In the current paper, we re-examine how abstract argumentation can be formulated in terms of labellings, and how the resulting theory can be applied in the (...) class='Hi'>field of modal logic. In particular, we are able to express the extensions of an argumentation framework as models of a set of modal logic formulas that represents the argumentation framework. Using this approach, it becomes possible to define the grounded extension in terms of modal logic entailment. (shrink)
The paper begins with a defence of a new definition of privacy as the absence of undocumented personal knowledge. In the middle section, I criticise alternative accounts (...) of privacy. Finally, I show how my definition can be worked into contemporary American Law. (shrink)
The unique context of the rural setting provides special challenges to furnishing ethical healthcare to its approximately 62 million inhabitants. Although rural communities are widely diverse, most (...) have the following common features: limited economic resources, shared values, reduced health status, limited availability of and accessibility to healthcare services, overlapping professional–patient relationships and care giver stress. These rural features shape common healthcare ethical issues, including threats to confidentiality, boundary issues, professional–patient relationship and allocation of resources. To date, there exists a limited focus on rural healthcare ethics shown by the scarcity of rural healthcare ethics literature, rural ethics committees, rural focused ethics training and research on rural ethics issues. An interdisciplinary group of rural healthcare ethicists with backgrounds in medicine, nursing and philosophy was convened to explore the need for a rural healthcare ethics agenda. At the meeting, the Coalition for Rural Health Care Ethics agreed to a definition of rural healthcare ethics and a broad-ranging rural ethics agenda with the ultimate goal of enhancing the quality of patient care in rural America. The proposed agenda calls for increasing awareness and understanding of rural healthcare ethics through the development of evidence—informed, rural-attuned research, scholarship and education in collaboration with rural healthcare professionals, healthcare institutions and the diverse rural population. (shrink)
In this paper I argue that it is morally important for doctors to trust patients. Doctors' trust of patients lays the foundation for medical relationships which support (...) the exercise of patient autonomy, and which lead to an enriched understanding of patients' interests. Despite the moral and practical desirability of trust, distrust may occur for reasons relating to the nature of medicine, and the social and cultural context within which medical care is provided. Whilst it may not be possible to trust at will, the conscious adoption of a trusting stance is both possible and warranted as the burdens of misplaced trust fall more heavily upon patients than doctors. (shrink)
The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) has for decades been a locus of dispute between ardent defenders of its scientific (...) class='Hi'>validity and vociferous critics who charge that it covertly cloaks disputed moral and political judgments in scientific language. This essay explores Alasdair MacIntyre's tripartite typology of moral reasoning—"encyclopedia," "genealogy," and "tradition"—as an analytic lens for appreciation and critique of these debates. The DSM opens itself to corrosive neo-Nietzschean "genealogical" critique, such an analysis holds, only insofar as it is interpreted as a presumptively objective and context-independent encyclopedia free of the contingencies of its originating communities. A MacIntyrean tradition-constituted understanding of the DSM, on the other hand, helpfully allows psychiatric nosology to be understood both as "scientific" and, simultaneously, as inextricable from the political and moral interests—and therefore the moral successes and moral failures—of the psychiatric guild from which it arises. (shrink)
Until about thirty years ago, the extent of disclosure about and consent-seeking for medical interventions was influenced by a beneficence model of professional behaviour. Informed consent (...) class='Hi'>shifted attention to a duty to respect the autonomy of patients. The new requirement arrived on the American scene in two separate contexts: for daily practice in 1957, and for clinical study in 1966. A confusing double standard has been established. 'Daily consent' is reviewed, if at all, only in retrospect. Doctors are merely exhorted to obtain informed consent; they often minimise uncertainties about 'best' treatment and they feel duty-bound to provide patients with an unequivocal recommendation for action. 'Study consent' in a clinical trial is reviewed prospectively, and doctors are compelled by regulation to point out that there is insufficient evidence to make a rational choice between two compared treatments. It has been impossible to devise informed consent practices that satisfy, in full, the competing moral imperatives of respect for autonomy, concern for beneficence with emphasis on the value of health, and a vigil for justice. A way must be found to experiment with various discretionary approaches that would strike a realistic balance among competing interests. (shrink)
Summary The model underlying the hippocratic humoral theory, as well as the corresponding part of hippocratic aetiology is reconstructed in precise, structuralist terms. Stress is laid on (...) the presentation of the model, historical and philological derivations are suppressed. The global net structure of humoral theory in which the different diseases are described as specializations of the basic model is worked out, and the particular metatheoretical features of âtherapeuticalâ theories, as contrasted to âdescriptiveâ theories, are exemplified and stated in general. (shrink)
This article examines the implicit promises of fairness in evidence based medicine , namely to avoid discrimination through objective processes, and to distribute effective treatments fairly. The relationship (...) class='Hi'> between EBM and vulnerable groups is examined. Several aspects of EBM are explored: the way evidence is created , and the way evidence is applied in clinical care and health policy. This analysis suggests that EBM turns our attention away from social and cultural factors that influence health and focuses on a narrow biomedical and individualistic model of health. Those with the greatest burden of ill health are left disenfranchised, as there is little research that is relevant to them, there is poor access to treatments, and attention is diverted away from activities that might have a much greater impact on their health. (shrink)
This is a marvelous book. Although billed as a Dogmatics, it is really a rambling and magnanimous presentation of the Christian faith-theology as well as practice. (...) class='Hi'>It is guided by the attempt to be systematic and comprehensive. It is filled with wonderful human insights into the nature of the Christian posture in a wayward world. It is part philosophical theology, part a theology of culture, and part practical theology. But it is more than all of its parts. What we have is Hartt's mature ruminations on a vast number of subjects germane to Christian thinking. Hartt is a Barthian with humor, a neo-Reformation theologian with pizazz, a Methodist who has drunk deeply of American culture. Hartt divides his book into three parts: The Vocation of the Church as a Critic of Culture; The Dogmatic Content of Practical Theology; and Applications. The first part is an attempt to work the church into the role of a cultural interrogator, conscious on the one hand of its historic roots in that theological tradition known as the Christian faith, and on the other of its iconoclastic role, relativizing all absolutistic pretensions that civilization may attain, and in general, lose itself in the world, but not to the world. It is in this section that Hartt gives credence to the title of his book, A Christian Critique of American Culture. Part II emphasizes the "preachability" of the Gospel. Part III demonstrates what Hartt means by the applicability of the Gospel, its critique of art, politics, and mass culture. A chapter on "The Holy Spirit and 'Revolution'" concludes the work. There are no footnotes, no bibliography and no index. But none is needed. In the end what the reader has is Hartt and not a conglomeration and distillation of the thoughts of the theological luminaries of our day. Hartt's writing is the best among living theologians--and that fact alone ought to make anyone who is interested in great theologizing buy this book.--W. A. J. (shrink)
The author believes that it is impossible to resolve the crucial theological issues of our time without an appreciation of the historical roots of the development of (...) theology itself. Congar does not attempt in this volume a systematic analysis of the content of theology, as it is expressed in history. He limits himself to the meaning of the discipline of theology as it expresses itself in six periods in the life of the church, The Patristic Age and St. Augustine, From the Sixth Century to the Twelfth Century, The Renaissance of the Twelfth Century, The Golden Age of Scholasticism, The Reformation and the Counter-Reformation, From the Seventeenth Century to the Present. The work begins with a definition of the word 'theology' from its early pre-Christian usage to its adoption by the Greek and Latin Christians. 'Theology', according to Congar, in its Christian and catholic sense, means a reasoned account about God; it is a "body of knowledge which rationally interprets, elaborates, and ordains the truths of revelation." Unlike the pagan philosophers who thought of theology in a speculative sense, the Christians who had received a revelation, conceived of God in concrete terms, as Father, Son, and Holy Ghost. But the discipline of theology took many forms and shapes over the years of Christian history. The twelfth century seems to be a critical century, at least for the author, because it is in St. Thomas Aquinas' Summa that theology becomes "a defined discipline exposing a rational explanation of revelation." Theology in the sixteenth century is characterized by the growth of intellectual problems and new intellectual needs, the collapse of the synthesis and unity of the Middle Ages, the birth of new forms of intellectual activity and research. Luther's theological position is then characterized as "an enraged Augustinianism shorn of its Catholic ties." Luther interprets Christian theology as salvation, i.e., man's conversion to God through Christ. Luther is anti-ecclesiastical and anti-institutional, anti-scholastic, and anti-rational. But what permits Congar such a simplistic reductionism is that he begins the theological task at the wrong place. I do not think it is an adequate notion of the theological enterprise to ask the theologian what he considers to be the task of theology. Rather I think the theologian looks at the whole of the Christian faith and attempts some rapprochement between it and modern categories of thought. The theological enterprise is the dogmatic enterprise, but it is dogmatic as theology responds to the thought-forms of the modern world. Congar is too restrictive in his understanding of what theology ought to be doing--and what it actually does. This error becomes clear when we observe again and again a parodying of various theological positions.--W. A. J. (shrink)
