Hermeneutics, as a discipline of the humanities, is often assumed to be in thrall to the same subjectivity of every interpretive method, in direct contract to the objectivity prized by the natural sciences. This book argues that there is a false dichotomy here, and that ancient and modern ideas of knowledge can be utilized to create a new active form of hermeneutics. One capable of creating a standard by which to judge better and worse models of understanding. This book explores (...) decisive aspects over which the future of hermeneutics-a future inexplicably tied to a history of hermeneutics-will continue to struggle, namely the limits and possibilities of situated human understanding. This book is located in the middle of a number of major, converging discussions within contemporary intellectual discourse. Drawing upon a wide range of ancient and modern hermeneutical thought, including Aristotle, Bernstein, Heidegger, Kant, and Gadamer, the result is a hermeneutical approach that pushes beyond the traditional limits of human understanding. This is a bold attempt to move hermeneutics into a new phase. As such, it will be of significant interest to scholars and academics working in General Hermeneutics, Theology, and the Philosophy of Religion. (shrink)

The willows and the hazel copses greenShall now no more be seenFanning their joyous leaves to thy soft lays.[Milton, Lycidas, Ll. 42-44] It is my thesis that the reader is always making sense , and in the case of these lines the sense he makes will involve the assumption of a completed assertion after the word "seen," to wit, the death of Lycidas has so affected the willows and the hazel copses green that, in sympathy, they will wither and die (...) . In other words at the end of line 43 the reader will have hazarded an interpretation, or performed an act of perpetual closure, or made a decision as to what is being asserted. I do not mean that he has done four things, but that he has done one thing the description of which might take any one of four forms—making sense, interpreting, performing perpetual closure, deciding about what is intended. Whatever he has done he will undo it in the act of reading the next line; for here he discovers that his closure, or making of sense, was premature and that he must make a new one in which the relationship between man and nature is exactly the reverse of what was first assumed. The willows and the hazel copses green will in fact be seen, but they will not be seen by Lycidas. It is he who will be no more, while they go on as before, fanning their joyous leaves to someone else's soft lays . Nature is not sympathetic, but indifferent, and the notion of her sympathy is one of those "false surmises" that the poem is continually encouraging and then disallowing. Stanley E. Fish, professor of English at Johns Hopkins University, is the author of John Skelton's Poetry, Surprised by Sin: The Reader in Paradise Lost, and Self-Consuming Artifacts: The Experience of Seventeenth-Century Literature. His other contributions to Critical Inquiry include "Facts and Fictions: A Reply to Ralph Rader" , "Normal Circumstances, Literal Language, Direct Speech Acts, the Ordinary, the Everyday, the Obvious, What Goes without Saying, and Other Special Cases" , "A Reply to John Reichert; or, How to Stop Worrying and Learn to Love Interpretation" , and "One More Time" . See also: "Professor Fish on the Milton Variorum" by Douglas Bush in Vol. 3, No. 1; "Stanley Fish's 'Interpreting the Variorum': Advance or Retreat?" by Steven Mailloux in Vol. 3, No. 1; "Interpreting 'Interpreting the Variorum'" by Stanley E. Fish in Vol. 3, No. 1. (shrink)

In the summer of 1977, as I was preparing to teach Jacques Derrida’s Of Grammatology to a class at the School of Criticism and Theory in Irvine, a card floated out of the text and presented itself for interpretation. It read:WITH THE COMPLIMENTS OF THE AUTHORImmediately I was faced with an interpretive problem not only in the ordinary and everyday sense of having to determine the meaning and the intention of the utterance but in the special sense occasioned by the (...) fact that I didn’t know who the author named or, rather, not named by the card was. It might have been Derrida himself whom I had met, but only in passing. Or it might have been Derrida’s translator, Gayatri Spivak whom I had known for some time and who might well have put me on the publisher’s list. Or it might have been the publisher, in this case the Johns Hopkins University Press of whose editorial board I was then a member. In the absence of any explicit identification, I found myself a very emblem of the difficulties or infelicities that attend distanced or etiolated communication: unable to proceed because the words were cut off from their anchoring source in a unique and clearly present intention. That is to say, I seemed, in the very moment of my perplexity, to be proving on my pulse the superiority of face-to-face communication, where one can know intentions directly, to communication mediated by the marks of writing and in this case by a writing that materialized without any clues as to its context of origin. It may not have been a message found in a bottle, but it certainly was a message found in a book. (shrink)

6. Jürgen Habermas's Critical Hermeneutics Introduction Habermas and Critical Hermeneutics Life and Influences 132 Habermas's Place in Contemporary Thought ...

The present study examined whether a dissociation among formats for rational numbers can be obtained in tasks that require comparing a number to a non-symbolic quantity. In Experiment 1, college students saw a discrete or else continuous image followed by a rational number, and had to decide which was numerically larger. In Experiment 2, participants saw the same displays but had to make a judgment about the type of ratio represented by the number. The magnitude task was performed more quickly (...) using decimals, whereas the relation task was performed more accurately with fractions. The pattern observed for percentages was very similar to that for decimals. A dissociation between magnitude comparison and relational processing with rational numbers can be obtained when a symbolic number must be compared to a non-symbolic display. (shrink)

A sentence is never not in a context. We are never not in a situation. A statute is never not read in the light on some purpose. A set of interpretative assumptions is always in force. A sentence that seems to need no interpretation is already the product of one...No sentence is ever apprehended independently of some or other illocutionary force. Illocutionary force is the key term in speech-act theory. It refers to the way an utterance is taken—as an order, (...) a warning, a promise, a proposal, a request, etc.—and the theory's strongest assertion is that no utterance is ever taken purely, that is, without already having been understood as the performance of some illocutionary act. Consider, as an example, the sentence "I will go." Depending on the context in which it is uttered, "I will go" can be understood as a promise, a threat, a warning, a report, a prediction, etc., but it will always be understood as one of these, and it will never be an unsituated kernel of pure semantic value. In other words, "I will go" does not have a basic or primary meaning which is then put to various illocutionary uses; rather, "I will go" is known only in its illocutionary lives, and in each of them its meaning will be different. Moreover, if the meaning of a sentence is a function of its illocutionary force , and if illocutionary force varies with the circumstances, then illocutionary force is not a property of sentences, but of situations. That is, while a sentence will always have an illocutionary force , the illocutionary force it has will not always be the same. Stanley E. Fish is the author of, among many other works, Is There a Text in This Class? Interpretative Authority in the Classroom and in Literary Criticism, and The Living Temple: George Herbert and Catechizing. His contributions to Critical Inquiry include "Facts and Fictions: A Reply to Ralph Rader" , "Interpreting the Variorum" , "Interpreting 'Interpreting the Variorum'" , "A Reply to John Reichert; or, How to Stop Worrying and Learn to Love Interpretation" , and "One More Time". (shrink)

Ralph Rader's model of literary activity is built up from a theory of intention. A literary work, he believes, embodies a "cognitive act,"1 an act variously characterized as a "positive constructive intention" , "an overall creative intention" . To read a literary work is to perform an answering "act of cognition" , which is in effect the comprehension of this comprehensive intention, the assigning to the work of a "single coherent meaning" . Both acts—the embodying and the assigning —are one-time, (...) single-shot performances. They are "ends" in two senses; the overall intention is the end to which everything in the work must be contributory, and its comprehension is something the reader does at the end . Rader offers this model as if it were descriptive, as if it made explicit rules of behavior we unerringly follow, rules which underlie our "tacit or intuitive capacity" of intention producing and intention retrieving; but the model is, in fact, prescriptive since it quite arbitrarily limits this same capacity: authors are limited to no more than one positive constructive intention per unit, while readers or interpreters are limited to its discovery; whatever cannot be related to that discovery or interferes with it will either be declared not to exist or, if its existence cannot be denied, it will be labeled a defect, an "unintended and unavoidable negative consequence of the artist's positive constructive intention" . · 1. My argument will engage two of Rader's articles. They are "Fact, Theory, and Literary Explanation," Critical Inquiry 1, no.2 : 245-72, and "The Concept of Genre and Eighteenth-Century Studies," in New Approaches to Eighteenth-Century Literature: Selected Papers from the English Institute , pp. 79-115. In what follows they will be referred to as Fact and Concept along with the appropriate page number. Stanley E. Fish, professor of English at John Hopkins University, responds in this essay to Ralph W. Rader's "Fact, Theory, and Literary Explanation" . Professor Fish is the author of John Skelton's Poetry, Surprised by Sin: The Reader in Paradise Lost, and Self-Consuming Artifacts: The Experience of Seventeenth-Century Literature. His other contributions to Critical Inquiry include "Interpreting the Variorum" , "CRITICAL RESPONSE: Interpreting 'Interpreting the Variorum'" , "Normal Circumstances, Literal Language, Direct Speech Acts, the Ordinary, the Everyday, the Obvious, What Goes without Saying, and Other Special Cases" , "CRITICAL RESPONSE: A Reply to John Reichert; or, How to Stop Worrying and Learn to Love Interpretation" , and "One More Time". (shrink)

Together Professor Bush and Mr. Mailloux present a problem in interpretation not unlike those that were the occasion of the paper they criticize: Professor Bush takes the first section of the paper more seriously than I do, and Mr. Mailloux complains that I do not take it seriously enough. In their different ways they seem to miss or slight the playfulness of my performance, the degree to which it is an attempt to be faithful to my admitted unwillingness to come (...) to, or rest on, a point. Professor Bush seems to think that I am mounting an attack on the Variorum. Let me say at the outset that I intended no such attack, that I am sorry if anything I wrote gave that impression, and that I regret any offense that may have been taken. Professor Bush and I view the Variorum from different perspectives, both of which seem to me to be perfectly legitimate. He views it as a document, while I view it as a text. As a document, as a record and history of research and interpretation, it is a model of its kind, full, judicious, and above all, honest. The editors pay us the compliment of not pretending to an impossible objectivity. They leave us the valuable record of their own occasional disagreements, and thus suggest that they know very well that theirs is an interim report. My inquiry is into the significance of that report; it is not a brief against the compiling of its materials but an attempt to put to them a question the editors quite properly do not ask: what does the history of the effort to determine the meaning of Milton's poems mean? In short, I am extending the scope of interpretation to include the interpreters themselves and, rather than attacking the Variorum, taking one step further the task it has so well begun. Stanley E. Fish's "How to Do Things with Austin and Searle: Speech Act Theory and Literary Criticism" was published in the Special Centennial Issue of Modern Language Notes, Summer 1976. His contributions to Critical Inquiry include "Facts and Fictions: A Reply to Ralph Rader" , "Interpreting the Variorum" , "Normal Circumstances, Literal Language, Direct Speech Acts, the Ordinary, the Everyday, the Obvious, What Goes without Saying, and Other Special Cases" , "A Reply to John Reichert; or, How to Stop Worrying and Learn to Love Interpretation" , and "One More Time". (shrink)

What I would add, and what Reichert seems unable to see, is that the facts of the text do not identify themselves. He faults Roskill for failing to see that coherence is not a function of the text but of "principles we bring to the text"; yet he himself does not see that the text, insofar as one can point to it, is produced by those same principles. Indeed, Reichert is continually doing the very thing for which he criticizes Roskill, (...) attributing to the text qualities and features that are the product of interpretive strategies. Thus, for example, he cites the instance of "the interpreter . . . noticing something in the text that makes his former reading seem implausible" as evidence that the text is at some level independent of interpretation; but noticeability is a function of what it is possible to notice given a particular set of assumptions: a reader innocent of the principles of typology would be incapable of "noticing" a typological pattern, whereas for a reader like Madsen, the pattern will seem to announce itself; and a reader who "notices" something he didn't "notice" before is a reader who is proceeding within a different set of interpretive assumptions. That which is noticeable, in short, can never be the means of confirming or constraining interpretations because it is always a product of one. The same argument dissolves the distinction, invoked by Reichert, between extratextual and textual evidence; it is not that such a distinction is never in force but that what counts as internal and external evidence will vary according to the interpretive principles one espouses. Just what is and what is not extratextual is a matter of continual debate, and when the debate has been concluded, it is not because the matter has been settled by the facts but because one set of interpretive principles has won the right to say what the facts are. Stanley E. Fish is the author of, among other works, Is There a Text in This Class: The Sources of Interpretative Authority. His contributions to Critical Inquiry include "Facts and Fictions: A Reply to Ralph Rader" , "Interpreting the Variorum" , "Interpreting 'Interpreting the Variorum'" , "Normal Circumstances, Literal Language, Direct Speech Acts, the Ordinary, the Everyday, the Obvious, What Goes without Saying, and Other Special Cases" , and "A Reply to John Reichert; or, How to Stop Worrying and Learn to Love Interpretation". (shrink)

The uneasy relation between violence and sanctity, between oppression and culture, underlies the dramatic action of Euripides' "Ion." Ion's monody ends with his threatening to shoot the birds who would soil the temple, or in other words, to protect purity through violence and death. The earlier part of his song also shows how the forces of exclusion and domination create sacredness. Ritual silence , restricted access to the aduton, ritual chastity, even the irreversible transformation of natural gardens into laurel brooms (...) and jugs of water all suggest how violence and domination create culture out of nature. The rape of Creusa epitomizes the relation between culture and violence. Her meeting with Ion reveals the psychological cost of social oppression and portrays the imperfect interdependence between moral feelings and legal institutions. Various dramatic devices portray the divisions in Creusa's mind that the injustice has created, devices including self-address, riddling speech, self-restraint, and silence. Her reluctance to pose her bold question to the oracle, and her displacement of the story onto the person of a raped "friend," show her resentful awareness that social institutions collaborate in the oppression. Ion's disillusionment echoes her resentment more theoretically. Together their comments show how moral rules and legal institutions, though fundamentally based on personal feelings such as shame and indignation, enact these feelings only imperfectly; the resulting dissonance in turn leads to further indignation and moral reflection. Finally, the allusions to fifth-century politics in Ion's speech on Athenian politics and elsewhere suggest that democracy itself depends on political domination and imperialism. (shrink)

I could go on in this way, replying to Reichert's reply, point by point, but the pattern of my replies is already set: he charges that my position entails certain undesirable consequences and flies in the face of some of our most basic intuitions; I labor to show that none of those consequences follow and that our basic intuitions are confirmed rather than denied by what I have to say. This of course is exactly what I was doing in the (...) article to which he takes exception and will soon do at length in a book to be published within the year. I am not, however, optimistic that a reading of that book will make Reichert a convert because the fears that impel his argument are so basic to his beliefs. I take the key sentence in his article to be this one: "Since I would like to think that I read the same King Lear that Dr. Johnson read, and am therefore free to disagree with his interpretation of it, I would like to find a way out of Fish's formulation of the reader's situation" . Reichert's commitment to what he would like to be able to do and his conviction that if what I say is true he will be unable to do it make it impossible for him to regard my position as anything but perverse and dangerous. Even if I could demonstrate in his own terms that his fears are unfounded—that he is still free to disagree with Dr. Johnson or anyone else—any argument I might make would be received within the belief that it had to be wrong, and within that belief he could only hear it as wrong. To this Reichert would probably reply that arguments are either good or bad, irrespective of beliefs, and that mine are bad; but it is my contention that arguments are forceful only within a set of beliefs and that unless someone is willing to entertain the possibility that his beliefs are wrong he will be unable even to hear an argument that constitutes a challenge to them. That is why the fact that Reichert is likely to remain unconvinced by my argument is its strongest confirmation. Stanley Fish is the author of, among other works, Is There a Text in This Class? Interpretative Authority in the Classroom and in Literary Criticism. His contributions to Critical Inquiry include "Facts and Fictions: A Reply to Ralph Rader" , "Interpreting the Variorum" , "Interpreting 'Interpreting the Variorum'" , "Normal Circumstances, Literal Language, Direct Speech Acts, the Ordinary, the Everyday, the Obvious, What Goes without Saying, and Other Special Cases" , and "One More Time". (shrink)

In this concentrated, intelligible, and useful introductory volume Stanley Porter and Jason Robinson give a splendid overview of hermeneutical and interpretive thought. Neither an all-inclusive survey that moves too quickly over the surface of complex issues nor a specialized volume on a single, narrow topic, Porter and Robinson's Hermeneutics provides critical analysis of major movements and figures in hermeneutics and interpretive theory in the modern era -- from Schleiermacher and Heidegger to Thiselton and Culpepper -- showing especially how these (...) interpreters and their movements have impacted biblical and theological study. (shrink)

The Developmental Systems approach to evolution is defended against the alternative extended replicator approach of Sterelny, Smith and Dickison (1996). A precise definition is provided of the spatial and temporal boundaries of the life-cycle that DST claims is the unit of evolution. Pacé Sterelny et al., the extended replicator theory is not a bulwark against excessive holism. Everything which DST claims is replicated in evolution can be shown to be an extended replicator on Sterelny et al.s definition. Reasons are given (...) for scepticism about the heuristic value claimed for the extended replicator concept. For every competitive, individualistic insight the replicator theorist has a cooperative, systematic blindspot. (shrink)

Developmental systems theory is an attempt to sum up the ideas of a research tradition in developmental psychobiology that goes back at least to Daniel Lehrman’s work in the 1950s. It yields a representation of evolution that is quite capable of accommodating the traditional themes of natural selection and also the new results that are emerging from evolutionary developmental biology. But it adds something else - a framework for thinking about development and evolution without the distorting dichotomization of biological processes (...) into gene and non-gene and the vestiges of the ‘black-boxing’ of developmental processes in the modern synthesis, such as the asymmetric use of the concept of information. Phenomena that are marginalized in current gene-centric conceptions, such as extra-genetic inheritance, niche construction and phenotypic plasticity are placed center stage. (shrink)

Developmental systems theory is an attempt to sum up the ideas of a research tradition in developmental psychobiology that goes back at least to Daniel Lehrman’s work in the 1950s. It yields a representation of evolution that is quite capable of accommodating the traditional themes of natural selection and also the new results that are emerging from evolutionary developmental biology. But it adds something else - a framework for thinking about development and evolution without the distorting dichotomization of biological processes (...) into gene and non-gene and the vestiges of the ‘black-boxing’ of developmental processes in the modern synthesis, such as the asymmetric use of the concept of information. Phenomena that are marginalized in current gene-centric conceptions, such as extra-genetic inheritance, niche construction and phenotypic plasticity are placed center stage. (shrink)

Pregnant women and their interests have been underrepresented in health research. Little is known about issues relevant to women considering research participation during pregnancy. We performed in-depth interviews with 22 women enrolled in either one of two trials sponsored by the National Institutes of Health to assess the safety and immunogenicity of the H1N1 vaccine during pregnancy. Three themes characterized women’s decisions to participate in research: they valued early access to the vaccine, they perceived a safety advantage when participating in (...) research, and they wanted to help advance scientific knowledge. However, there were also some considerations that would disincline them to participate in research—for instance, a significant risk of maternal or fetal harm, the presence of a placebo arm in a study, or a requirement to significantly change planned therapy or behavior. Pregnant women who participated in the H1N1 vaccine trials viewed research favorably, citing its advantages over standard clinical care. These findings emphasize that access to benefit should guide policy for including pregnant women in research. (shrink)

ABSTRACT:How does the diagnosis process work? This essay traces the philosophical underpinnings of diagnosis from Hume through Kant, Peirce, and Popper, analyzing how pathologists amalgamate sensibility, intuition, and imagination to form new hypotheses that can be tested by evidence and experience.

We distinguish three aspects of medical diagnosis: generating new diagnostic hypotheses, selecting hypotheses for further pursuit, and evaluating their probability in light of the available evidence. Drawing on Peirce’s account of abduction, we argue that hypothesis generation is amenable to normative analysis: physicians need to make good decisions about when and how to generate new diagnostic hypothesis as well as when to stop. The intertwining relationship between the generation and selection of diagnostic hypotheses is illustrated through the analysis of a (...) detailed clinical case study. This interaction is not adequately captured by the existing probabilistic, decision-theoretic models of the threshold approach to clinical decision-making. Instead, we propose to conceptualize medical diagnosis in terms of strategic reasoning. (shrink)

Clinical diagnostic medicine is an experimental science based on observation, hypothesis making, and testing. It is an use dynamic process that involves observation and summary, diagnostic conjectures, testing, review, observation and summary, new or revised conjectures, i.e. it is an iterative process. It can then be said that diagnostic hypotheses are also ‘observation-laden’. My aim is to enlarge on the strategies of medical diagnosis as these are meshed in training and clinical experience—that is, to describe the patterns of reasoning used (...) by experienced clinicians under different diagnostic circumstances and how these patterns of inquiry allow further insight into the evaluation and treatment of patients. I do not aim to present a theory and illustrate it with examples; I wish rather am to let a realistic example, similar to actual clinical scenarios, direct the exposition. To this end, I introduce an account of medical diagnosis—briefly comparing and contrasting it to other accounts—in order to focus on discussing the process of diagnosis through a detailed clinical case. (shrink)

Importance: Given the importance of apathy for stroke, we felt it was time to scrutinize the psychometric properties of the commonly used Starkstein Apathy Scale for this purpose.Objectives: The objectives were to: estimate the extent to which the SAS items fit a hierarchical continuum of the Rasch Model; and estimate the strength of the relationships between the Rasch analyzed SAS and converging constructs related to stroke outcomes.Methods: Data was from a clinical trial of a community-based intervention targeting participation. A total (...) of 857 SAS questionnaires were completed by 238 people with stroke from up to 5 time points. SAS has 14 items, rated on a 4-point scale with higher values indicating more apathy. Psychometric properties were tested using Rasch partial-credit model, correlation, and regression. Items were rescored so higher scores are interpreted as lower apathy levels.Results: Rasch analysis indicated that the response options were disordered for 8/14 items, pointing to unreliability in the interpretation of the response options; they were consequently reduced from 4 to 3. Only 9/14 items fit the Rasch model and therefore suitable for creating a total score. The new rSAS was deemed unidimensional. Apathy was correlated weakly with anxiety/depression and uncorrelated with physical capacity. Regression showed that the effect of apathy on participation and health perception was similar for rSAS/SAS versions: R2 participation measures ranged from 0.11 to 0.29; R2 for health perception was ∼0.25. When placed on the same scale, rSAS value was 6.5 units lower than SAS value with minimal floor/ceiling effects. Estimated change over time was identical which was not substantial but greater than expected assuming no change.Conclusion: The retained items of the rSAS targeted domains of behaviors more than beliefs and results support the rSAS as a robust measure of apathy in people with chronic stroke. (shrink)

Clinical diagnostic medicine is an experimental science based on observation, hypothesis making, and testing. It is an use dynamic process that involves observation and summary, diagnostic conjectures, testing, review, observation and summary, new or revised conjectures, i.e. it is an iterative process. It can then be said that diagnostic hypotheses are also ‘observation-laden’. My aim is to enlarge on the strategies of medical diagnosis as these are meshed in training and clinical experience—that is, to describe the patterns of reasoning used (...) by experienced clinicians under different diagnostic circumstances and how these patterns of inquiry allow further insight into the evaluation and treatment of patients. I do not aim to present a theory and illustrate it with examples; I wish rather am to let a realistic example, similar to actual clinical scenarios, direct the exposition. To this end, I introduce an account of medical diagnosis—briefly comparing and contrasting it to other accounts—in order to focus on discussing the process of diagnosis through a detailed clinical case. (shrink)

BackgroundThe terminal illness of late-stage Alzheimer’s and related dementias is progressively cruel, burdensome, and can last years if caregivers assist oral feeding and hydrating. Options to avoid prolonged dying are limited since advanced dementia patients cannot qualify for Medical Aid in Dying. Physicians and judges can insist on clear and convincing evidence that the patient wants to die—which many advance directives cannot provide. Proxies/agents’ substituted judgment may not be concordant with patients’ requests. While advance directives can be patients’ last resort (...) to attain a peaceful and timely dying consistent with their lifelong values, success depends on their being effective and acceptable. A single flaw can provide opponents justification to refuse the directive’s requests to cease assisted feeding.AimThis article considers 24 common advance directive flaws in four categories. Process flaws focus on how patients express their end-of-life wishes. Content flaws reflect drafters’ selection of conditions and interventions, and how they are described. Inherent flaws can make advance directives unacceptable to authorities concerned about premature dying. Strategies are needed to compel physicians to write needed orders and to prevent third parties from sabotaging these orders after they are implemented. The article includes excerpts from “dementia-specific” directives or supplements that exemplify each flaw—mostly from the US and Europe. No directive critiqued here included an effective strategy to resolve this long-debated bioethical conflict: the past directive requests “Cease assisted feeding” but the incapacitated patient apparently expresses the desire to “Continue assisted feeding.” Some opponents to the controversial request, cease assisted feeding, use this conflict as a conceptual wedge to practice hard paternalism. This article proposes a protocol to prevent this conflict from emerging. These strategies may prevent authorities from requiring patients to fulfill authorities’ additional clinical criteria as a prerequisite to honor the requests in patients directives.ConclusionThis critique of flaws may serve as a guide to drafting and to selecting effective and acceptable advance directives for dementia. It also poses several bioethical and clinical questions to those in authority: Does your paternalistic refusal to honor patients’ wishes respect their self-determination? Protect vulnerable patients from harm? Force patients to endure prolonged suffering? Violate the principles of bioethics? Violate the very foundation of patient-centered care? (shrink)

Book reviewed in this article: The New Health Care For Profit: Doctors and Hospitals in a Competitive Environment. Edited by Bradford H. Gray The Healing Mission and the Business Ethic. By Robert M. Cunningham The Medical Industrial Complex. By Stanley Wohl.

Developmental systems theory (DST) is a general theoretical perspective on development, heredity and evolution. It is intended to facilitate the study of interactions between the many factors that influence development without reviving `dichotomous' debates over nature or nurture, gene or environment, biology or culture. Several recent papers have addressed the relationship between DST and the thriving new discipline of evolutionary developmental biology (EDB). The contributions to this literature by evolutionary developmental biologists contain three important misunderstandings of DST.

This book provides ready to use strategies to promote student engagement in online spaces using a variety of tools and strategies to promote student success and retention.

Clarke and Beck's defense of the theoretical construct “approximate number system” is flawed in serious ways – from biological misconceptions to mathematical naïveté. The authors misunderstand behavioral/psychological technical concepts, such as numerosity and quantical cognition, which they disdain as “exotic.” Additionally, their characterization of rational numbers is blind to the essential role of symbolic reference in the emergence of number.