Viewing rhetoric as a product of pagan culture, the Apologists take a negative stance toward it. For Justin the art of persuasion may be useful in all areas ofpublic life but it is useless when it comes to the metaphysical truth of Christianity. The strength to teach or interpret Christianity, Justin posits, comes from God, not rhetoric. For his part, Tatian dismisses forensic rhetoric on the grounds that it often subverts Christian ethics by defending injustice, sycophancy and money-making, in effect (...) promoting that which is not virtuous. As for Theophilus, he places greater value on the substance and meaning of Christian purposes and less on the orator’s virtuosity and linguistic means of expression. (shrink)

The aim of this study was to analyze the association between physical activity and eating habits during the COVID-19 pandemic among Brazilian adults. A sample of 1,929 participants answered an online survey, however 1,874 were included in the analysis. The impact of the COVID-19 pandemic on eating habits was assessed inquiring about participants' intake of fruits, vegetables, fried foods, and sweets during the pandemic. Physical activity was assessed by asking participants about their weekly frequency, intensity and number of minutes/hours engaging (...) in structured physical activities per week. Participants were then stratified into categories based on moderate-to-vigorous intensity and into active or inactive. Increased sweets consumption was the most commonly reported change to eating habits, followed by an increase in the consumption of vegetables, fruits, and fried foods. Physical activity practice was related to lower consumption of fried foods and sweets. A cluster analysis revealed subjects with higher the level of physical activity was more likely to follow a healthy diet. Thus, physical activity was positively associated with healthier eating habits. Health authorities must recommend regular physical as a strategy to improve overall health during the COVID-19 pandemic. Future studies should address the physical activity interventions to improve health status during a pandemic. (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)

BackgroundThe outbreak of novel coronavirus disease 2019 has caused a global panic and public concern due to its mortality ratio and lack of treatments/vaccines. Reduced levels of physical activity have been reported during the outbreak, affecting the normal daily pattern.ObjectiveTo investigate the relationship of physical activity level with sleep quality and the effects of reduction physical activity levels on sleep quality.MethodsA Google form was used to address personal information, COVID-19 personal care, physical activity, and mental health of 1,907 adult volunteers. (...) Binary logistic regression was used to verify the association of physical activity parameters and sleep quality.ResultsInsufficient physical activity levels were a risk factor to have disturbed sleep pattern [OR: 1.28, 95% CI ]; however, when the BMI was added to the analysis, there was no more statistical difference [OR: 1.23, 95% CI ]. On the other hand, we found that the reduction of physical activity levels was associated with negative changes in sleep quality [OR: 1.73, 95% CI ], regardless all the confounders [OR: 1.30, 95% CI ], unless when feeling of depression was added in Model 6 [OR: 1.28, 95% CI ].ConclusionDisruption in daily physical activity routine, rather than physical activity level, negatively influences sleep quality during the COVID-19 quarantine. (shrink)

Responsibilist epistemic virtues, such as intellectual humility, thoroughness, and inquisitiveness, motivate and inform behaviour to acquire, assess, and share epistemic goods. While existing accounts primarily emphasise the virtues' role in knowledge acquisition, I argue for casting a wider net by redefining responsibilist virtues in their connection to wisdom. I draw upon Sosa's AAA structure of competence – which he employs to support the direct and constitutive relation between reliabilist virtues (e.g., memory and perception) and knowledge – proposing that the same (...) structure can be applied to responsibilist virtues, establishing their direct and constitutive relation to wisdom. The resulting framework provides us with an account of how epistemic agents can responsibly engage with our current sociotechnical environment. The first half of the thesis establishes this framework, arguing for its implementation. The value of this framework is, in part, its ability to uphold the claim that responsibilist virtues are admirable traits of character that aid one’s epistemically responsible engagement with the environment. The AAA structure of competence entails that a performance is Adroit, i.e., resulting from a reliable competence, Accurate, whereby the performance hits the intended target or the functional goal given the competence, and Apt, whereby it is Accurate as it is Adroit. Applying this to responsibilist virtue, an act is adroit when it results from an acquired, admirable, epistemically motivated, and stable disposition to perform behaviour characteristic of the relevant intellectual virtue. This act is accurate when it is successfully virtuous, i.e., admirable. Within this framework, an act from an admirable, virtuous disposition (i.e., an adroit act) can fail to be virtuous by undermining another virtue, or successfully virtuous when it does not. An apt act of intellectual virtue is thereby an act performed from an intellectual virtue (e.g., attentiveness or intellectual humility), that is admirable because it is adroit (e.g., as it was performed from a virtuous disposition to be attentive or intellectually humble, without the act undermining another virtue). The second half of the thesis applies this framework to various phenomena within the digital epistemic environment. It explores how increasingly prevalent epistemic emotions, such as an epistemic fear of missing out (epistemic FOMO) and morbid curiosity, can shape epistemic behaviour to be unwise, despite the knowledge one may acquire through acts motivated by these emotions. For example, ‘doombehaviour’ – entailing the frequent or long-lasting consumption of distressing news – is examined in light of its impact on mental health and other prudential concerns. Moreover, our digital environment supplies us with novel epistemic responsibilities in relation to consuming attention-grabbing information, as well as inadvertently distributing misinformation. By applying the framework of apt intellectually virtuous action on these and similar phenomena, we can give an account of wise engagement with our sociotechnical environment. (shrink)

Despite efforts to make virtue-acquisition more accessible, neo-Aristotelian accounts of virtue currently exclude those who occasionally experience depressive episodes from potentially possessing moral virtue. This problem of accessibility is especially relevant given the increased prevalence of depression due to, e.g., the COVID19 pandemic. Through an interdisciplinary analysis, I argue that one’s ability to adequately recognise and respond to virtuous possibilities for action is impoverished during a depressive episode. This is illustrated through the depressed agent’s field of affordances: the collection of (...) possible actions an agent perceives. As moral virtues are conceptualised as stable dispositions, even a temporary yet significant decrease in moral competence excludes the agent from possessing the relevant virtue. To solve this problem of accessibility, I argue that, similar to Aristotle’s discussion of sleep, depressive episodes can be conceptualised as temporary states that cause one’s virtues to be inactive, rather than absent. (shrink)

This article intends to show how, on the basis of the notion of "communicating neighborhood" established by Franklin Leopoldo e Silva, we may understand the main themes of Sartre's philosophy and the relations between them, e.g., the relations between metaphysics and history, subject and object, absolute and concrete , and aesthetic and ethics. By extending an expression initially established for the relation between philosophy and literature in Sartre, we intend to show that the notions of ambiguity and tension are essential (...) as a key to all of Sartre's thought.Este artigo pretende mostrar como, a partir da noção de "vizinhança comunicante" estabelecida por Franklin Leopoldo e Silva, poderemos compreender os principais temas da filosofia sartriana e a relação entre eles, tais como a relação entre metafísica e história, sujeito e objeto, absoluta e concreta, e ética e estética. Ao estender a expressão inicialmente cunhada para a relação entre filosofia e literatura em Sartre, pretendemos evidenciar que as noções de ambiguidade e tensão são fundamentais para termos uma chave de leitura para todo o pensamento de Sartre. (shrink)

Figures of Simplicity explores a unique constellation of figures from philosophy and literature—Heinrich von Kleist, Herman Melville, G. W. Leibniz, and Alexander Baumgarten—in an attempt to recover alternative conceptions of aesthetics and dimensions of thinking lost in the disciplinary narration of aesthetics after Kant. This is done primarily by tracing a variety of “simpletons” that populate the writings of Kleist and Melville. These figures are not entirely ignorant, or stupid, but simple. Their simplicity is a way of thinking, one that (...) Birgit Mara Kaiser suggests is affective thinking. Kaiser avers that Kleist and Melville are experimenting in their texts with an affective mode of thinking, and thereby continue a key line within eighteenth-century aesthetics: the relation of rationality and sensibility. Through her analyses, she offers an outline of what thinking can look like if we take affectivity into account. (shrink)

Research has demonstrated beneficial effects of acute exercise on memory for neutral materials, such as word lists of neutral valence/low arousal. However, the impacts of exercise on emotional memory is less understood. Across three laboratory experiments in college students, we tested if acute exercise could enhance both neutral and emotional memory performance, anticipating a greater effect for emotional memory. We examined effects of exercise at varying intensities (Experiment 1: high-intensity; Experiment 2: low- and high-intensity; Experiment 3: moderate-intensity), of diverse modalities (...) (Experiment 1: treadmill jogging; Experiment 2: cycling; Experiment 3: open-skill (racquetball) and closed-skill (treadmill jogging) exercise), and on emotional memory performance assessed at increasing levels of hippocampal dependency (Experiment 1: Y/N recognition task; Experiment 2: paired-associative recognition task; Experiment 3: cued-recall task). We found that, in all experiments, acute exercise did not significantly influence emotional or neutral memory performance relative to sedentary control conditions. However, we observed several noteworthy outcomes indicating that acute exercise may be linked to improvements in memory confidence and accuracy for central aspects of emotional memory stimuli, and that select exercise modalities (e.g. treadmill exercise) may also be associated with increased frequency of memory intrusions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Scandal: The Catholic Church and Public Life by Angela SenanderMara Kelly-ZukowskiScandal: The Catholic Church and Public Life Angela Senander collegeville, mn: liturgical press, 2012. 184 pp. $14.95.Angela Senander’s short book on scandal is valuable for scholars and non-scholars alike. She demonstrates how scandal, whose etymology is “stumbling block” (to one’s faith or trust), has been employed by the church as a catalyst and as a rationalization for many (...) decisions. She ultimately concludes that, ironically, many attempts to eliminate threats of scandal have historically caused even greater scandals, as best illustrated in the Roman Catholic Church’s institutional attempt to avoid scandal in the case of clerical sexual abuse (25).Senander begins with a sociological analysis of scandal’s four components: the act, the agent, the announcer, and the audience. This sociological analysis, offered with biblical texts to illustrate each component, provides the background for her discussion of various “sources of scandal,” including divisions within the Church, certain Church teachings, and the Church’s public stance when confronted with scandal.Her main focus is to examine these “obstacles to faith” from a theological and catechetical perspective. She begins with Aquinas, who defines scandal as “something less rightly done or said that occasions another’s spiritual downfall” (15). She notes his observation that not only can one’s wrong actions tempt another to sin but so can actions that only appear wrong, even if fundamentally good (15). This latter category Aquinas attributes to either the malice or ignorance of the audience, labeling it “passive” scandal, and urging education of the ignorant to combat it (17).Senander points out that the description of scandal by both Trent and Vatican II has slightly changed because of such events as dissension over Humanae Vitae; legalization of abortion, divorce, and euthanasia; and cases of clerical sexual abuse. The wording of the Catechism shifted from the traditional “word or deed” to “attitude or behavior.” In response, Senander raises the problems of how one could know another’s “attitude” and the possibility of indicting the agent for another’s malice in misinterpreting potentially good acts as scandalous (e.g., making Jesus responsible for leading the Pharisees into temptation by proclaiming the kingdom of God).Each of Senander’s considerations relating to scandal could serve as the basis for much lengthier treatises. For example, she challenges the Catechism’s endorsement of withholding truth to avoid scandal (27), and questions the [End Page 219] possibility that Pope John Paul II’s changes to the profession of faith—requiring assent to the Church’s definitive doctrine, including the non-ordination of women—might itself prove a stumbling block to many Catholics (37–38). In other chapters, Senander surveys pertinent issues such as religious liberty, homosexuals in the priesthood, and pacifism, arguing that in each case, paradoxically, attempts to avoid scandal can actually cause them. All actions—and even attitudes—can appear as “scandalous” to those opposed to them.Senander concludes with a call to “hope” as the only healthy response for the proliferation of scandals, real or fabricated. This hope necessitates reliance on love, which no attempt to avoid scandal should violate. Thus, one might emphasize fidelity to Catholic teaching without demonizing those who dissent. Such a love would also respect the conscience of the individual (espoused by the Church) and would appreciate the good that the dissenters might do in their personal quest to seek God.One might argue that certain issues could have been explored a bit more, most notably the question of the culpability of the “audience” and “educational” remedies. But on the whole, the book raises important questions about a contemporary and perennial topic and is a fascinating read, also setting the stage for important work that might be pursued by scholars in the future.Mara Kelly-ZukowskiFelician CollegeCopyright © 2016 Society of Christian Ethics... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Collective Violence, Sacrifice, and Conflict Resolution in the Works of Paul Claudel Christopher G. Flood University ofSurrey, England Claudel's career as a writer spanned almost seventy years, from the 1880s to the 1950s. The publication of his collected works now runs to twenty-nine large volumes, excluding his correspondence and diaries, so a brief overview of any particular dimension of his writing must necessarily be reductive. On the other hand, (...) Claudel's work lends itself particularly well to discussion in terms of the relationship between violence, sacrifice and religion. In a valuable study published more than twenty years ago under the title, Claudel et l'usurpateur, Jacques Petit drew attention to the recurrence in Claudel's plays, and in many of his non- fictional writings, of a narrative structure hinging on acts of usurpation and counter-usurpation. There is a pattern of conflictual rivalry, domination and coercion, whereby acts of aggression are ultimately legitimized, or in some sense excused, in the light of a positive outcome, providential necessity and/or reconciliation between usurper and victim. Claudel's world is indeed "a world of violence," as Petit puts it (79, ch. title).1 It is also a world ofreligion: after his return to the Catholic Church in 1890, all of Claudel's major dramatic works intermesh the process of usurpation with themes deriving from his religious beliefs, and the same is true of many of his non-fictional writings. My aim is not to reinvent the wheel by going back over all of the terrain mapped out by Petit. Nor do I intend to rework Petit's empirical model wholesale in the light of René Girard's anthropological model of mimetic desire and sacrificial violence, although there are obvious areas of convergence between them. However, I shall draw implicitly on both, in order to Translations throughout this paper are my own. 160Christopher G. Flood argue that the notion of sacrifice, which is central to the resolution of rivalries in Claudel's major plays, is transformed into an idiosyncratic conception of international conflict resolution in various non-fictional writings which emerge from his forty years of experience in his parallel career as a profes sional diplomat.2 1 shall start with a schematic discussion of certain features of the plays. The first point relates to Claudel's assumptions concerning the mechanisms involved in the outbreak of individual or collective violence. It needs to be emphasized that in his plays the path towards violence is always opened by a withdrawal or weakening of temporal and/or spiritual authority. This allows the crystallization, and the direct expression, of latent rivalries which eventually lead to an explosion of aggression. The causes of the violence invariably center on the fact that one individual or group is in possession of an object which is coveted by another individual or group. The question of whether Claudel himself appears to recognize a mimetic element in this pattern of behavior would be too complex, and too fraught with imponderables, to discuss here, but there are some indications that he does so. Whatever the case, in the absence of authority, rivalry and jealousy engender verbal, and usually physical conflict, culminating in usurpation of the desired object. Thus, for example, in Tête d'or, the elderly Emperor of the unnamed kingdom has neither the authority nor the resolution to defend his kingdom against external invasion, or against the man who saves the kingdom only to usurp the throne and murder the Emperor himself.3 Similarly, in the second version of La Ville, neither Besme, the positivistic scientist and plutocrat who has created the godless City, nor his brother Lambert, the former politician, has the will to maintain or defend the society against the tensions emerging within it. Thus, the City dissolves first into immobility, then revolution. Or again, in the family drama of La Jeune Fille Violaine (second version), the obsessional rage andjealousy ofMara towards her elder sister, Violaine, explodes into coercion, slander, and horrific violence when their father absents himself from the farm for an indefinite period, leaving Violaine to marry Jacques Hury: the fact that Hury loves Violaine, but does not love Mara, makes the latter all the... (shrink)

Die Abwesenheit des Unbekannten bleibt unbemerkt -- Historische Einbildungen : zu Olivier Rolins "Tigre en papier" -- Leben und denken wie die Schweine : Kleine Dialektik des Poststrukturalismus (von Gilles Châtelet zu Michel Houellebecq) -- Das Verschwinden der leerlaufenden Gegenwart aus der Geschichte : zu Maurice Dantecs Trivialroman "La sirène rouge" -- Tartuffe desakralisiert : zur Krise des frazösischen Bildungssystems -- "Les princes sont des dieux" : zum Religionsbegriff des französischen Staates -- Die Demokratie gegen ihre Liebhaber verteidigt : zum (...) Denken Claude Leforts -- Totale Marktwirtschaft : zu Alain Supiots Kritik am Ultraliberalismus -- Warum Gesetze? : zu Pierre Legendres "Abhnadlung über den Vater" -- Wem gehören die Töchter? : zum sexuellen Machtanspruch der Konsumgesellschaften -- Kleine Illusionen : Anmerkungen zu den deutsch-französischen Kulturbeziehungen. (shrink)

The author presents and defends three theses: (1) "the first is that it is not profitable for us at present to do moral philosophy; that should be laid aside at any rate until we have an adequate philosophy of psychology." (2) "the second is that the concepts of obligation, And duty... And of what is morally right and wrong, And of the moral sense of 'ought', Ought to be jettisoned if this is psychologically possible...." (3) "the third thesis is that (...) the differences between the well-Known english writers on moral philosophy from sidgwick to the present day are of little importance." (staff). (shrink)

The purpose of this research was to investigate, for the first time, tertiary education students’ ethical judgements in the Republic of Cyprus academic environment. The authors developed and administered a quantitative questionnaire to a sample of 1,000 individuals currently pursuing accredited degrees at two tertiary institutions. Statistical analysis revealed four factors, named violation of school regulations, selfishness, cheating, and computer ethics that describe students’ ethical judgements in the academic environment. The results indicate that students exhibit the lowest tolerance with ethical (...) issues relevant with selfishness and highest with issues relevant with computer ethics. In addition, a number of differences were revealed when the authors investigated the relationship between the four retained factors and variables such as gender, year of study, type of academic discipline, and religion. Finally, reflecting on the research findings, a number of practical recommendations are made mainly to educational institutions that wish to redefine their policies and procedures regarding ethics within their academic environment. (shrink)

This essay looks closely at metaphors and other figures of speech that often feature in how Americans talk about dementia, becoming part of cultural narratives: shared stories that convey ideas and values, and also worries and fears. It uses approaches from literary studies to analyze how cultural narratives about dementia may surface in conversations with family members or health care professionals. This essay also draws on research on a notable social effect of legalizing medical aid in dying: patients may find (...) it easier to bring up a range of concerns, regardless of whether they have any interest in hastening their own death. The essay proposes that health care professionals rethink an idea prominent within their own culture: that conversations about the end of a person's life are inherently difficult. This framing may make it hard for people facing dementia to bring up their concerns about what lies ahead. We suggest a different way to think about these conversations, using the metaphor of “opening the door” to represent inviting a patient to bring up issues of deepest concern. (shrink)

This book offers an introduction to the Sophists of fifth-century Athens and a new overall interpretation of their thought. Since Plato first animadverted on their activities, the Sophists have commonly been presented as little better than intellectual mountebanks - a picture which Professor Kerferd forcefully challenges here. Interpreting the evidence with care, he shows them to have been part of an exciting and historically crucial intellectual movement. At the centre of their teaching was a form of relativism, most famously expressed (...) by Protagoras as 'Man is the measure of all things', and which they developed in a wide range of views - on knowledge and argument, virtue, government, society, and the gods. On all these subjects the Sophists did far more than simply provoke Plato to thought. Their contributions were substantial and serious; they inaugurated the debate on many central philosophical questions and decisively shifted the focus of philosophical attention from the cosmos to man. (shrink)

"Science is rooted in conversations," wrote Werner Heisenberg, one of the twentieth century's great physicists. In Quantum Dialogue, Mara Beller shows that science is rooted not just in conversation but in disagreement, doubt, and uncertainty. She argues that it is precisely this culture of dialogue and controversy within the scientific community that fuels creativity. Beller draws her argument from her radical new reading of the history of the quantum revolution, especially the development of the Copenhagen interpretation. One of several competing (...) approaches, this version succeeded largely due to the rhetorical skills of Niels Bohr and his colleagues. Using extensive archival research, Beller shows how Bohr and others marketed their views, misrepresenting and dismissing their opponents as "unreasonable" and championing their own not always coherent or well-supported position as "inevitable." Quantum Dialogue, winner of the 1999 Morris D. Forkosch Prize of the Journal of the History of Ideas, will fascinate everyone interested in how stories of "scientific revolutions" are constructed and "scientific consensus" achieved. "[A]n intellectually stimulating piece of work, energised by a distinct point of view."—Dipankar Home, Times Higher Education Supplement "[R]emarkable and original. . . . [Beller's] arguments are thoroughly supported and her conclusions are meticulously argued. . . . This is an important book that all who are interested in the emergence of quantum mechanics will want to read."—William Evenson, History of Physics Newsletter. (shrink)

In recent years, philosophers have looked to empirical findings about psychopaths to help determine whether moral agency is underwritten by reason, or by some affective capacity, such as empathy. Since one of psychopaths’ most glaring deficits is a lack of empathy, and they are widely considered to be amoral, psychopaths are often taken as a test case for the hypothesis that empathy is necessary for moral agency. However, people with autism also lack empathy, so it is reasonable to think that (...) any empirically-informed attempt to answer the question of whether empathy is necessary for moral agency should give due attention to autism as well as psychopathy. Jeanette Kennett’s thought-provoking paper ‘Autism, Empathy and Moral Agency’ (2002) is an early and arguably the most notable example of such an attempt. Kennett argues that although autistic people and psychopaths both lack empathy, autistic people possess a ‘reverence for reason’ that enables them to become capable moral agents. By contrast, psychopaths lack this rational capacity, and it is this defect of reason rather than an empathic impairment that explains why they are amoral. Kennett thus concludes that empathy is not necessary for moral agency. In this chapter, I challenge Kennett’s argument. First, I review the empirical evidence in order to demonstrate that there is a component of empathy called affective empathy that is impaired in psychopaths but largely preserved in autistics. As such, the claim that psychopaths and autistics share a common lack of empathy is unjustified. Second, I challenge Kennett’s claim that empathy plays no role in explaining the moral difference between psychopaths and autistics. Instead, I contend that the intact affective empathy of autistic people is a crucial component of their capacity to act from reverence for reason. (shrink)

The global crisis of the COVID-19 pandemic has considerably accelerated the adoption of teleconsultation—a form of consultation between patient and health care professional that occurs via videoconferencing platforms. For this reason, it is important to investigate the way in which this form of interaction modifies the nature of the clinical encounter and the extent to which this modification impacts the healing process. For this purpose, I will refer to insights into the clinical encounter as a face-to-face encounter drawn from the (...) phenomenology of medicine (R. Zaner, K. Toombs, E. Pellegrino). I will also take into account a criticism that has been expressed by various contemporary phenomenologists (H. Dreyfus, T. Fuchs, L. Dolezal, H. Carel), namely, that due to the lack of physical proximity to the other in all types of online encounters, such encounters lack significant features that are present in face-to-face encounters, with the most important of these being the possibility of attaining an empathetic perception of the other and a sense of embodied risk. As these elements are essential features of the clinical encounter, the aim of this paper is to determine whether teleconsultation exhibits these features. To do that, I will integrate phenomenological philosophy with qualitative research drawing materials from both the philosophical tradition, particularly with respect to the concepts of the face-to-face encounter and embodied risk (A. Schutz and H. Dreyfus), and qualitative research study regarding patient experiences of teleconsultation. I will argue that teleconsultation does involve both the possibility of perceiving the other empathetically and the possibility of experiencing a sense of embodied risk. (shrink)

On 19 July 2016, three medical organisations filed a federal lawsuit against representatives from several Vermont agencies over the Patient Choice and Control at End of Life Act. The law is similar to aid-in-dying laws in four other US states, but the lawsuit hinges on a distinctive aspect of Vermont's law pertaining to patients' rights to information. The lawsuit raises questions about whether, and under what circumstances, there is an ethical obligation to inform terminally ill patients about AID as an (...) end-of-life option. Much of the literature on clinical communication about AID addresses how physicians should respond to patient requests for assisted dying, but neglects the question of how physicians should approach patients who may not know enough about AID to request it. In this article, I examine the possibility of an affirmative duty to inform terminally ill patients about AID in light of ethical concerns about professional responsibilities to patients and the maintenance of the patient–provider relationship. I suggest that we should not take for granted that communication about AID ought to be patient-initiated, and that there may be circumstances in which physicians have good reasons to introduce the topic themselves. By identifying ethical considerations that ought to inform such discussions, I aim to set an agenda for future bioethical research that adopts a broader perspective on clinical communication about AID. (shrink)

Bioethical concerns about the potential for abuse in medical aid in dying (MAID) have focused primarily on the risk of coercion (Battin et al. 2007; Foley and Hendin 2002). Accordingly, the require...

Quelle conception de la science proposer aujourd'hui? Les grandes doctrines du XXe siècle se sont heurtées successivement à des difficultés, que ce soit le positivisme du Cercle de Vienne ou le rationalisme critique de Popper. Même la perspective historique inspirée par Bachelard et par Kuhn a donné lieu à des versions disparates. Pourtant, toutes ces tentatives partent d'un même constat : l'échec de la vision classique de la science et la nécessité d'un nouveau discours. On peut en retracer l'histoire. Face (...) à la pluralité des hypothèses possibles au sujet de l'espace, du temps et de la matière, Poincaré pose l'existence de conventions, ou mieux de libres décisions, au cœur de la science. Ainsi, dès la fin du XIXe siècle, il coupe court aux projets traditionnels de fondation : ni le synthétique a priori de Kant, ni les faits généraux de Comte ne sauraient expliquer la nature de l'activité scientifique. C'est la naissance d'un mouvement d'idées, le conventionnalisme, quia eu un impact décisif sur la philosophie viennoise et, à travers elle, sur la philosophie mondiale. Voilà un fil conducteur pour évaluer un siècle de débats. Que signifie donc libre décision en matière scientifique? On affirme la dimension historique irréductible de notre savoir ; on reconnaît la créativité et la responsabilité inhérentes à la science en tant qu'aventure humaine. (shrink)