models might be inherently ethical or inherently unethical in their design is developed by Sheila Killian, who examines business systems, their morality, and who they serve. However, the conundrum that entrepreneurs are either lauded for their self-belief and risk-taking, or loathed for their self-belief and risk-taking, is discussed by M. Tina Dacin and Julia Roloff using the metaphor of taboos and totems. These commentaries seek to explore positions that advocate multiplicity and tensions in which business ethics is not either/or but both. (shrink)

We consider the varieties and directions of influence that the source and target domains involved in a conceptual metaphor can have on each other during the course of understanding metaphorical utterances based on the metaphor. Previous studies have been restricted both as to direction of influence and as to type of influence. They have been largely confined to the “forward” (source to target) direction of influence, and they have concentrated on the transfer of features or propositions and (to some extent) (...) the highlighting of aspects of a domain. By contrast, this article stresses the importance both of other varieties of influence (e.g., transfer of queries and uncertainty effects) and of “reverse” influence (target to source). We seek to curb the natural tendency to think that, because metaphor involves an overall move from source to target, therefore all inter-domain influences in the course of understanding go in that direction. The bulk of the article explores the theoretical issues involved. These issues have arisen out of a reasoning-based approach to metaphor, seeking to make best use of information from metaphorical utterance, context, source and target domains, and known metaphorical mappings, by applying a complex overall reasoning process. The article briefly explains the thorough implementation of reverse influence in a computer program for metaphorical reasoning called ATT-Meta, although the theoretical considerations are relevant to all disciplines concerned with metaphor. We make some suggestions for further computational and psychological research on metaphor. (shrink)

An important function of the self is to identify external objects that are potentially personally relevant. We suggest that such objects may be identified through mere ownership. Extant research suggests that encoding information in a self-relevant context enhances memory , thus an experiment was designed to test the impact of ownership on memory performance. Participants either moved or observed the movement of picture cards into two baskets; one of which belonged to self and one which belonged to another participant. A (...) subsequent recognition test revealed that there was a significant memory advantage for objects that were owned by self. Acting on items had no impact on memory. Results are discussed with reference to the importance of self-object associations in cognition. (shrink)

The COVID-19 pandemic has impacted data collection for longitudinal studies in developmental sciences to an immeasurable extent. Restrictions on conducting in-person standardized assessments have led to disruptive innovation, in which novel methods are applied to increase participant engagement. Here, we focus on remote administration of behavioral assessment. We argue that these innovations in remote assessment should become part of the new standard protocol in developmental sciences to facilitate data collection in populations that may be hard to reach or engage due (...) to burdensome requirements. We present a series of adaptations to developmental assessments and a detailed discussion of data analytic approaches to be applied in the less-than-ideal circumstances encountered during the pandemic-related shutdown. Ultimately, these remote approaches actually strengthen the ability to gain insight into developmental populations and foster pragmatic innovation that should result in enduring change. (shrink)

Institutional review board delays may hinder the successful completion of federally funded research in the U.S. military. When this happens, time-sensitive, mission-relevant questions go unanswered. Research participants face unnecessary burdens and risks if delays squeeze recruitment timelines, resulting in inadequate sample sizes for definitive analyses. More broadly, military members are exposed to untested or undertested interventions, implemented by well-intentioned leaders who bypass the research process altogether. To illustrate, we offer two case examples. We posit that IRB delays often appear in (...) the service of managing institutional risk, rather than protecting research participants. Regulators may see more risk associated with moving quickly than risk related to delay, choosing to err on the side of bureaucracy. The authors of this article, all of whom are military-funded researchers, government stakeholders, and/or human subject protection experts, offer feasible recommendations to improv... (shrink)

The so-called genetics revolution rests on a history which at its least can be described as controversial. Modern genetics needs to bear this history in mind. In particular, as with the past, the area of reproductive choice seems particularly vulnerable to potential abuse. Courts in the UK and elsewhere have already shown themselves willing to interfere with the choices of women in the management of their pregnancies. Medical advance, perhaps particularly the capacity to visualise the developing foetus, has added complexity (...) to the question of whether the health care provider has one patient or two patients. Additionally, pregnancy is thoroughly monitored in modern medical practice and genetics may provide a further impetus or incentive to mandate increased policing of pregnancy. Gene therapy, once offered, will add further to the desire to ensure that women make the ‘right’ choice, especially when the invasion required is relatively minimal. Further, genetic information is at best predictive, but may, because of its scientific nature, appear to those receiving it to be certain. Thus, the provision of genetic information may reduce rather than enhance choice, unless carefully and sensitively provided. A mature and sophisticated debate about the role of genetics in reproduction is required—engaging rather than bypassing the public—if the real potential of genetics is to be vindicated. (shrink)

Objective We conducted a process evaluation to (a) assess the effectiveness of a new problem-based learning curriculum designed to teach professionalism and scientific integrity to biomedical graduate students and (b) modify the course to enhance its relevance and effectiveness. The content presented realistic cases and issues in the practice of science, to promote skill development and to acculturate students to professional norms of science. Method We used 5-step Likert-scaled questions, open-ended questions, and interviews of students and facilitators to assess curricular (...) effectiveness. Results Both facilitators and students perceived course objectives were achieved. For example, respondents preferred active learning over lectures; both faculty and students perceived that the curriculum increased their understanding of norms, role obligations and responsibilities of professional scientists. They also reported an increased ability to identify ethical situations and felt that they had developed skills in moral reasoning and effective group work. Conclusions These data helped to improve course implementation and instructional material. For example, to correct a negative perception that this was an ‘ethics’ course, we redesigned case debriefing activities to reinforce learning objectives and important skills. We refined cases to be more engaging and relevant for students, and gave facilitators more specific training and resources for each case. The problem-based learning small group strategy can stimulate an environment whereby participants are more aware of ethical implications of science, and increase their socialisation and open communication about professional behaviour. (shrink)

A case study of Chinese grandparents’ transnational caregiving experiences in Canada highlights two issues that have received limited attention in the broader feminist care literature: elderly persons are usually positioned as receivers rather than providers of care; and transnational care studies focus on women migrating as part of “global care chains,” rather than on elderly family members migrating to meet the caring needs of adult kin who work in market economies that do not recognize caring responsibilities. The paper concludes by (...) arguing that the distribution of care responsibilities needs to be one of the pillars in the pursuit of transnational social justice. (shrink)

A comprehensible model is proposed aimed at an analysis of the reasons for theory change in science. According to model the origins of scientific revolutions lie not in a clash of fundamental theories with facts, but of “old” fundamental theories with each other, leading to contradictions that can only be eliminated in a more general theory. The model is illustrated with reference to physics in the early 20th century, the three “old” theories in this case being Maxwellian electrodynamics, statistical (...) mechanics and thermodynamics. Modern example, referring to general relativity and quantum field theory, is considered. Key words: Popper, Kuhn, Stepin, Einstein . (shrink)

The controversies in Bristol, Alder Hey and elsewhere in the UK surrounding the removal and retention of human tissue and organs have led to extensive law reform in all three UK legal systems. This paper reports a short study of the reactions of a range of health professionals to these changes. Three main areas of ethical concern were noted: the balancing of individual rights and social benefit; the efficacy of the new procedures for consent; and the helpfulness for professional practice (...) of the new legislation and regulation. Recognition of these concerns may help in forging a new partnership between professionals and patients and their families. (shrink)

Reasoning by analogy in chemical history: fallacies and guidelines. In chemistry (and natural science in general) reasoning in terms of analogy may be of great practical values as well as of theoretical significance. At the same time, however, the use of analogy is risky and the results are uncertain. In alchemy and iatrochemistry analogies between the living and the non-living nature have been carried too far. At the end of the 19th century an analogy was drawn between chemical phenomena and (...) the Darwinian theory of evolution. Another example of an overexaggerated analogy can be found in Lavoisier’s theory of acids, where oxygen was considered to be the general principle of acidity. Reasoning by analogy is mostly based on an inner conviction. It leads to provisional predictions in such cases where the required facts are not or incompletely at our disposal. (shrink)

The “Tower of London” puzzle was adapted to tablet PCs to be used as a clinical bedside test. “Iso-problems”, a specific class of problems, require identical moves but ball colours are permuted. Thus difficulty is the same even if the appearance is different. We wanted to determine the impact of these as yet little-studied tasks and hypothesised that there may be a learning effect specific to them (the “iso-effect”). We interspersed a set of six iso-problems within one selection of 22 (...) tasks and analysed problem solving by 81 healthy adults (mean age 41.6 years). Participants showed learning across iso-problems (less time, fewer moves, increasingly efficient solutions). This effect was distinct from general learning, as was obvious from comparison with a series of non-isomorphic tasks. However, participants seem not to be aware of solving such problems. This “iso-effect” may be related to implicit memory, a domain that so far has not been assessed using the Tower of London. (shrink)