William James indicated a “middle path” according to which religious experience yields something like knowledge for the mystic, but not a kind that others, who do not share his experience, are compelled to accept. Such a middle way is initially appealing, but how is it to be developed? Here I suggest three leading ideas—the epistemic analogue of “agent-relative permissions,” the complementary relationship between the Jamesian virtues of bold exploration and sober caution, and the kind of special access (...) the lover may claim with respect to knowledge of his beloved—with an eye to such development. Each is found helpful, but in ascending order of importance. (shrink)

William James indicated a “middle path” according to which religious experience yields something like knowledge for the mystic, but not a kind that others, who do not share his experience, are compelled to accept. Such a middle way is initially appealing, but how is it to be developed? Here I suggest three leading ideas—the epistemic analogue of “agent-relative permissions,” the complementary relationship between the Jamesian virtues of bold exploration and sober caution, and the kind of special access (...) the lover may claim with respect to knowledge of his beloved—with an eye to such development. Each is found helpful, but in ascending order of importance. (shrink)

I've previously suggested that the historical evidence used to challenge scientific realism should lead us to embrace what I call Uniformitarianism, but many recently influential forms of scientific realism seem happy to share this commitment. I trace a number of further points of common ground that collectively constitute an appealing Middle Path between classical forms of realism and instrumentalism, and I suggest that many contemporary realists and instrumentalists have already become fellow travelers on this Middle Path (...) without recognizing how far they have thereby diverged from those who share their labels and slogans. I conclude by describing their central remaining disagreement and the sorts of evidence needed to resolve it. (shrink)

Millikan [2000] has levelled a number of persuasive criticisms against Cummins's [1996] theory of mental representation. In this paper, I pave a middle path in the debate between Cummins [2000] and Millikan [2000] to answer two questions. How are representations applied to targets? How is the content of a representation determined? The result is a new theory of mental representation, which I call narrow structuralism.

I highlight the philosophical standpoints of two traditions, one from the East and the other from the West, that seem to avoid any form of reductionism resulting from the search for ultimate objectivity in human knowledge and understanding. I compare the pragmatic teachings of the Buddha and William James in order to show how both accommodate the human perspective as an inalienable part of the philosophical enterprise, and, further, how these perspectives contribute to their humanistic approaches and to the valuing (...) of the environment in a way that is essential for human survival. (shrink)

I highlight the philosophical standpoints of two traditions, one from the East and the other from the West, that seem to avoid any form of reductionism resulting from the search for ultimate objectivity in human knowledge and understanding. I compare the pragmatic teachings of the Buddha and William James in order to show how both accommodate the human perspective as an inalienable part of the philosophical enterprise, and, further, how these perspectives contribute to their humanistic approaches and to the valuing (...) of the environment in a way that is essential for human survival. (shrink)

Edward Conze once observed of the thirty-eight books constituting the Praj p ramit S tras that their central message could be summed up in two sentences: (1) One should become a Bodhisattva (or Buddha-to-be), i.e. one who is content with nothing less than all-knowledge attained through the perfection of wisdom for the sake of all beings. (2) There is no such thing as a Bodhisattva or as all-knowledge or as a being or as the perfection of wisdom or as an (...) attainment. [1] It seems to me that Conze was profoundly correct, as far as he went, and that what he said of the Praj p ramit literary corpus might apply to other Mah y na S tras , as well. One test of this broad application of Conze's observation to the whole of the Mah y na scriptural tradition lies in a close reading of one of the Mah y na S tras from that tradition, the Saddharmapundarika S tra, “the scripture of the lotus blossom of the wonderful law”, or the Lotus S utra . The Lotus S tra not only makes Conze's point, as I shall try to show, but it goes further in offering a new middle path between the two summary sentences above. In doing this it brings forth a practical ethical-religious way for Buddhists and others to follow who will be caught in the sufferings and terrors of the 21st century. We shall refer to this way as “the way of the Lotus” or “the Lotus way”. In what follows I want to attempt three things. First, using Edward Conze's summary sentences above, I identify and explicate three ways to liberation in the Lotus Sutra , viz. the way of ethics and attachment, i.e. “the Bodhisattva way” ("One should become a Bodhisattva...”); next, the way of emptiness and unattachment, i.e. “the Buddha way” ("There is no such thing as a Bodhisattva...”); and, finally, the Lotus way wherein the Bodhisattva way and the Buddha way combine to form a single and powerful new way of liberation. This third way is indirectly referred to in the remark which Edward Conze makes in his summary of the Praj p ramit immediately following his previous two sentences: “To accept both of these contradictory facts is to be perfect”. [2] To accept the Bodhisattva way together with the Buddha way yields the Lotus way. Second, I demonstrate the significance of the Lotus way as a practical way of solving moral problems for Buddhists and others in the 21st century. Third, and finally, I raise and attempt to answer and solve several questions and puzzles about the Lotus way as a way to peace and liberation for Buddhists and others in the 21st century. (shrink)

This study aimed to understand the expressions of fear in the journeys of health professionals who worked in the confrontation of coronavirus disease 2019 (COVID‐19), in the city of Manaus, in the Brazilian Western Amazon. This is an exploratory qualitative study that adopts interpretive description as a method to generate informed knowledge responsive to the needs of the practice. We included 56 participants, comprising 23 health managers and 33 health workers (middle and higher level) of different professional categories. The (...) results revealed three circles of experience: (1) knowledge and professional experience in dealing with the disease (unknown–known–experienced); (2) the growing proximity to death and loss (predicted–witnessed–suffered); and (3) the involvement and proximity to whatever affects the individual, their emotions, and personal transformations in the face of the threat (the collective, the neighbor, and oneself). Our results suggest that health professionals who worked during the COVID‐19 pandemic in Manaus experienced insecurity, dread, and fear, illustrating the complexity of developing their activities in the front line of care and management during the different phases of the pandemic. A contribution of the study is precisely that of capturing this complexity, which suggests the impossibility of analyzing fear only in its simple manifestation, or in each circle of experience. (shrink)

Charting a "middle way" between the extremes represented by Alvin Plantinga and Richard Swinburne, Garth Hallett explores the thesis that if belief in other minds is rational and true (as it surely is), so too is belief in God. He makes a strong case that when this parity claim is appropriately restricted to a single, sound other-minds belief, belief in God and belief in other minds do prove epistemically comparable. This result, and the distinctive path that leads to (...) it, will interest students and scholars in philosophy of religion and theology. (shrink)

Indonesia has the biggest Muslim population globally, and one of the Islamic beliefs among people of this nation is tarekat, which is sometimes considered as a heretic. Therefore, this article aims to analyse the meaning of diction tarekat according to the Qur’an and its implications for the Buginese community, one of the oldest ethnicities in Indonesia. This is a conceptual and empirical research with the purposive sampling method used to determine the informants from several tarekat leaders and congregations. Data were (...) collected through documentation, observation and interviews and analysed using Miles and Huberman’s qualitative analysis technique. This process consists of data reduction, display and drawing conclusions. The study results showed that, firstly, the word tarekat in the Qur’an indicates the meaning of inner journey and the methods and ways of thinking, acting and behaving. Secondly, to the Buginese community, it implies a spiritual path to a higher level of appreciation towards their God. Thirdly, the meaning of the diction tarekat in the Qur’an has implications for its understanding, which can be seen in the practice of dhikr, spiritual behaviour and the way of life of those implementing these heretics. Contribution: This article enriched the religious belief among Muslims, which scholars rarely uncover. Adherents of Islam in Indonesia have a social and political responsibility regarding religious tolerance within and outside other religions. This proves that Muslims contribute to world peace in Middle-East and South-Eastern Asia. (shrink)

In America, White and affluent middle-school students outperform minority students and those of low socioeconomic status on measures of academic performance. This achievement gap is partly attributable to differences in academic engagement. A promising strategy for engaging students is to elicit an academic possible identity: an image of oneself in the future as an accomplished student. Tests of this strategy’s efficacy show mixed results, however. According to Identity-Based Motivation Theory, this is because a salient possible identity enhances goal engagement (...) when it is perceived to be strongly connected to one’s current identity. Still, the connection between temporally remote identities is an abstract concept that students may have difficulty grasping. According to Conceptual Metaphor Theory, this connection may be easier to conceptualize metaphorically in terms of a dissimilar concrete experience – in particular, a physical journey between locations. Integrating these theories, prior studies show that priming a journey-metaphoric framing of an academic possible identity increased academic engagement among college students. The current study tested whether this prime would similarly motivate middle-school students in an economically disadvantaged school setting. Results show that students framing their academic possible identity as a destination on a physical path, versus without a provided metaphor, reported higher academic engagement. This finding extends metaphor priming effects to low-income and minority adolescents, a crucial population in educational research, and points to low-cost, theoretically grounded interventions for boosting academic engagement. (shrink)

Charting a "middle way" between the extremes represented by Alvin Plantinga and Richard Swinburne, Garth Hallett explores the thesis that if belief in other minds is rational and true, so too is belief in God. He makes a strong case that when this parity claim is appropriately restricted to a single, sound other-minds belief, belief in God and belief in other minds do prove epistemically comparable. This result, and the distinctive path that leads to it, will interest students (...) and scholars in philosophy of religion and theology. (shrink)

This essay presents an in-depth interpretation of the controversial dialogue in Analects 13.18 through careful and critical investigation of its historical background and philosophical significations. With a clarification of the multifaceted connotations of the word zhi (?, upright, forthright), my study brings out the play of irony in Confucius's words in Analects 13.18. According to my interpretation, not only is Confucius's reaction not inappropriate but it also demonstrates the art of early Confucian moral discretion that was informed by the teaching (...) of quan (? moral discretion). Accordingly, Confucius's judgment of the case embodied a high and bright middle way of moral choice originating in the openness and sincerity of heart. It epitomized a singular moment of deliberation and decision that was responsible for a sinuous opening of piety and individuality within the interplay of conflicting conditions and requisitions. (shrink)

The first of a series of 4 volumes on Middle Way Philosophy. Middle Way Philosophy was originally inspired by the Middle Way of the Buddha but is developed in an entirely Western context. It addresses the questions of objectivity, justification, facts and values, and the relationship of philosophy and psychology. It develops the concept of experiential adequacy to provide a non-metaphysical resolution of the dichotomy between absolutism and relativism in both facts and values.

This chapter provides a historical account of the transformation of pregnancy through philosophical theory and legal practice. What has remained seemingly consistent across history, though, is the lack of rights a pregnant woman can enjoy. Whilst it may manifest differently across time and place, unfortunately misogynistic attitudes persist, and this is reflected in the continual degrading of the gestator (and gestation), which is reinforced by certain philosophical theorising and technological advancement. We thus urge caution in making philosophical claims about the (...) epistemic transformation in pregnancy, given the epistemic (and other) injustices already faced by pregnant people. We recognise that there are transformations that occur because of pregnancy, but we argue that there ought not be with respect to the pregnant person's autonomy, agency, and control over their bodies. Through an analysis of legal cases, we can see that the practice falls out of line with the theory regarding how pregnant people are treated. But perhaps it is both the theory and the practice that need to change so as to bring them in line. How we theorise about pregnancy is intertwined with our cultural views, our technological advancements, and our medical and legal practices, requiring multi-disciplinary study for a more holistic overview. In this chapter, we contribute to this endeavour by bringing some such strands together, regarding the transformation that pregnancy is, that pregnancy makes, and that pregnancy has had historically, in philosophy, and in legal practice. (shrink)

• Why does topicalization decline in Middle English but not disappear? If the change a parametric one, it should go to completion. Otherwise, topicalization, a clear case of stylistic variation might be expected to be stable in frequency over time.

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.1 (2003) 121-122 [Access article in PDF] Harold Tarrant. Plato's First Interpreters. Ithaca, NY: Cornell University Press, 2000. Pp. viii + 263. Cloth, $55.00. This is Tarrant's third book on the ancient Platonist tradition, following his Scepticism or Platonism? (1985) and Thrasyllan Platonism (1993). In those earlier volumes his focus was on the first centuries bc and ad. Here his scope is much (...) wider. Stating that "Platonic interpretation is today at a crossroads," he has written a book that explores "ancient attempts to wrestle with this corpus," with the ultimate objective "to encourage a fresh, almost primitive reading of Plato himself" (vii).He begins engagingly by confronting the ancients with questions any modern reader of Plato must ask: What kind of text is this? Are there doctrines here? Where do I look for Plato's doctrines? The second part of his book is a historical survey, taking us from Plato, the early Academy and Aristotle, through the Hellenistic and early Roman Imperial period, and concluding with the principal Neoplatonist interpreters. In the third and longest part, he focuses on the interpretation of specific dialogues, giving most space to the Gorgias and Theaetetus, but also dealing in particular detail with the Meno, Parmenides, and Philebus. Something is said about every dialogue, but Tarrant writes only briefly about such major works as the Republic and Timaeus. He explains his selectivity (not very convincingly) as due to his wish to "discuss issues of meta-interpretation, with emphasis on the period before Plotinus" (198).Taking his book as a whole, one realizes that few strands of modern interpretation were not prefigured to quite a large extent in antiquity. The two most obvious exceptions are the chronological and developmental approach (Early, Middle, and Late), at present under strong attack from some quarters, and the theological, numerological, and allegorical readings practiced by Neoplatonists. Plato's ancient interpreters were doctrinal unitarians, but they implicitly anticipated our tendency to distinguish "Socratic dialogues," which some of them called "gymnastic" and "inquisitive," from such "canonical" works as the Phaedo,Republic, Symposium, and Timaeus, to which they applied the labels "dogmatic" and "expository." And they recognized that both types of characteristics could be found in the same dialogue, as in the Meno and Theaetetus. Plato himself, they proposed, spoke primarily through the voices of Socrates, Timaeus, and the Eleatic and Athenian strangers; but other characters, such as Pausanias in the Symposium, or Protagoras in the dialogue of that name, utter thoughts with some philosophical value. In explaining difficult passages of one dialogue, they would typically refer to passages from other parts of the corpus. An especially intriguing instance is the strategy of the Anonymous Commentator on the Theaetetus, who reads the Meno into the dialogue on which he is officially commenting.Ancient scholars, just like ourselves, asked questions about the unifying themes of complex dialogues. Hence the sub-titles given to certain works: "On the soul" for the Phaedo, and "On justice" for the Republic, etc. For Olympiodorus (whose commentary on the Gorgias Tarrant has recently co-edited [Leiden, 1998]), earlier interpreters have seriously erred by giving too limited an account of that dialogue's scope. It is not, he says, simply about rhetoric, nor about justice and injustice; nor is its theme the divine demiurge (as some Neoplatonists had strangely proposed, on the basis of the concluding myth). Rather, the subject of the Gorgias is "the ethical principles that lead to constitutional well-being" (125). [End Page 121] However, Olympiodorus's eminently "sensible" reading (as Tarrant calls it) is deeply embedded in the Neoplatonic contrast between the "purificatory virtues" of the Phaedo and the "constitutional virtues" of Republic4.Strong or weak scepticism, esotericism, unwritten doctrines, spurious versus genuine, a canon of central dialogues, dramatic considerations, and the philosophical importance or non-importance of the dialogues' prologues—all of these are interpretive approaches that Tarrant surveys in this immensely learned book, and all of them continue to resonate for us. Modern scholars, who emphasize the literary and philosophical unity of each dialogue, are walking... (shrink)

Local reductionism purports to defend a middle ground in the debate about the epistemic status of testimony-based beliefs. It does so by acknowledging the practical ineliminability of testimony as a source of knowledge, while insisting that such an acknowledgment need not entail a default-acceptance view, according to which there exists an irreducible warrant for accepting testimony. The present paper argues that local reductionism is unsuccessful in its attempt to steer a middle path between reductionism and anti-reductionism about (...) testimonial justification. In particular, it challenges local reductionism 'from within', without appealing to anti-reductionist intuitions. By offering novel arguments to the effect that local reductionism fails by its own standards, the present paper considerably strengthens the case against this version of reductionism. Local reductionism, it is argued, fails for three main reasons. First, it cannot account for the rationality of testimonial rejection in paradigmatic cases, even though the possibility of rational rejection is thought to be of central justificatory importance. Second, it does not provide a sufficiently distinct non-testimonial basis to which testimonial justification can be successfully reduced. Finally, local reductionism is shown to be an intrinsically unstable position, in danger of collapsing into full-fledged 'credulism' of the kind historically associated with Thomas Reid. (shrink)

Can God create a stone too heavy for him to lift? Can time have a beginning? Which came first, the chicken or the egg? Riddles, paradoxes, conundrums--for millennia the human mind has found such knotty logical problems both perplexing and irresistible. Now Roy Sorensen offers the first narrative history of paradoxes, a fascinating and eye-opening account that extends from the ancient Greeks, through the Middle Ages, the Enlightenment, and into the twentieth century. When Augustine asked what God was doing (...) before He made the world, he was told: "Preparing hell for people who ask questions like that." A Brief History of the Paradox takes a close look at "questions like that" and the philosophers who have asked them, beginning with the folk riddles that inspired Anaximander to erect the first metaphysical system and ending with such thinkers as Lewis Carroll, Ludwig Wittgenstein, and W.V. Quine. Organized chronologically, the book is divided into twenty-four chapters, each of which pairs a philosopher with a major paradox, allowing for extended consideration and putting a human face on the strategies that have been taken toward these puzzles. Readers get to follow the minds of Zeno, Socrates, Aquinas, Ockham, Pascal, Kant, Hegel, and many other major philosophers deep inside the tangles of paradox, looking for, and sometimes finding, a way out. Filled with illuminating anecdotes and vividly written, A Brief History of the Paradox will appeal to anyone who finds trying to answer unanswerable questions a paradoxically pleasant endeavor. (shrink)

“Adam was hurled into Hindustan. In this land there is a mountain called Serandib, and it is reported that there is no higher mountain in all the universe. Adam landed on this mountain.” The subject of Serendib plays an important role in both the geographical and travel literature of the Arabs. Serendib, or Sarandib, is the transcription of the Singhalese name Sinhaladîpa, which means “island of the descendants of lions” (singha, “lions,” in Singhaly). Already, in the Middle Ages, in (...) the year 949, Arab merchants, who were well acquainted with the island of Ceylon, set up a branch in Colombo. The natural beauty and wealth of the island so touched the imagination of Arab voyagers that it appeared in the sixth voyage of Sinbad the Sailor, and it was also believed that Adam lived on the island after having been driven from Paradise: “The island of Serendib is located directly under the equinoctial line…. Men fish for pearls along its banks and at the mouths of its rivers, and some of its valleys are rich in diamonds. As an act of faith I myself took a trip to the mountain, to the very spot where Adam was banished after being exiled from Paradise. I even climbed to its summit.”This excerpt, from The Thousand and One Nights, well summarizes the feelings of those Arab merchants whose accounts of their travels, in large measure, contributed to the spread of myths and legends about Ceylon. (shrink)

Jung's Philosophy and Tibetan Buddhism: Western and Eastern Paths to the Heart. Radmila Moacanin. Wisdom, London 1986. 160 pp. £5.95.

‘Religion’ has been subjected to two kinds of reduction: one from the various branches of religious studies, the other being the mutual ‘reduction’ among religions. We advocate a cross-cultural religiology and try to take a middle path between reductionism and anti-reductionism, responding to both kinds of reduction separately. As for the former reduction, we agree with a moderate reduction of religion by various religious disciplines on the one hand, and on the other hand, we propose to respect the (...) religious whole as an integrate human activity, and try to learn to face and study religion with a holistic attitude and method. For the latter reduction, we propose three points to overcome the merely reductive cognitive approach in inter-religious understanding without falling into some kind of anti-intellectualism. Firstly, we insist that we should face the other religions with a pluralistic confidence without giving up understanding, and engage both ‘dialogical dialogue’ and ‘dialectical dialogue’ with other religions. Secondly, we advocate learning from the wisdom of Buddha, Confucius and Jesus, giving priority to practice, and being concerned about our most urgent life practice of the moment. Thirdly, we propose that cross-cultural research can be carried out thematically, which is exemplified with the author’s cross-cultural research on ‘the other shore’. Contribution: In the field of religious studies, there is constant dispute between reductionism and anti-reductionism. This article tries to place cross-cultural religiology between reductionism and anti-reductionism, avoid the debate between the two, emphasise the integrity of religion as a whole human activity, and propose some practical and usable methods for cross-cultural religiology, hoping to have some inspiration for academic colleagues. (shrink)

This essay addresses feminist approaches to medical aid in dying (MAID), considering whether it is a practice that should be supported for women and other marginalized groups. Some feminists have raised rights and justice-based arguments in support of MAID; others have taken a care-based approach to suggest that the practice violates relationships of care and only worsens distrust between marginalized groups and the medical establishment. I argue that we need to adopt both justice and care approaches to develop a robust (...) feminist account of MAID. I defend a woman’s right to choose death in cases of terminal illness or suffering but argue that relational concerns of care, trust, and trustworthiness must be addressed at the same time to ensure that MAID is justly practiced and accessible to all those who want it. (shrink)

A number of recent papers have described the successful derivation of egg and sperm precursor cells from mouse embryonic stem cells—so-called “artificial” gametes. Although many scientific questions remain, this research suggests numerous new possibilities for stem cell research and assisted reproductive technology, if a similar breakthrough is achieved with human embryonic stem cells. The novel opportunities raised by artificial gametes also prompt new ethical questions, such as whether same-sex couples should be able to access this technology to have children who (...) are genetically related to them both.THE CREATION OF “ARTIFICIAL” GAMETESOver the past two years, a number of papers have been published detailing the first successful attempts at differentiating mouse embryonic stem cells into egg1 and sperm2 precursor cells. Previously, researchers had used embryonic stem cells to generate tissues such as brain, liver, and pancreatic cells, but not germ cells of any kind. Production of gamete precursor cells was achieved initially through allowing stem cell lines to differentiate more or less randomly, but recent research has focused on identifying the precise ways in which differentiation into gametes can be precipitated and controlled. These breakthroughs make it seem likely that ongoing research on human stem cells will yield similar possibilities,3 raising questions over the practicalities of what might be achieved with such “artificial” gametes. In turn, the novel opportunities presented by artificial gametes raise a number of ethical concerns.The initial breakthrough, namely the obtaining of egg cells from mouse stem cells, was achieved by means of relatively simple science. Rather than coaxing stem cells to develop into eggs using complicated cocktails of growth factors, researchers adopted standard cell culture conditions, but grew the cells at higher density than usual.3–6 Growing the cells in this way led to the formation of ovary-like cell aggregates, which (when separated and stimulated with …. (shrink)

Background: Increasing collaboration between industrialised and developing countries in human research studies has led to concerns regarding the potential exploitation of resource deprived countries. This study, commissioned by the former National Bioethics Advisory Commission of the United States, surveyed developing country researchers about their concerns and opinions regarding ethical review processes and the performance of developing country and US international review boards .Methods: Contact lists from four international organisations were used to identify and survey 670 health researchers in developing countries. (...) A questionnaire with 169 questions explored issues of IRB review, informed consent, and recommendations.Results: The majority of the developing country researchers were middle aged males who were physicians and were employed by educational institutions, carrying out research on part time basis. Forty four percent of the respondents reported that their studies were not reviewed by a developing country IRB or Ministry of Health and one third of these studies were funded by the US. During the review process issues such as the need for local language consent forms and letters for approval, and confidentiality protection of participants were raised by US IRBs in significantly higher proportions than by host country IRBs.Conclusion: This survey indicates the need for the ethical review of collaborative research in both US and host countries. It also reflects a desire for focused capacity development in supporting ethical review of research. (shrink)

This study attempts to examine the direct impact of corporate social responsibility initiatives on employees’ job performance and the indirect relationships between CSR initiatives on employees’ job performance via industrial relations climate and psychological contract fulfillment. Data were collected from 764 supervisor–subordinate dyads and 271 middle managers from 85 companies. Using a multilevel approach, the results showed that organizational-level CSR was positively related to employees’ job performance. Moreover, the industrial relations climate and psychological contract fulfillment played mediating effects between (...) CSR initiatives and job performance. This study provides novel theoretical evidence for why and how CSR initiatives improve job performance. Theoretical and practical implications for implementing CSR initiatives are discussed. (shrink)

“[A] murder prosecution is a poor way to design an ethical and moral code for doctors,” observed the California Court of Appeal in 1983. Yet, physicians who have chosen to help terminally ill patients to commit suicide have trespassed on illegal ground. When skilled medical care fails to relieve the pain of terminally ill patients, some people believe that physicians may assist in these suicides. Others reject any kind of physician involvement. The debate on assisted suiczide and active euthanasia has (...) focused on whether these acts can ever be acceptable. We propose to shift the debate to a less divisive issue: whether a caring physician who provides a suffering and ill patient with a prescription for a lethal dose of medication should be prosecuted as a felon. Even assisted suicide's opponents may object to such criminal prosecution. We propose to modify existing criminal laws to give physicians who assist their terminally ill patients in suicide, under carefully defined circumstances, a legal defense against criminal charges. (shrink)

Much of the boom that the emotions have experienced at the end of the twentieth and beginning of the twenty-first centuries may be due to the informative literature from the 1990s that proclaimed the concept of “emotional intelligence.” New developments in this field cannot ignore this fact, but it is necessary to specify that the terms emotional intelligence and intelligence of emotions are not synonymous.

Objectives: to assess physicians’ and patients’ views in Saudi Arabia towards involving the patient versus the family in the process of diagnosis disclosure and decision-making, and to compare them with views from the USA and Japan.Design: A self-completion questionnaire was translated to Arabic and validated.Participants: Physicians from different specialties and ranks and patients in a hospital or attending outpatient clinics from 6 different regions in KSA.Results: In the case of a patient with incurable cancer, 67% of doctors and 51% of (...) patients indicated that they would inform the patient in preference to the family of the diagnosis . Assuming the family already knew, 56% of doctors and 49% of patients would tell the patient even if family objected . However, in the case of HIV infection, 59% of physicians and 81% of patients would inform the family about HIV status without the patient’s consent . With regards to withholding ventilatory support, about 50% of doctors and over 60% of patients supported the use of mechanical ventilation in a patient with advanced cancer, regardless of the wishes of the patient or the family. Finally, the majority of doctors and patients were against assisted suicide.Conclusions: Although there was more recognition for a patient’s autonomy amongst physicians, most patients preferred a family centred model of care. Views towards information disclosure were midway between those of the USA and Japan. Distinctively, however, decisions regarding life prolonging therapy and assisted suicide were not influenced to a great extent by wishes of the patient or family, but more likely by religious beliefs. (shrink)

The growing gap between demands and resources is putting immense pressure on all government spending in Sweden. The gap is especially apparent in care and services for elderly people in light of the rapid aging of the population. The article considers the decisions and priorities concerning resource allocation in the welfare sector in general and in elderly care in particular. The aim is to describe the political and administrative setting and to provide a conceptual structure that outlines the nature of (...) the problem. Various levels of decision making are identified and discussed in the context of political accountability. Current transitions in elderly care are described with respect to service provision, marketisation, coverage rates, and eligibility standards. Basic principles of distribution are highlighted in order to clarify some central concepts of efficiency and justice, and a number of strategies for actual prioritising are identified. The article concludes with an endorsement of more conscious decisions in resource allocation. Existing knowledge and information concerning the effects of various strategies must be utilised, and the values and assumptions used for setting priorities must be made explicit. (shrink)

This book questions the idea that the boundary between truth and falsity must always be absolute, and thus that there is no possible bridge between the two. The author argues that searching for liminal bridges between opposing claims is an essential part of finding absolute truths.

There are many things—call them ‘experts’—that you should defer to in forming your opinions. The trouble is, many experts are modest: they’re less than certain that they are worthy of deference. When this happens, the standard theories of deference break down: the most popular (“Reflection”-style) principles collapse to inconsistency, while their most popular (“New-Reflection”-style) variants allow you to defer to someone while regarding them as an anti-expert. We propose a middle way: deferring to someone involves preferring to make any (...) decision using their opinions instead of your own. In a slogan, deferring opinions is deferring decisions. Generalizing the proposal of Dorst (2020a), we first formulate a new principle that shows exactly how your opinions must relate to an expert’s for this to be so. We then build off the results of Levinstein (2019) and Campbell-Moore (2020) to show that this principle is also equivalent to the constraint that you must always expect the expert’s estimates to be more accurate than your own. Finally, we characterize the conditions an expert’s opinions must meet to be worthy of deference in this sense, showing how they sit naturally between the too-strong constraints of Reflection and the too-weak constraints of New Reflection. (shrink)

Can a belief source confer justification when we lack antecedent justification for believing that it’s reliable? A negative answer quickly leads to skepticism. A positive answer, however, seems to commit one to allowing pernicious reasoning known as “epistemic bootstrapping.” Puzzles surrounding bootstrapping arise because we illicitly assume either that justification requires doxastic awareness of a source’s epistemic credentials or that there is no requirement that a subject be aware of these credentials. We can resolve the puzzle by splitting the horns (...) and requiring a non-conceptual awareness of, or direct acquaintance with, a source’s legitimacy. Requiring non-conceptual as opposed to doxastic awareness halts the regress and avoids the skeptical results. On the other hand, requiring non-conceptual awareness also guarantees that we are aware of evidence for a source’s reliability prior to using that source to form justified beliefs; we thereby avoid the problem of allowing epistemic bootstrapping to generate the illicit gains in justification. (shrink)

The environmental complexity in which living organisms found themselves throughout evolution, most likely resulted in various encounters that would continuously challenge the organisms' ability to survive. Coping with this stress can prove energetically demanding and might require the proper coupling between mechanisms aimed at sensing external stimuli and cellular strategies geared at producing energy. In this issue of BioEssays, Lovejoy and Hogg hypothesize that preservation of this bifaceted coupling can be detected by the maintenance and evolution of stress response mechanisms (...) at the genomic, molecular and cellular levels. Through ancestry‐tracking, they identify a group of related G protein‐coupled receptor systems with intersecting stress‐modulating properties which might represent an essential part of a complex organism's coping mechanisms to stress, an attribute that they suspect may be affected in individuals suffering from mood disorders such as depression. (shrink)

This book constitutes the refereed proceedings of the International Conference on Spatial Information Theory, COSIT 2005, held in Elliottville, NY, USA in September 2005. The 30 revised full papers presented were carefully reviewed and selected from 82 submissions. The papers are organized in topical sections on vagueness, uncertainty, and gradation; paths and routes; ontologies and semantics; ontologies and spatial relations; spatial reasoning: cognitive maps and spatial reasoning; time, change, and dynamics; landmarks and navigation; geographic information, and spatial behaviour.