Clinical ethics training programs are responsible for preparing their trainees to be competent ethics consultants worthy of the trust of patients, families, surrogates, and healthcare professionals. While the American Society for Bioethics and Humanities (ASBH) offers a certification examination for healthcare ethics consultants, no tools exist for the formal evaluation of ethics trainees to assess their progress toward competency. Medical specialties accredited by the Accreditation Council for Graduate Medical Education (ACGME) use milestones to report trainees’ progress along a continuum of (...) professional development as a means of “operationalizing and implementing” medical competencies. Utilizing the Core Competencies for Healthcare Ethics Consultation and the ACGME and American Board of Pediatrics’ (ABP) Pediatric Milestones Project, we developed milestones for 17 subcompetencies in clinical ethics consultation and academic bioethics. As the field of clinical ethics becomes more standardized, such tools will be needed to promote the development of robust training programs and to certify that their graduates are competent practitioners. (shrink)

© 2014 Taylor Francis. The Centers for Disease Control and Prevention recommends routine human immunodeficiency virus testing of every client presenting for services in venues where HIV prevalence is high. Because older adults have particularly poor prognosis if they receive their diagnosis late in the course of HIV disease, any screening provided to younger adults in these venues should also be provided to older adults. We examined aging-related disparities in recent and ever HIV testing in a probability sample of at-risk (...) adults seeking services in needle exchange sites, sexually transmitted disease clinics, and Latino community clinics that provide HIV testing. Using multiple logistic regression with generalized estimating equations, we estimated associations between age category and each HIV testing outcome. Even after controlling for covariates such as recent injection drug use, older adults had 40% lower odds than younger adults did of having tested in the past 12 months or ever. Aging-related disparities in HIV testing exist among clients of these high HIV prevalence venues and may contribute to known aging-related disparities in late diagnosis of HIV infection and poor long-term prognosis. (shrink)

: Dr. Smith is an internist in private practice who works at an inner city clinic affiliated with a university hospital. He is also a member of the university faculty. Many of Dr. Smith’s patients have type 2 diabetes mellitus and struggle with health care and other costs. Thinking about opportunities to better serve his patients and advance his career, Dr. Smith considers conducting clinical research in his office. ACME is a respected pharmaceutical company that for decades has engaged in (...) research, development, and production of widely used drugs. Several of ACME’s oral agents for type 2 diabetes will soon go off patent. In an effort to retain its market share in this class of drugs, ACME wants to complete clinical trials expeditiously and obtain approval for its new oral hypoglycemic medicine. The company approaches Dr. Smith to be a coinvestigator in its multicenter clinical trial. (shrink)

Focusing on the plurality of irreconcilable conceptions of social and political justice, this book presents an array of new perspectives on the topic of distributive justice. Bringing together 30 original essays of well-established and young international scholars, the volume is essential reading for anyone interested in social and political justice.

In this paper, we present an ethical and strategic approach to managing organizational crises. The proposed crisis management model (1) offers a new approach to guide an organization’s strategic and ethical response to crisis, and (2) provides a two-by-two framework for classifying organizational crises. The ethically rational approach to crisis draws upon strategic rationality, crisis, and ethics literature to understand and address organizational crises. Recent examples of corporate crises are employed to illustrate the theoretical claims advanced. Finally, the paper provides (...) guidelines for a morally optimal outcome for the organization and its stakeholders. (shrink)

Bridging the gap between the world of science and the realm of the spiritual, B. Alan Wallace introduces a natural theory of human consciousness that has its roots in contemporary physics and Buddhism. Wallace's "special theory of ontological relativity" suggests that mental phenomena are _conditioned_ by the brain, but do not _emerge_ from it. Rather, the entire natural world of mind and matter, subjects and objects, arises from a unitary dimension of reality that is more fundamental than these (...) dualities, as proposed by Wolfgang Pauli and Carl Jung. To test his hypothesis, Wallace employs the Buddhist meditative practice of _samatha_, refining one's attention and metacognition, to create a kind of telescope to examine the space of the mind. Drawing on the work of the physicist John Wheeler, he then proposes a more general theory in which the participatory nature of reality is envisioned as a self-excited circuit. In comparing these ideas to the Buddhist theory known as the Middle Way philosophy, Wallace explores further aspects of his "general theory of ontological relativity," which can be investigated by means of _vipasyana_, or insight, meditation. Wallace then focuses on the theme of symmetry in reference to quantum cosmology and the "problem of frozen time," relating these issues to the theory and practices of the Great Perfection school of Tibetan Buddhism. He concludes with a discussion of the general theme of complementarity as it relates to science and religion. The theories of relativity and quantum mechanics were major achievements in the physical sciences, and the theory of evolution has had an equally deep impact on the life sciences. However, rigorous scientific methods do not yet exist to observe mental phenomena, and naturalism has its limits for shedding light on the workings of the mind. A pioneer of modern consciousness research, Wallace offers a practical and revolutionary method for exploring the mind that combines the keenest insights of contemporary physicists and philosophers with the time-honored meditative traditions of Buddhism. (shrink)

During the past two decades Metaphysics of Natural Complexes has exerted a strong a growing influence on the continuing development of contemporary philosophy. This new and expanded edition acknowledges this influence and brings together much material. Included are the previously published articles “On the Concept of ‘the World,’” and “Probing the Idea of Nature,” which Buchler wrote subsequent to Metaphysics of Natural Complexes as extensions and completions of the system. Previously unpublished work on the key concept of contour has also (...) been added. In addition there are excerpts from Buchler’s replies to his critics, a set of editors’ notes to facilitate cross-referencing, and an updated index. This work presents a bold and forceful metaphysics and general ontology. It provides a systematic framework for understanding the broadest features of the world and nature, and for locating our understanding of human nature, selfhood, and society as complexes in and of nature. Buchler’s detailed analysis of identity, ordinality, nature, world, and validation advance our understanding of the basic categories to be used in defining and exploring whatever is. Unlike other contemporary philosophers that confine themselves to narrowly defined problems in hermeneutics or theory of knowledge, Buchler is unrelenting in his drive toward a more encompassing perspective, simultaneously combining interpretive precision with sheer breadth of vision. (shrink)

The preparation of layers of amorphous Se by plasma-enhanced CVD using the hydride H2Se as precursor gas is described. Information concerning the structure of the films was obtained from Raman spectroscopy. The spectra of amorphous Se indicated that the dominant molecular structure is the eight-membered ring and/or a chain with Se8 molecular fragments. This material exhibited reversible photodarkening when illuminated at 77 K. In order to explain this phenomenon, we propose a mechanism which takes into account the role of the (...) lone-pair electron orbitals of Se in their contribution to structural ordering. Illumination can cause a distortion in the normal bonding direction between nearest-neighbour Se atoms and induce in this way intrinsic defect states located at the band edges. In the photo-darkened state, optical transition will occur between these defect states. (shrink)

In 1962, the philosopher Richard Taylor used six commonly accepted presuppositions to imply that human beings have no control over the future. David Foster Wallace not only took issue with Taylor's method, which, according to him, scrambled the relations of logic, language, and the physical world, but also noted a semantic trick at the heart of Taylor's argument. _Fate, Time, and Language_ presents Wallace's brilliant critique of Taylor's work. Written long before the publication of his fiction and essays, (...) Wallace's thesis reveals his great skepticism of abstract thinking made to function as a negation of something more genuine and real. He was especially suspicious of certain paradigms of thought-the cerebral aestheticism of modernism, the clever gimmickry of postmodernism-that abandoned "the very old traditional human verities that have to do with spirituality and emotion and community." As Wallace rises to meet the challenge to free will presented by Taylor, we witness the developing perspective of this major novelist, along with his struggle to establish solid logical ground for his convictions. This volume, edited by Steven M. Cahn and Maureen Eckert, reproduces Taylor's original article and other works on fatalism cited by Wallace. James Ryerson's introduction connects Wallace's early philosophical work to the themes and explorations of his later fiction, and Jay Garfield supplies a critical biographical epilogue. (shrink)

Paper edition (0492-7), $24.95. (RC) An anthology of both original and reprinted essays on the work of philosopher Justus Buchler (b. 1914), intended not as a festschrift but as a study in ordinal metaphysics for philosophers and scholars.

Bridging the gap between the world of science and the realm of the spiritual, B. Alan Wallace introduces a natural theory of human consciousness that has its roots in contemporary physics and Buddhism. Wallace's "special theory of ontological relativity" suggests that mental phenomena are _conditioned_ by the brain, but do not _emerge_ from it. Rather, the entire natural world of mind and matter, subjects and objects, arises from a unitary dimension of reality that is more fundamental than these (...) dualities, as proposed by Wolfgang Pauli and Carl Jung. To test his hypothesis, Wallace employs the Buddhist meditative practice of _samatha_, refining one's attention and metacognition, to create a kind of telescope to examine the space of the mind. Drawing on the work of the physicist John Wheeler, he then proposes a more general theory in which the participatory nature of reality is envisioned as a self-excited circuit. In comparing these ideas to the Buddhist theory known as the Middle Way philosophy, Wallace explores further aspects of his "general theory of ontological relativity," which can be investigated by means of _vipasyana_, or insight, meditation. Wallace then focuses on the theme of symmetry in reference to quantum cosmology and the "problem of frozen time," relating these issues to the theory and practices of the Great Perfection school of Tibetan Buddhism. He concludes with a discussion of the general theme of complementarity as it relates to science and religion. The theories of relativity and quantum mechanics were major achievements in the physical sciences, and the theory of evolution has had an equally deep impact on the life sciences. However, rigorous scientific methods do not yet exist to observe mental phenomena, and naturalism has its limits for shedding light on the workings of the mind. A pioneer of modern consciousness research, Wallace offers a practical and revolutionary method for exploring the mind that combines the keenest insights of contemporary physicists and philosophers with the time-honored meditative traditions of Buddhism. (shrink)

The Victorian period in Britain was an “age of reform.” It is therefore not surprising that two of the era’s most eminent intellects described themselves as reformers. Both William Whewell and John Stuart Mill believed that by reforming philosophy—including the philosophy of science—they could effect social and political change. But their divergent visions of this societal transformation led to a sustained and spirited controversy that covered morality, politics, science, and economics. Situating their debate within the larger context of Victorian society (...) and its concerns, _Reforming Philosophy_ shows how two very different men captured the intellectual spirit of the day and engaged the attention of other scientists and philosophers, including the young Charles Darwin. Mill—philosopher, political economist, and Parliamentarian—remains a canonical author of Anglo-American philosophy, while Whewell—Anglican cleric, scientist, and educator—is now often overlooked, though in his day he was renowned as an authority on science. Placing their teachings in their proper intellectual, cultural, and argumentative spheres, Laura Snyder revises the standard views of these two important Victorian figures, showing that both men’s concerns remain relevant today. A philosophically and historically sensitive account of the engagement of the major protagonists of Victorian British philosophy, _Reforming Philosophy_ is the first book-length examination of the dispute between Mill and Whewell in its entirety. A rich and nuanced understanding of the intellectual spirit of Victorian Britain, it will be welcomed by philosophers and historians of science, scholars of Victorian studies, and students of the history of philosophy and political economy. (shrink)

The present reissue of Wallace's translation of Hegel's Philosophy of Mind includes the Zusatze or lecture-notes which, in the collected works, accompany the first section entitled Subjective Mind and which Wallace omitted from his translation. Professor J. N. Findlay has written a Foreword and this replaces Wallace's introductory essays.

Has Alexander Pope's prediction, made a quarter of a millennium ago , come true in our own day? No one who has lived through the last thirty years is unaware of the spectacular alterations of behavior norms that have occurred in most Western societies. It is not merely that everywhere incivility and crime are on the increase, that there are more and more violations of moral standards which nevertheless continue to be acknowledged. Rather, we witness the relaxation or disappearance of (...) the standards themselves. What was bad becomes permissible or even a positive good. (shrink)

This book is the complete story of the creation of the universe, as it was understood by the ancient Egyptians. It is a collection of harmonic and radical 'Black Thoughts' and the pursuit of equality for all of this planet's inhabitants"--P. vii.

A critique of Plantinga's free will defense. For an updated version of this critique, with a reply to objections from William Rowe and Alvin Plantinga, see my "The logical problem of evil: Plantinga and Mackie," in Justin P. McBrayer & Daniel Howard‐Snyder (eds.), The Blackwell Companion to the Problem of Evil, Wiley-Blackwell, 2013, pp. 19-33.

Reason and Value collects 15 new papers by leading contemporary philosophers on themes from the work of Joseph Raz. Raz has made major contributions in a wide range of areas, including jurisprudence, political philosophy, and the theory of practical reason; but all of his work displays a deep engagement with central themes in moral philosophy. The subtlety and power of Raz's reflections on ethical topics make his writings a fertile source for anyone working in this area. Especially significant are his (...) explorations of the connections between practical reason and the theory of value, which constitute a sustained and penetrating treatment of a set of issues at the very center of moral philosophy as it is practiced today. The contributors to the volume acknowledge the importance of Raz's contributions by engaging critically with his positions and offering independent perspectives on the topics that he has addressed. The volume aims both to honour Raz's accomplishments in the area of ethical theorizing, and to contribute to an enhanced appreciation of the significance of his work for the subject. (shrink)

This work takes a stand on whether Wallace should be regarded as co-author of the theory of natural selection alongside Darwin as he is usually considered on behalf of his alleged essential contribution to the conception of the theory. It does so from a perspective unexplored thus far: we will argue for Darwin’s priority based on a rational reconstruction of the theory of natural selection as it appears in the writings of both authors. We show that the theory does (...) not appear in exactly the same manner in the writings of each of its alleged co-discoverers: tough we find the same fundamental elements in both works, even in Darwin’s early texts, we discern a more complex unifying and ramified structure than the one we find in Wallace’s Ternate manuscript. Even when we think the badge of the “Darwin–Wallace” theory is well deserved, the unifying force of Darwin’s version has proved to be one of the keys for the ulterior success of the so-called Darwinian revolution in Biology. (shrink)

An exposition of Spinoza's views of the cause and cure of death. He holds death to be disruption of mind/body which need not involve becoming a corpse; amnesia counts. It follows that his criterion of personal identity includes memory, so Spinozistic immortality is impersonal. The cause of death is always something external, for nothing can destroy itself. (This principle, however, is not universally true; Spinoza was led to it by mistaken physics.) Suicide is irrational. Fear of death is to be (...) overcome by realization that since adequate ideas are eternal, to the extent that they consitute our minds we are eternal also. (But if so, isn't suicide rational after all? And since language depends on memory, the eternal understanding of adequate ideas is non-linguistic and non-symbolic; what then can it be?). (shrink)

Bede's Ecclesiastical History of the English People is recognized as a masterpiece among the historical literature of medieval England and Europe. Completed in 731, it comprises in a single flowing narrative a coherent history of the conversion of the English peoples to Christianity, and the story of the island kingdoms and churches from the 590s to the early eighth century, prefaced by a sketch of the earlier history of Britain. In 1969 the Clarendon Press published the new edition in Oxford (...) Medieval Texts, edited by Bertram Colgrave and Sir Roger Mynors. Mynors's masterly text and textual introduction replaced much of Charles Plummer's great edition of 1896; but the historical notes did not attempt to match in scale and detail Plummer's second volume of commentary. To fill this gap the late Professor J. M. Wallace-Hadrill devoted the last years of his life to a new commentary, one of the finest and most mature fruits of his scholarship - more succinct than Plummer, tauter, more relevant, above all drawing together and adding to the findings of a galaxy of modern scholars. Prepared for the press by Thomas Charles-Edwards, helped by Patrick Wormald and others, this book completes the new Bede, and is prefaced by a paper characteristic of Professor Wallace-Hadrill on `Bede and Plummer'. (shrink)

It is widely recognized that ‘global’ symmetries, such as the boost invariance of classical mechanics and special relativity, can give rise to direct empirical counterparts such as the Galileo-ship phenomenon. However, conventional wisdom holds that ‘local’ symmetries, such as the diffeomorphism invariance of general relativity and the gauge invariance of classical electromagnetism, have no such direct empirical counterparts. We argue against this conventional wisdom. We develop a framework for analysing the relationship between Galileo-ship empirical phenomena on the one hand, and (...) physical theories that model such phenomena on the other, that renders the relationship between theoretical and empirical symmetries transparent, and from which it follows that both global and local symmetries can give rise to Galileo-ship phenomena. In particular, we use this framework to exhibit an analogue of Galileo’s ship for the local gauge invariance of electromagnetism. 1 Introduction2 Analogues of Galileo’s Ship? Faraday’s Cage and t’Hooft’s Beam-Splitter2.1 Faraday’s cage2.2 t’Hooft’s beam-splitter3 A Framework for Symmetries I: Systems and Subsystems4 An Example: Coulombic Electrostatics5 A Framework for Symmetries II: The Relationship between Theoretical and Empirical Symmetries6 Newtonian Gravity7 Local Symmetries that Are Not Boundary-Preserving: Classical Electromagnetism and Faraday’s Cage8 Local Boundary-Preserving Symmetries: Klein-Gordon-Maxwell Gauge Theory and t’Hooft’s Beam-Splitter9 Summary10 Conclusions. (shrink)

Infallibilism is the view that a belief cannot be at once warranted and false. In this essay we assess three nonpartisan arguments for infallibilism, arguments that do not depend on a prior commitment to some substantive theory of warrant. Three premises, one from each argument, are most significant: if a belief can be at once warranted and false, then the Gettier Problem cannot be solved; if a belief can be at once warranted and false, then its warrant can be transferred (...) to an accidentally true belief; if a belief can be at once warranted and false, then it can be warranted and accidentally true. We argue that each of these is either false or no more plausible than its denial. Along the way, we offer a solution to the Gettier Problem that is compatible with fallibilism. (shrink)

Spinoza has told us that knowledge of the union that the mind has with the whole of nature is the true and highest good. That union consists in the body’s being the object of the idea constituting the mind; or as stated slightly differently, the mind’s being the idea itself or the knowledge of the human body. If to interpret this cryptic pronouncement we appeal to the definition of idea as “a conception of the mind which the mind forms because (...) it is a thinking thing,” then mind turns out to be a conception which the mind forms of the body. This looks deplorably circular. Let us go at it more obliquely. (shrink)

Spinoza has told us that knowledge of the union that the mind has with the whole of nature is the true and highest good. That union consists in the body’s being the object of the idea constituting the mind; or as stated slightly differently, the mind’s being the idea itself or the knowledge of the human body. If to interpret this cryptic pronouncement we appeal to the definition of idea as “a conception of the mind which the mind forms because (...) it is a thinking thing,” then mind turns out to be a conception which the mind forms of the body. This looks deplorably circular. Let us go at it more obliquely. (shrink)