The subject matter of Ward’s book is Kant’s view of the nature of morality. Its object is to show that there is a development in Kant’s view, not only from the precritical to the critical stage of his thought, but also within the critical stage of his thought. The occasion for writing this book, it should be noted, is the prevalence of "verdicts" regarding Kant’s view of the nature of morality formed by British scholars on the basis of an (...) acquaintance of only the major critical works of Kant. According to Ward, an adequate understanding of Kant’s view of the nature of morality can come only from a reading of all of Kant’s works, most especially from a reading of his final, posthumously published, notes. In these notes, Kant equates God with practical reason. The significance of this equation is that it finally provides a stable solution to the problem of the foundations of morality, a problem which had occupied Kant since the beginning of his philosophical career. Kant’s precritical works, as well as the critiques, provide only unstable solutions. In his pre-critical works, Kant oscillates between seeking the foundations in knowledge and feeling. In his critiques, Kant seems to find a stable solution by conceiving reason as the source of principles, both theoretical and practical. The instability of this solution lies in the fact that Kant retains, along with the formal principles, a morality the source of which is religion. In the critiques, however, Kant is unable to conceive religion as anything more than a supplement to morality. Not until his final notes, Ward argues, does Kant recognize this instability and rectify it by giving religion an integral place in his conception of morality.—W. A. S. (shrink)

The subject matter of Ward’s book is Kant’s view of the nature of morality. Its object is to show that there is a development in Kant’s view, not only from the precritical to the critical stage of his thought, but also within the critical stage of his thought. The occasion for writing this book, it should be noted, is the prevalence of "verdicts" regarding Kant’s view of the nature of morality formed by British scholars on the basis of an (...) acquaintance of only the major critical works of Kant. According to Ward, an adequate understanding of Kant’s view of the nature of morality can come only from a reading of all of Kant’s works, most especially from a reading of his final, posthumously published, notes. In these notes, Kant equates God with practical reason. The significance of this equation is that it finally provides a stable solution to the problem of the foundations of morality, a problem which had occupied Kant since the beginning of his philosophical career. Kant’s precritical works, as well as the critiques, provide only unstable solutions. In his pre-critical works, Kant oscillates between seeking the foundations in knowledge and feeling. In his critiques, Kant seems to find a stable solution by conceiving reason as the source of principles, both theoretical and practical. The instability of this solution lies in the fact that Kant retains, along with the formal principles, a morality the source of which is religion. In the critiques, however, Kant is unable to conceive religion as anything more than a supplement to morality. Not until his final notes, Ward argues, does Kant recognize this instability and rectify it by giving religion an integral place in his conception of morality.—W. A. S. (shrink)

Motivated by disparities in gun violence, sharp increases in gun ownership, and a changing gun policy landscape, we conducted a nationally representative survey of U.S. adults (n=2,778) in 2021 to compare safety-related views of white, Black, and Hispanic gun owners and non-owners. Black gun owners were most aware of homicide disparities and least expecting of personal safety improvements from gun ownership or more permissive gun carrying. Non-owner views differed. Health equity and policy opportunities are discussed.

One conclusion that unites nearly all recent study of Luke-Acts is that Conzelmann's classic formulation of the purpose of the Lukan writings, put forward in The Theology of St. Luke, was incorrect.

Current models of insulin binding to the insulin receptor (IR) propose (i) that there are two binding sites on the surface of insulin which engage with two binding sites on the receptor and (ii) that ligand binding involves structural changes in both the ligand and the receptor. Many of the features of insulin binding to its receptor, namely B‐chain helix interactions with the leucine‐rich repeat domain and A‐chain residue interactions with peptide loops from another part of the receptor, are also (...) seen in models of relaxin and insulin‐like peptide 3 binding to their receptors. We show that these principles can likely be extended to the group of mimetic peptides described by Schäffer and coworkers, which are reported to have no sequence identity with insulin. This review summarizes our current understanding of ligand‐induced activation of the IR and highlights the key issues that remain to be addressed. (shrink)

The attitude of the American classical scholar Basil L. Gildersleeve toward the English may be taken as typical of Americans over the period of his long life. A native of Charleston, South Carolina, a city with deep economic and cultural ties to England, he found his youthful admiration for British scholarship offset by the sufferings of his ancestors in the Revolution and the War of 1812. At mid-century the allegiance of many American intellectuals had switched from England to Germany, viewed (...) idealistically as a place of pure intellectual discovery and artistic creativity. British amateurism held little interest for those who were building the first American research institutions in the 1880s, but as the FirstWorldWar approached, the deficiencies of the German system and the exciting work being done by those around Jane Harrison and Gilbert Murray brought Gildersleeve back to the respect for humane British scholarship that he had learned in his youth in Charleston. (shrink)

The great object of Augustus in celebrating Ludi saeculares in 17 b.c. was to encourage the belief in himself and the consequent active loyalty to himself, as the restorer of the pax deorum,—the good relation between the divine and human inhabitants of Rome. So far he had tried to attain this end by the ancient usual and proper means, i.e. by carrying out the various regulations of the ius diuinum, so many of which had long been neglected. But in that (...) year he determined to undertake a special celebration, with the design of more effectually stamping the impression already made on the minds of the people; and it so happens that we have more detailed knowledge of this celebration than of any other Roman rite of any period. This is fortunate, for it stands on the margin between an old and a new régime, like the Aeneid of Virgil, who had died two years earlier: that great religious poem was just becoming known, and there is an allusion to it in the hymn of which I am going to speak. The Ludi were the outward or ritualistic expression of the idea immortalized by the poet, that a regeneration is at hand of Rome and Italy, in religion, morals, agriculture, government: old things are now to be put away, a new and glorious era is to open. Henceforward the Roman was to look ahead of him in hope and confidence, trusting in Augustus, the Aeneas of the actual State. (shrink)

Unraveling the molecular detail of insulin receptor activation has proved challenging, but a major advance is the recent determination of crystallographic structures of insulin in complex with its primary binding site on the receptor. The current model for insulin receptor activation is that two distinct surfaces of insulin monomer engage sequentially with two distinct binding sites on the extracellular surface of the insulin receptor, which is itself a disulfide‐linked (αβ)2 homodimer. In the process, conformational changes occur both within the hormone (...) and the receptor, the latter resulting in the disruption of the intracellular interactions that hold the kinase domains in their basal state and in the initiation of the phosphorylation events that drive insulin signaling. The purpose of this paper is to summarize the extant structural data relating to hormone binding and how it effects receptor activation, as well as to discuss the issues that remain unresolved. (shrink)

We propose a descriptive version of the classical multi-attribute utility model; to that end, we add a new parameter, momentary salience, to the customary formulation. The addition of this parameter allows the theory to accommodate changes in the decision maker’s mood and circumstances, as the saliencies of anticipated consequences are driven by concerns of the moment. By allowing for the number of consequences given attention at the moment of decision to vary, the new model mutes the criticism that SEU models (...) call for an omniscient decision maker. Use of the model is illustrated with a large-scale longitudinal study showing that adolescent smokers have higher utility for smoking than nonsmokers. We also propose to use the model hierarchically to describe everyday decisions that people deal with repeatedly. Big decisions, which set policy, guide a host of nested little decisions, which in turn lead to action. For a little decision, one of the options will be consistent with the policy, and will inherit its high utility. Accordingly, most little decisions will be made quickly and will follow the policy. However, people do sometimes decide to violate their own policies, and we describe how these lapses can lead to collapse of the policy. (shrink)

An Insurrectionist Manifesto contains four insurrectionary gospels based on Martin Heidegger's philosophical model of the fourfold: earth and sky, gods and mortals. Challenging religious dogma and dominant philosophical theories, they offer a cooperative, world-affirming political theology that promotes new life through not resurrection but insurrection. The insurrection in these gospels unfolds as a series of miraculous yet worldly practices of vital affirmation. Since these routines do not rely on fantasies of escape, they engender intimate transformations of the self along the (...) very coordinates from which they emerge. Enacting a comparative and contagious postsecular sensibility, these gospels draw on the work of Slavoj i ek, Giorgio Agamben, Catherine Malabou, François Laruelle, Peter Sloterdijk, and Gilles Deleuze yet rejuvenate scholarship in continental philosophy, critical race theory, the new materialisms, speculative realism, and nonphilosophy. They think beyond the sovereign force of the one to initiate a radical politics "after" God. (shrink)

© 2017. The American Astronomical Society. All rights reserved.We present new observations of the low-mass companion to HD 984 taken with the Gemini Planet Imager as a part of the GPI Exoplanet Survey campaign. Images of HD 984 B were obtained in the J and H bands. Combined with archival epochs from 2012 and 2014, we fit the first orbit to the companion to find an 18 au orbit with a 68% confidence interval between 14 and 28 au, an eccentricity (...) of 0.18 with a 68% confidence interval between 0.05 and 0.47, and an inclination of 119°with a 68% confidence interval between 114°and 125°. To address the considerable spectral covariance in both spectra, we present a method of splitting the spectra into low and high frequencies to analyze the spectral structure at different spatial frequencies with the proper spectral noise correlation. Using the split spectra, we compare them to known spectral types using field brown dwarf and low-mass star spectra and find a best-fit match of a field gravity M6.5 ±1.5 spectral type with a corresponding temperature of K. Photometry of the companion yields a luminosity of log=2.88 ± 0.07 dex with DUSTY models. Mass estimates, again from DUSTY models, find an age-dependent mass of 34 ±1 to 95 ±4 M Jup. These results are consistent with previous measurements of the object. (shrink)

Dimensions of character are often overlooked in professional practice at the expense of the development of technical competence and operational efficiency. Drawing on philosophical accounts of virtue ethics and positive psychology, the present work attempts to elevate the role of ‘good’ character in the professional domain. A ‘good’ professional is ideally one that exemplifies dimensions of character informed by sound judgement. A total of 2340 professionals, from five discrete professions, were profiled based on their valuation of qualities pertaining to character (...) and judgement. Profile differences were subsequently examined in the self-reported experience of professional purpose towards a wider societal ‘good’. Analysis of covariance, controlling for stage of career, revealed that professionals valuing character reported higher professional purpose than those overweighting the importance of judgement or valuing neither character nor judgement, F = 7.92, p <.001. No differences were found between the two groups valuing character, irrespective of whether judgement was valued simultaneously. This profiling analysis of entry-level and in-service professionals, based on their holistic character composition, paves the way for fresh philosophical discussion regarding what constitutes a ‘good’ professional and the interplay between character and judgement. The empirical findings may be of substantive value in helping to recognise how the dimensions of character and judgement may impact upon practitioners’ professional purpose. (shrink)

A formal Ethics Consultation Service (ECS) can provide significant help to patients, families and hospital staff. As with any other form of clinical consultation, documentation of the process and the advice rendered is very important. Upon review of the published consult documentation practices of other ECSs, we judged that none of them were sufficiently detailed or structured to meet the needs and purposes of a clinical ethics consultation. Thus, we decided to share our method in order to advance the practice (...) of ethics consultation. Here, we describe a method of ECS documentation practice, including use of a formal consult report template, as well as a log for maintaining a chronological record of the consultations performed. These two documents facilitate order and organisation of the ECS. They also enable the ECS to keep an account of professional time and experience, enable quick consult trend assessments (by consult theme or ward, for example) and establish a potential registry of consults for future research study. This method of documentation, we believe, not only contributes significantly to the primary purpose of the consultation—namely, the evincing and sharing of ethical opinion about a case—but also enables consultants to improve their practice and to pursue research on clinical ethics consultation. (shrink)

This paper presents a preliminary analysis of the first participatory budgeting experiment in the United States, in Chicago's 49th Ward. There are two avenues of inquiry: First, does participatory budgeting result in different budgetary priorities than standard practices? Second, do projects meet normative social justice outcomes? It is clear that allowing citizens to determine municipal budget projects results in very different outcomes than standard procedures. Importantly, citizens in the 49th Ward consistently choose projects that the research literature classifies (...) as low priority. The results are mixed, however, when it comes to social justice outcomes. While there is no clear pattern in which projects are located only in affluent sections of the ward, there is evidence of geographic clustering. Select areas are awarded projects like community gardens, dog parks, and playgrounds, while others are limited to street resurfacing, sidewalk repairs, bike racks, and bike lanes. Based on our findings, we offer suggestions for future programmatic changes. (shrink)

This book explores the recovery of Socratic philosophy in 19th century political thought of G.W.F. Hegel, Soren Kierkegaard, John Stuart Mill, and Friedrich Nietzsche. For Kierkegaard the Socratic indivdual in modern times is the person of faith, for Mill the idiosyncratic public intellectual, and for Nietzsche the Dionysian artist.

particular, the class were fascinated by W's remark following 2.71 ('A picture can depict any reality whose form it has') namely "A picture, cannot however, depict its pictorial form: it displays it." (2.172) At this point I usually tell the story about the anthropologist who shows a polaroid photograph of a some local scene to members of the newly discovered tribe. They can't make head nor tail of it which surprises the anthropologist until he recalls W's remark at 2.172. The (...) problem the people are having is that they do not understand the conventions governing the organisation of colours on a photograph. They don't realise that the arrangement of coloured patches which they see on the two dimensional surface is ordered in such a way as to allow a three dimensional picture to be represented. (eg. distant objects occupy smaller areas on the two dimensional surface than objects which are Use the menu.. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Concept of Will in EarlyLatin Philosophy NEAL W. GILBERT AN HISTORICALDISCUSSIONOf the concept of will is best begun with an analysis of the use of voluntas in Latin philosophy, from its earliest occurrences in Lucretius and Cicero on down to Augustine and medieval times. This development can be traced without much controversy because the line of transmission and development is more or less unbroken. But the correlating of (...) Latin psychological terms with their Greek originals presents problems. Greek philosophy was indeed the source from which Latin philosophical psychology developed: Lucretius reflects Epicurean doctrine, while Cicero and Seneca were strongly influenced by Stoic philosophy when they discussed moral action. However, many modern scholars are convinced that the Greeks had no word that corresponds to our "will" at all, and so we seem to be left with no choice but to regard the will as an original creation of Latin philosophy. But this would be to overlook the fact that ancient Latin writers sometimes specifically equated voluntas with certain Greek terms, and such evidence ought not to go unexamined. Voluntas was well established in Latin usage before Roman writers began to concern themselves with philosophical problems, but it did not have a technical sense. It meant simply "good will," or "favor," or concretely, a "will, or testament. ''I Clustered around it were other derivatives of "volo," such as "benevolentia" and "malevolentia," "well-wishing" and "ill-wishing." When Roman writers began to deal with philosophical problems, there were a number of different contexts in which voluntas could play a leading role. Chief among them, naturally, was the "freedom of the will" which, then as now, intrigued the ordinary man or the moralist. However, discussions revolving around the determinist-libertarian issue often fail to clarify the concept of the will itself. Major philosophers (Chrysippus, Augustine, or Hume, for example) offer fine distinctions within moral action when considering the determinist-libertarian dispute, but lesser figures are apt to "C'est seulement lots de la creation du vocabulairephilosophiqueque voluntas a pris le sens abstrait et technique de 'volont6'." Ernout, A., and A. Meillet,Dictionnaire Etymologique de la langue latine, 4th ed. (Paris, 1959),sub "volo." [17] 18 HISTORY OF PHILOSOPHY neglect the detailed analysis of moral action in favor of sweeping metaphysical pronouncements. When a Latin writer wished to say that a person did something of his own accord, the locution most natural to him was "sua sponte," an ablative absolute derived from the same root as our word "spontaneous." The nominative case of "sponte" ("spons") was almost never used, so that dictionaries are perhaps somewhat misleading in suggesting that the word "spons" means "free will": it would be more correct to say that the phrase "sua sponte" means "of his own free will." Latin writers also indicate that someone did something willingly by saying that he did it "non invitus" ("not unwillingly "). Finally, they could apply the adjective "voluntarius" to such an action, or say that it was done "ex voluntate." When the latter term begins to be used as a designation for a separate faculty of the soul distinct from reason or intelligence, it begins to resemble the modern concept of will. Augustine is usually given credit for introducing the concept of will into philosophy, but even the earliest Latin treatment of the free-will problem framed the issue in terms of voluntas. Nevertheless, I think that the received view is substantially correct, although it would be more proper to say that what Augustine introduced into philosophy was not the concept of will in general but the concept of the evil will. What Augustine called the "good" will ("bona voluntas") was closely related to the "reasonable desire" of the Stoic sage, rendered into Latin by Cicero as voluntas, without any adjective. The addition of the evil will altered the outlines of moral analysis considerably, involving among other things the major shift from a Socratic or Platonic psychology and ethics (usually labeled "intellectualistic") to a Christian psychology and ethics (usually labeled "voluntaristic"). Such a characterization is likely to be drawn too sharply, and to overlook anticipations of voluntarism in Greek thought or reminiscences of Greek intellectualism in Christian thought. Hence it may be useful... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Concept of Will in EarlyLatin Philosophy NEAL W. GILBERT AN HISTORICALDISCUSSIONOf the concept of will is best begun with an analysis of the use of voluntas in Latin philosophy, from its earliest occurrences in Lucretius and Cicero on down to Augustine and medieval times. This development can be traced without much controversy because the line of transmission and development is more or less unbroken. But the correlating of (...) Latin psychological terms with their Greek originals presents problems. Greek philosophy was indeed the source from which Latin philosophical psychology developed: Lucretius reflects Epicurean doctrine, while Cicero and Seneca were strongly influenced by Stoic philosophy when they discussed moral action. However, many modern scholars are convinced that the Greeks had no word that corresponds to our "will" at all, and so we seem to be left with no choice but to regard the will as an original creation of Latin philosophy. But this would be to overlook the fact that ancient Latin writers sometimes specifically equated voluntas with certain Greek terms, and such evidence ought not to go unexamined. Voluntas was well established in Latin usage before Roman writers began to concern themselves with philosophical problems, but it did not have a technical sense. It meant simply "good will," or "favor," or concretely, a "will, or testament. ''I Clustered around it were other derivatives of "volo," such as "benevolentia" and "malevolentia," "well-wishing" and "ill-wishing." When Roman writers began to deal with philosophical problems, there were a number of different contexts in which voluntas could play a leading role. Chief among them, naturally, was the "freedom of the will" which, then as now, intrigued the ordinary man or the moralist. However, discussions revolving around the determinist-libertarian issue often fail to clarify the concept of the will itself. Major philosophers (Chrysippus, Augustine, or Hume, for example) offer fine distinctions within moral action when considering the determinist-libertarian dispute, but lesser figures are apt to "C'est seulement lots de la creation du vocabulairephilosophiqueque voluntas a pris le sens abstrait et technique de 'volont6'." Ernout, A., and A. Meillet,Dictionnaire Etymologique de la langue latine, 4th ed. (Paris, 1959),sub "volo." [17] 18 HISTORY OF PHILOSOPHY neglect the detailed analysis of moral action in favor of sweeping metaphysical pronouncements. When a Latin writer wished to say that a person did something of his own accord, the locution most natural to him was "sua sponte," an ablative absolute derived from the same root as our word "spontaneous." The nominative case of "sponte" ("spons") was almost never used, so that dictionaries are perhaps somewhat misleading in suggesting that the word "spons" means "free will": it would be more correct to say that the phrase "sua sponte" means "of his own free will." Latin writers also indicate that someone did something willingly by saying that he did it "non invitus" ("not unwillingly "). Finally, they could apply the adjective "voluntarius" to such an action, or say that it was done "ex voluntate." When the latter term begins to be used as a designation for a separate faculty of the soul distinct from reason or intelligence, it begins to resemble the modern concept of will. Augustine is usually given credit for introducing the concept of will into philosophy, but even the earliest Latin treatment of the free-will problem framed the issue in terms of voluntas. Nevertheless, I think that the received view is substantially correct, although it would be more proper to say that what Augustine introduced into philosophy was not the concept of will in general but the concept of the evil will. What Augustine called the "good" will ("bona voluntas") was closely related to the "reasonable desire" of the Stoic sage, rendered into Latin by Cicero as voluntas, without any adjective. The addition of the evil will altered the outlines of moral analysis considerably, involving among other things the major shift from a Socratic or Platonic psychology and ethics (usually labeled "intellectualistic") to a Christian psychology and ethics (usually labeled "voluntaristic"). Such a characterization is likely to be drawn too sharply, and to overlook anticipations of voluntarism in Greek thought or reminiscences of Greek intellectualism in Christian thought. Hence it may be useful... (shrink)

In a well-known paper, Bernard Williams argues that an immortal life would not be worth living, for it would necessarily become boring. I examine the implications for the boredom thesis of three human traits that have received insufficient attention in the literature on Williams’ paper. First, human memory decays, so humans would be entertained and driven by things that they experienced long before but had forgotten. Second, even if memory does not decay to the extent necessary to ward off (...) boredom, once-satisfied desires often return after a sufficient period of time. Eternity would always contain sufficient time for our desires to rejuvenate. Third, even if too many of our desires were satisfied but not yet rejuvenated, we can expect that human ingenuity would continue to invent new pursuits, pastimes, careers, and ways of life that would prevent us from becoming bored as we moved from one to another. Finally, I consider and respond to several objections, including the claims that as much variety as I propose to be put into an eternal life is inconsistent with having one character throughout one’s life and that the sort of character change and memory decay I postulate is inconsistent with personal identity. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Redeeming the Enlightenment: Christianity and the Liberal VirtuesJudith W. KayRedeeming the Enlightenment: Christianity and the Liberal Virtues Bruce K. Ward Grand Rapids, Mich.: Eerdmans, 2010. 230 pp. $26.00.Bruce Ward has written a remarkably rich intellectual history whose theological diagnosis yields refreshing interpretations of ethical norms. Each chapter treats one of liberalism’s cherished virtues (equality, authenticity, tolerance, and compassion) and argues for the Christian roots of each (...) in order to show how Christianity is “the fulfillment of what the Enlightenment, at its best, sought” (196).Ward uses the Christian humanism of Dostoevsky to redeem the equality espoused by Rousseau and Kant in light of Nietzsche’s attacks. Equality is grounded neither in a human capacity nor in obedience to a principle, but in the imago Dei. While hardly original, this foundation with attention to immanence can create an enlivened perception of others in their richness while being transformed by love from “the other world.” Ward redeems authenticity with agapic self-dispossession rather than self-assertion, which liberates it from individualism and opens it to the “call of God.” Liberal compassion finds its fulfillment in the love of particular, suffering humans, which requires discernment, respect, and effective action. Such compassion is rooted in and revelatory of divine love.Ward’s most compelling chapter, on tolerance, begins by noting how this ideal often inhibits moral judgment or promotes indifference. Ward is a student of neither Mill’s nor Nussbaum’s libertarian versions of tolerance. Instead, Ward draws upon René Girard to argue that tolerance must account for the perpetrator’s demonization of social outcasts that leads to the victim’s resentment. Victims must lead the way in exposing and then exiting this cycle. Dostoevsky recommends a practice of taking responsibility for all persecution (“all are guilty for all”) as an expression of active love. Such a practice forges points of human contact between groups in conflict, even if prejudices are slow to change. In response to intolerant religions, Christians should assume such universal responsibility rather than rely on the “restrained” violence of the liberal state. Although Ward derides multicultural versions of tolerance that “celebrate difference,” he observes that the universal human of Enlightenment ontology cannot exist except through the particularity of a lived story—precisely multiculturalism’s insight. [End Page 213]The deep lament motivating this book is that an inadequate Christian theology lost its power to explain the world. The resulting defense of humanism by Enlightenment philosophes was deeply shaped by Christian ideals, but they were unable to articulate a foundation for moral norms, which made Nietzschean nihilists appear sane. Both groups are ill equipped to respond to current religious terrorism. As Charles Taylor explores in The Secular Age, the third contenders are those who affirm a good beyond this world. Ward differs from Taylor by arguing that the problem is not a lack of transcendent grounding for norms but an inadequate conceptualization of immanence and transcendence. Ward uses the Trinitarian approach of Dostoevsky to reorder transcendence and immanence, which avoids translating “Christianity into liberalism” or injecting transcendence into secularism.Ward’s project succeeds if one accepts Nietzsche as the major critic of the Enlightenment. Readers who have accepted as legitimate other criticisms of the philosophes may be disappointed. His discussion of compassion lacks Catholic interlocutors such as Edward Vacek who argue that agape avoids the polarity between self-love and compassion; feminists who critique Enlightenment dichotomies between savage and civilized or reason and emotion; and Marxists who argue that capitalism denies human equality, thus making Ward’s “capitalist liberal humanism” sound naive. It is not clear how Ward would redeem the Enlightenment from such criticisms.Nevertheless, Ward’s rereading of the Enlightenment is majestic in its sweep, compelling in its close textual analysis, and brimming with fresh insights. The text assumes much familiarity with the philosophes; its pedagogical use is recommended for graduate students and scholars. [End Page 214]Judith W. KayUniversity of Puget SoundCopyright © 2012 Society of Christian Ethics... (shrink)

The ideal of trust pervades nursing. This article uses empirical material from acute psychiatry that reveals that it is distrust rather than trust that is prevalent in this field. Our data analyses show how distrust is expressed in the therapeutic environment and in the relationship between nurse and patient. We point out how trust can nonetheless be created in an environment that is characterized by distrust. Both trust and distrust are exposed as `fragile' phenomena that can easily `tip over' towards (...) their opposites. Trust is not something that nurses possess or are given; it is rather something that they earn and have to work hard to achieve. Regarding themselves as potential causes of distrust and active wielders of power can contribute to nurses developing a more realistic view of their practice. Assuming a realistic middle-way perspective can help to manoeuvre between the extremities of excellence and resignation, which in turn can lead to processes that create trust between psychotic patients and nurses. (shrink)