The American Society for Bioethics and Humanities has created a quality attestation process for clinical ethics consultants; the pilot phase of reviewing portfolios has begun. One aspect of the QA process which is particularly challenging is assessing the interpersonal skills of individual clinical ethics consultants. We propose that using case simulation to evaluate clinical ethics consultants is an approach that can meet this need provided clear standards for assessment are identified. To this end, we developed the Assessing Clinical Ethics Skills (...) tool, which identifies and specifies specific behaviors that a clinical ethics consultant should demonstrate in an ethics case simulation. The aim is for the clinical ethics consultant or student to use a videotaped case simulation, along with the ACES tool scored by a trained rater, to demonstrate their competence as part of their QA portfolio. The development and piloting of the tool is described. (shrink)

In April 2004 the Irish Government commissioned Judge Maureen Harding Clark to compile a report to ascertain the rate of caesarean hysterectomies at Our Lady of Lourdes Hospital in Drogheda, Republic of Ireland. The report came about as a result of complaints by midwives into questionable practices that were mainly (but not solely) attributed to one particular obstetrician. In this article we examine the findings of this Report through a feminist lens in order to explore what a feminist reading of (...) the Report and the events that led to the inquiry will bring to light. We consider how sex and gender feature in the Lourdes case, draw attention to the deeply gendered asymmetries of power and privilege that existed between the men and women at the centre of this inquiry, and explore the impact such asymmetries had on this particular situation. (shrink)

“Offsetting” habitat destruction has widespread appeal as an instrument for balancing economic growth with biodiversity conservation. Requiring proponents to pay the nontrivial costs of habitat loss encourages sensitive planning approaches. Offsetting, biobanking, and biodiverse carbon sequestration schemes will play an important role in conserving biodiversity under increasing human pressures. However, untenable assumptions in existing schemes are undermining their benefits. Policies that allow habitat destruction to be offset by the protection of existing habitat are guaranteed to result in further loss of (...) biodiversity. Similarly, schemes that allow trading the immediate loss of existing habitat for restoration projects that promise future habitat will, at best, result in time lags in the availability of habitat that increases extinction risks, or at worst, fail to achieve the offset at all. We detail concerns about existing approaches and describe how offsetting and trading policies can be improved to provide genuine benefits for biodiversity. Due to uncertainties about the way in which restored vegetation matures, we propose that the biodiversity bank should be a savings bank. Accrued biodiversity values should be demonstrated before they can be used to offset biodiversity losses. We provide recommendations about how this could be achieved in practice. (shrink)

Background The impact of healthcare ethics educational interventions on participants’ ethical development is rarely reported on and assessed; even less attention is paid to educational interventions that focus on end-of-life ethical issues. Aim To evaluate the impact of the Ethical Framework for End-of-Life Care Study Sessions Programme on the moral development of healthcare staff who are delivering end-of-life care. Methods The EOLCSS was delivered to 20 multi-disciplinary health care staff in Ireland in May 2013. Effect on moral reasoning was measured (...) pre and post education using the Defining Issues Test 2. Inferential statistics were used to examine the relationships between change in DIT2 scores and demographic variables. Results Participants experienced moral reasoning development following receipt of EOLCSS. Age and previous ethics education contributed to the observed changes in moral reasoning. Conclusions Receipt of the EOLCSS may contribute to moral reasoning development in practicing healthcare professionals. (shrink)

These essays engage Jin Y. Park’s recent translation of the work of Kim Iryŏp, a Buddhist nun and public intellectual in early twentieth-century Korea. Park’s translation of Iryŏp’s Reflections of a Zen Buddhist Nun was the subject of two book panels at recent conferences: the first a plenary session at the annual meeting of the Society for Asian and Comparative Philosophy and the second at the Eastern Division of the American Philosophical Association on a group program session sponsored by the (...) International Society for Buddhist Philosophy. This exchange also includes a response from Park. (shrink)

As the field of clinical ethics consultation sets standards and moves forward with the Quality Attestation process, questions should be raised about what ethical issues really do arise in practice. There is limited data on the type and number of ethics consultations conducted across different settings. At Loyola University Medical Center, we conducted a retrospective review of our ethics consultations from 2008 through 2013. One hundred fifty-six cases met the eligibility criteria. We analyzed demographic data on these patients and conducted (...) a content analysis of the ethics consultation write-ups coding both the frequency of ethical issues and most significant, or key, ethical issue per case. Patients for whom ethics consultation was requested were typically male, white, between 50 and 69 years old, of non-Hispanic origin, and of Roman Catholic faith. Nearly half were in the intensive care unit and 44.2 % died in the hospital. The most frequent broad ethical categories were decision-making, goals of care/treatment, and end-of-life. More specifically, capacity, patient’s wishes/autonomy, and surrogate decision maker were the most frequent particular ethical issues. The most common key ethical issues were withdrawing/withholding treatment, patient wishes/autonomy, and capacity. Our findings provide additional data to inform the training of clinical ethics consultants regarding the ethical issues that arise in practice. A wider research agenda should be formed to collect and compare data across institutions to improve education and training in our field. (shrink)

The field of clinical ethics consultation has matured into a multidisciplinary profession, with clinical ethics consultants (CECs) being trained in bioethics, philosophy, theology, law, medicine, n...

Although living conditions have improved throughout history, protest, at least in the last few decades, seems to have increased to the point of becoming a normal phenomenon in modern societies. Contributors to this volume examine how and why this is the case and argue that although problems such as poverty, hunger, and violations of democratic rights may have been reduced in advanced Western societies, a variety of other problems and opportunities have emerged and multiplied the reasons and possibilities for protest.

Reflection in medical education is becoming more widespread. Drawing on our Jesuit Catholic heritage, the Loyola University Chicago Stritch School of Medicine incorporates reflection in its formal curriculum and co–curricular programs. The aim of this type of reflection is to help students in their formation as they learn to step back and analyze their experiences in medical education and their impact on the student. Although reflection is incorporated through all four years of our undergraduate medical curriculum, this essay will focus (...) on three areas where bioethics faculty and medical educators have purposefully integrated reflection in the medical school, specifically within our bioethics education and professional development efforts: 1) in our three–year longitudinal clinical skills course Patient Centered Medicine (PCM), 2) in our co–curricular Bioethics and Professionalism Honors Program, and 3) in our newly created Physician’s Vocation Program (PVP). (shrink)

We report the identification of a recurrent, 520-kb 16p12.1 microdeletion associated with childhood developmental delay. The microdeletion was detected in 20 of 11,873 cases compared with 2 of 8,540 controls and replicated in a second series of 22 of 9,254 cases compared with 6 of 6,299 controls. Most deletions were inherited, with carrier parents likely to manifest neuropsychiatric phenotypes compared to non-carrier parents. Probands were more likely to carry an additional large copy-number variant when compared to matched controls. The clinical (...) features of individuals with two mutations were distinct from and/or more severe than those of individuals carrying only the co-occurring mutation. Our data support a two-hit model in which the 16p12.1 microdeletion both predisposes to neuropsychiatric phenotypes as a single event and exacerbates neurodevelopmental phenotypes in association with other large deletions or duplications. Analysis of other microdeletions with variable expressivity indicates that this two-hit model might be more generally applicable to neuropsychiatric disease. © 2010 Nature America, Inc. All rights reserved. (shrink)

Dewey's theory of happiness goes against the grain of much contemporary psychologic and popular thought by identifying the highest form of human happiness with moral behavior. Such happiness, according to Dewey, avoids being at the mercy of circumstances because it is independent of the pleasures and successes we take from experience and, instead, is dependent upon the disposition we bring to experience. It accompanies a disposition characterized by an abiding interest in objects in which all can share, one founded upon (...) a dynamic inner harmony and evolving adjustment to the world. The marks of such an expansive disposition are "stability of character, braveness of soul, and equanimity of soul," and the key to the development of these traits is what Dewey calls "ethical love." We conclude with consideration of three potential criticisms of Dewey's view of happiness and possible Deweyan rejoinders. (shrink)

Friedrich Nietzsche was a troublesome genius, a figure outside the mainstream philosophical tradition whose very apartness has made him central to contemporary philosophy. Nietzsche and Political Thought reclaims the political implications of Nietzsche's work: it shows how his philosophy of power addresses key issues in modern political thought especially those having to do with the historical and cultural nature of human agency.In this thought-provoking study, Mark Warren claims entirely new ground. He develops a "postmetaphysical" political philosophy that provides a (...) link between Nietzsche's work and the later philosophies of the Frankfurt School and Michel Foucault.Warren comes to terms with Nietszche's views on power, freedom, domination, equality, ideology - topics that recent interpretations have neglected in favor of a focus on the literary and philosophical aspects of his work, but that in fact make these literary and philosophical concerns relevant to social and political thought. Importantly, Warren draws a distinction between the implications of Nietzsche's theories concerning power and agency for contemporary political thought and Nietzsche's own politics. He demonstrates how Nietzsche's actual political views did not reflect - and in large part falsified - his own philosophical insights which taken by themselves point toward a pluralistic society in which egalitarianism underscores individuality. But his politics, Warren argues, derived too heavily from a deficient understanding of modern social and political organization.Mark Warren is Visiting Assistant Professor of Political Science at Northwestern University. Nietzsche and Political Thought is included in the series Studies in Contemporary German Social Thought, edited by Thomas McCarthy. (shrink)

This article explores the background to the conclusive drop in Irish fertility rates over the last two decades, from a total fertility rate of 3.55 in 1975 to 1.87 in 1995. This steep decline marks the end of Ireland's position as demographic outlier in Europe, which has proved a compelling topic of investigation for demographers. The decline also marks the end of a society which was characterized by an ideology of largely rural values which placed stringent restrictions on women in (...) order to secure a vision of society which saw the family as its cornerstone. The article analyses the collective impact of women's battles for personal autonomy which have brought about dramatic changes in public policies about contraception, abortion and divorce, changes which have consistently lagged behind these dramatic shifts in fertility. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Sharing God’s Company: A Theology of the Communion of Saints by David Matzko McCarthyMark RyanSharing God’s Company: A Theology of the Communion of Saints By David Matzko McCarthy GRAND RAPIDS: WILLIAM B. EERDMANS, 2012. 182 PP. $28.00What is the meaning of “communion” as it occurs in Christian references to the “Communion of Saints”? It clearly implies a particular social bond, but of what sort? David Matzko (...) class='Hi'>McCarthy observes that recent attempts to account [End Page 192] for the saints and Christians’ relations with them tend to thin out the meaning of communion. Modern approaches turn saints into exemplars intended to inspire us as we live within egalitarian, leveled societies, whereas postmodern approaches turn the lives of the saints into texts, subject to interpretive play. In both approaches the possibility of real relationship is left behind as the saints become subservient to our modern sensibilities. What McCarthy seeks to revive is substantial, real relationships with saints that can draw us out of ourselves.In chapters 1 and 2 McCarthy uses the family to indicate the strong bonds signified by the Communion of Saints (COS)—bonds that respond to our “social desire.” The COS extends such kinship across time and space, without banishing ordinary time and particular places. Yet the kind of social tie embodied in the COS has been rendered a problem by our modern biases with regard to knowledge, representation, and social life—in short, our sense of reality. If we are to enrich our participation in the COS, McCarthy implies, we must work the metaphysical ground to make it a little more hospitable to the lives of the saints. The remaining chapters consider how the reality embodied in the COS challenges modern sensibilities with regard to what is real. They do so by allowing literary and visual representations of the saints—in hagiography, scripture, statues, and painting—to interrogate modern forms of representation and the assumptions about reality and time that underlie these forms.McCarthy uses Beverly Donofrio’s Looking for Mary to exemplify the trajectory of his book. Donofrio weaves together her own life and her pilgrimage to Medjugorge with the story of Mary from the Annunciation to the present day. Of particular importance, she narrates a transformation whereby her personal stories are engrafted into the life of Mary, rather than the other way around. In this, her story illustrates how Mary becomes the key agent in de-centering the author’s life as an autonomous agent, and resituating it in the COS with Mary as her patron and route. It shows the difference between an approach to the saints that domesticates them for use in our world and one where we surrender and become part of theirs.McCarthy’s previous work is notable for its concern with family and neighborhood as the practical context, or “home,” for the Christian life. In this book, “the question of home goes deeper. Does our life together here and now have any connection to the course of things and to life as a whole?” (8) In his introduction to the inaugural issue of the Journal of Moral Theology, which he edits, he mapped out the terrain of moral theology between “hyper-enchantment,” which seeks a magic bullet for modern ills, and impersonal mechanism, which posits a “nature” abstracted from human meanings. In this book, he begins to present a fuller vision of this terrain in the form of a kinship that stretches across time and place. As he writes, “The saints and their lives embody an [End Page 193] incarnational reality; they populate the borderlands between the future and now, there and here, and heaven and earth. … They bring ordinary life and people into a real experience of communitas” (53).The book is relevant to Christian ethics, then, because of its account of what we want most, and the moral ecology in which such desire could be at home. It is tempting to treat the COS as an optional “extra” to be added to the “factory model” of moral goodness in the Christian life. McCarthy’s exceptional gift is displayed in showing us how ordinary and basic is our desire to be part... (shrink)

Artificial intelligence, the "science and engineering of intelligent machines", still has yet to create even a simple "Advice Taker" [McCarthy, 1959]. We have previously argued [Waser, 2011] that this is because researchers are focused on problem-solving or the rigorous analysis of intelligence (or arguments about consciousness) rather than the creation of a "self" that can "learn" to be intelligent. Therefore, following expert advice on the nature of self [Llinas, 2001; Hofstadter, 2007; Damasio, 2010], we embarked upon an effort to (...) design and implement a self-understanding, self-improving loop as the totality of a (seed) AI. As part of that, we decided to follow up on Richard Dawkins' [1976] speculation that "perhaps consciousness arises when the brain's simulation of the world becomes so complete that it must include a model of itself" by defining a number of axioms and following them through to their logical conclusions. The results combined with an enactive approach yielded many surprising and useful implications for further understanding consciousness, self, and "free-will" that continue to pave the way towards the creation of safe/moral autopoiesis. (shrink)

The stated purpose of this book is twofold: "to look at what was happening to the theological certainties in which Anselm had such confidence, in his own day and in the generation or two after his death" and "to try to distinguish that quality which marks Anselm's thought so distinctively". To this end Evans constructs something of a conversation--she assembles contrasting opinions on various questions--among Anselm of Canterbury, his known contemporaries, and the "new generation" of scholars who followed. Both because (...) Anselm had little influence upon the theologians of the century after his death and because none of the book's "interlocutors" is of the stature of its principal subject the conversation is at times somewhat forced, and even disjointed. The significance of her comparisons is not always clear. Perhaps a broader view of Anselm's proper "community of thought" would have avoided these difficulties; as it is, the author acknowledges the larger tradition of which Anselm was a part only in passing. Nevertheless, the book does explore the shift that occurred in the relation of faith and reason as the centre of mediaeval theologizing moved from the monasteries toward the schools with some measure of success. Evans treats her subject with sympathy and care, and she is attentive to detail. Anselm emerges as a thinker worthy of our admiration and study. (shrink)

Questioning Ethics is a major discussion by some of world's leading thinkers of some of the most important ethical issues confronting us today. New essays including Habermas, MacIntyre, Ricoeur and Kristeva discuss issues such as the nature of politics, women's rights, lying, repressed memory, historical debt and forgiveness, the self and responsibility, revisionism, bioethics and multiculturalism. The contributors organize their discussions along the topics of hermeneutics, deconstruction, critical theory, psychoanalysi and the applications of ethics. Also included in this collection is (...) an interview with Jacques Derrida which provides the most accessible insight into his thinking. Contributors: Karl-Otto Apel, Geoffrey Barash, John Caputo, Maeve Cooke, Simon Critchley, Jacques Derrida, Simon Glendinning, Jean Greish, Jurgen Habermas, Richard Kearney, Peter Kemp, Julia Kristeva, Alasdair MacIntyre, Thomas McCarthy, David Rasmussen, William J. Richardson, Paul Ricoeur, David Wood. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Learning from Art:Cormac McCarthy's Blood Meridian as a Critique of Divine DeterminismDennis Sansom (bio)Art's Critique of PhilosophyWe usually think the critic's role belongs to philosophy. That is, to understand art's essential characteristics and why and how we appreciate art, we need a philosophical explanation. Though our tastes for art are unique and personal, we typically think that to understand art we must first explain it. For example, Plato (...) thought he could explain art as an emotional inspiration for people, at best, or, at worse, a distortion of intelligible truths; therefore, according to Plato, art should be dismissed or censored in a society seeking social justice derived from the idea of justice. Aristotle understood art to be the imitation of nature; as an imitation, it needs clarification according to the purposes of nature, and philosophy clarifies these purposes. In either case, art needs to be critiqued by philosophy. It is customary to hear philosophical critics lecture on art rather than artists lecture on philosophy.But can art critique philosophy? Is it possible for art to provide a scrutiny of philosophy that perhaps a particular philosophy cannot give itself? I think art can provide this critique by using a feature that some philosophers have thought to be art's limitation to clear reasoning—the imagination. Though philosophers like John Dewey recognize the importance and influence of imagination on our moral and aesthetical orientation to the world of experience, typically Thomas Hobbes's view of imagination prevails in the empiricist-leaning philosophers (for instance, David Hume and Bertrand Russell): the imagination is about image recollection and hence necessary for connecting our ideas to empirical experiences. But for this latter approach, the imagination does not inform us about the world; rather it only bridges experience to abstract ideas. What is important, then, is proper understanding. For this approach, the main question is, Can we explain the world based upon our clearest account of the role of understanding? [End Page 1] Whether this account relies upon a psychological model of the brain's workings, a scientific model of successful theory formation, or a logical model reflective of truth relation possibilities, we need philosophy to clarify how we gain knowledge, even in art.Yet, this approach shortchanges analysis. Psychology, empirical science, and logic are not the only ways to analyze an idea. If a philosophy pretends to explain our experience of the world, then the philosophy opens itself to this question: Is the idea worth holding to be true according to our experiences of the world? A philosophical claim may be logically consistent, based upon generalizations of experience, and be coherent with acceptable views of God, the self, or morality, but if we envision the claim lived out within our experience of the world, would we want to accept it? Is it the kind of life we would want? It takes imagination to answer these questions, and the artist through her or his unique technique and representation can test the existential worth of an idea.Hobbes's description of the imagination represents only one way to explain it. Imagination is more than an act of memory and recollection. It is also reconstruction. John Dewey's definition highlights this role: "An imaginative experience is what happens when varied materials of sense quality, emotion, and meaning come together in a union that marks a new birth in the world."1 Imagination is always an interpretation of what the world could look like. It not only mirrors but heightens experience to focus on a certain viewpoint about the possible meaning of life. By doing this, the imagination enables us to explore whether certain ideas are worth keeping. That is, if we could picture living this way, would we want to live it?Because imagination occupies a central role in artistic creativity, art provides a useful means of analyzing philosophical claims about the world. Though a philosopher may be able to present an idea that is logically consistent, clear in its categories of quantity, quality, being, modality, and so on, explicit in all its assumptions, and even "clear and distinct," when the idea is imagined in life situations, it can lose its... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Learning from Art:Cormac McCarthy's Blood Meridian as a Critique of Divine DeterminismDennis Sansom (bio)Art's Critique of PhilosophyWe usually think the critic's role belongs to philosophy. That is, to understand art's essential characteristics and why and how we appreciate art, we need a philosophical explanation. Though our tastes for art are unique and personal, we typically think that to understand art we must first explain it. For example, Plato (...) thought he could explain art as an emotional inspiration for people, at best, or, at worse, a distortion of intelligible truths; therefore, according to Plato, art should be dismissed or censored in a society seeking social justice derived from the idea of justice. Aristotle understood art to be the imitation of nature; as an imitation, it needs clarification according to the purposes of nature, and philosophy clarifies these purposes. In either case, art needs to be critiqued by philosophy. It is customary to hear philosophical critics lecture on art rather than artists lecture on philosophy.But can art critique philosophy? Is it possible for art to provide a scrutiny of philosophy that perhaps a particular philosophy cannot give itself? I think art can provide this critique by using a feature that some philosophers have thought to be art's limitation to clear reasoning—the imagination. Though philosophers like John Dewey recognize the importance and influence of imagination on our moral and aesthetical orientation to the world of experience, typically Thomas Hobbes's view of imagination prevails in the empiricist-leaning philosophers (for instance, David Hume and Bertrand Russell): the imagination is about image recollection and hence necessary for connecting our ideas to empirical experiences. But for this latter approach, the imagination does not inform us about the world; rather it only bridges experience to abstract ideas. What is important, then, is proper understanding. For this approach, the main question is, Can we explain the world based upon our clearest account of the role of understanding? [End Page 1] Whether this account relies upon a psychological model of the brain's workings, a scientific model of successful theory formation, or a logical model reflective of truth relation possibilities, we need philosophy to clarify how we gain knowledge, even in art.Yet, this approach shortchanges analysis. Psychology, empirical science, and logic are not the only ways to analyze an idea. If a philosophy pretends to explain our experience of the world, then the philosophy opens itself to this question: Is the idea worth holding to be true according to our experiences of the world? A philosophical claim may be logically consistent, based upon generalizations of experience, and be coherent with acceptable views of God, the self, or morality, but if we envision the claim lived out within our experience of the world, would we want to accept it? Is it the kind of life we would want? It takes imagination to answer these questions, and the artist through her or his unique technique and representation can test the existential worth of an idea.Hobbes's description of the imagination represents only one way to explain it. Imagination is more than an act of memory and recollection. It is also reconstruction. John Dewey's definition highlights this role: "An imaginative experience is what happens when varied materials of sense quality, emotion, and meaning come together in a union that marks a new birth in the world."1 Imagination is always an interpretation of what the world could look like. It not only mirrors but heightens experience to focus on a certain viewpoint about the possible meaning of life. By doing this, the imagination enables us to explore whether certain ideas are worth keeping. That is, if we could picture living this way, would we want to live it?Because imagination occupies a central role in artistic creativity, art provides a useful means of analyzing philosophical claims about the world. Though a philosopher may be able to present an idea that is logically consistent, clear in its categories of quantity, quality, being, modality, and so on, explicit in all its assumptions, and even "clear and distinct," when the idea is imagined in life situations, it can lose its... (shrink)

Recently, bioethicists and the UNCRPD have advocated for supported medical decision-making on behalf of patients with intellectual disabilities. But what does supported decision-making really entail? One compelling framework is Anita Silvers and Leslie Francis’ mental prosthesis account, which envisions supported decision-making as a process in which trustees act as mere appendages for the patient’s will; the trustee provides the cognitive tools the patient requires to realize her conception of her own good. We argue that supported decision-making would be better understood (...) as a collaborative process, giving patients with intellectual disabilities the opportunity to make decisions in a respectful relationship with trusted others. We offer an alternative account of supported decision-making where the primary constraint is to protect the patient from domination by the trustee. This is advantageous in its preservation of the prospects for genuine collaboration, for the mental prosthesis approach ultimately reinforces a problematic ideal of isolated patient self-determination. (shrink)

Let us begin with the simple observation that applied mathematics can be very tough! It is a common occurrence that basic physical principle instructs us to construct some syntactically simple set of differential equations, but it then proves almost impossible to extract salient information from them. As Charles Peirce once remarked, you can’t get a set of such equations to divulge their secrets by simply tilting at them like Don Quixote. As a consequence, applied mathematicians are often forced to pursue (...) roundabout and shakily rationalized expedients if any useful progress is to be made. Often these provisional and quasi-empirical procedures within applied mathematics loom large in motivating the “anti-realist” or “anti-unificationist” conclusions of Nancy Cartwright and allied authors. (shrink)

On the basis of careful textual exegesis and philosophical analysis, and contrary to the received view, Mark R. Wheeler demonstrates that Aristotle presents and systematically explicates his definition of the essence of the truth in the Metaphysics. Aristotle states the nominal definitions of the terms "truth" and "falsehood" as part of his arguments in defense of the logical axioms. These nominal definitions express conceptions of truth and falsehood his philosophical opponents would have recognized and accepted in the context of (...) dialectical argument. On the basis of these nominal definitions, Aristotle develops his definitions of the essences of truth and falsehood--his "real" definitions of truth and falsehood. Aristotle's methodical exposition of his essential definitions of truth and falsehood in the Metaphysics serves as a well-developed example of how his philosophical inquiry starts with nominal definitions and ends with real definitions. Wheeler also argues for the novel claim that Aristotle defines the most fundamental kind of truth in terms of accurate measurement. Aristotle's metrical conception of truth serves as the theoretical basis for specifying the truth conditions of various assertions, for identifying the sorts of beings implicated in these truth conditions, and for explaining the nature of approximate truth and falsehood. Far from offering us a minimal account of truth, Wheeler shows how Aristotle offers us a sophisticated and metrical theory of truth. (shrink)

In this new textbook two Catholic ethicists with extensive teaching experience present a moral theology based on vision. David Matzko McCarthy and James M. Donohue draw widely from the Western philosophical tradition while integrating biblical and theological themes in order to explore such fundamental questions as What is good? The fourteen chapters in Moral Vision are short and thematic. Substantive study questions engage with primary texts and encourage students to apply theory to everyday life and common human experiences. The (...) book is accessibly written and flexible enough to fit into any undergraduate or seminary course on ethics. (shrink)

This is one of those cases to which Dr. 8 oodhouse's remark applies with all its force, that a method which leads to true results must have its logic — H.S Smith (" On Some of the Methods at Present in Use in Pure Geometry," p. 6) A goodly amount of modern metaphysics has concerned itself, in one form or another, with the question: what attitude should we take in regard to a language whose semantic underpinnings seem less than certain? (...) Since much of standard English is surely of this type, many philosophers have felt driven to extreme and unpalatable resolutions — wholesale rejection of attractive logical rules, radical "antirealism", "minimalism" about truth, and so forth, Scientists, however, have long dealt with analogous foundational insecurities and, under the duress of practicality, have framed a set of shifting attitudes towards language and reasoning that seem far more commonsensical than the extreme positions to which pure philosophy has often been led. Following this lead, this essay will recommend a more nuanced approach to linguistic insecurity that is neither naively optimistic nor mired in the gloomy sloughs of antirealism. (shrink)

There is considerable likelihood that Gottlob Frege began writing his Foundations of Arithmetic with the expectation that he could introduce his numbers, not with sets, but through some algebraic techniques borrowed from earlier writers of the Gottingen school. These rewriting techniques, had they worked, would have required strong philosophical justification provided by Frege's celebrated "context principle," which otherwise serves little evident purpose in the published Foundations.

Current sociological theories appear to have lost their general persuasiveness in part because, unlike the theories of the ‘classical era’, they fail to maintain an integrated stance toward society, and the practical role that sociology plays in society. The authors explore various facets of this failure and possibilities for reconstructing sociological theories as integrated wholes capable of conveying a moral and political immediacy. They discuss the evolution of several concepts (for example, the social, structure, and self) and address the significant (...) disputes (for example, structuralism versus humanism, and individual versus society) that have dominated twentieth-century sociological thought. Their ideas and analyses are directed towards an audience of students and theorists who are coming to terms with the project of sociological theory, and its relationship with moral discourses and political practice. The authors of these essays are sociological theorists from the United States, the United Kingdom and Canada. They are all established, but not ‘establishment’ authors. The book contains no orthodoxies, and no answers. However, the essays do contribute to identifying the range of issues that will constitute the agenda for the next generation of sociological theorists. (shrink)

Stereological techniques allow biologists to create quantitative, three-dimensional descriptions of biological structures from two- dimensional images of tissue viewed under the microscope. For example, they can accurately estimate the size of a particular organelle, the total length of a mass of capillaries, or the number of neurons or synapses in a particular region of the brain. This book provides a practical guide to designing and critically evaluating stereological studies of the nervous system and other tissues. It explains the basic concepts (...) behind design-based stereology and how to get started. Also included are detailed descriptions of how to prepare tissue appropriately, perform pilot studies and decide on the appropriate sampling strategy, and account for phenomena such as tissue shrinkage. Numerous examples of applications of stereological methods that are applicable to studies of the central system and a wide variety of other tissues are explained. The book is therefore essential reading for neurobiologists and cell biologists interested in generating accurate representations of cell and tissue architecture. (shrink)

This paper makes the case for a pluralist, contextualist view of nursing ethics. In defending this view, I briefly outline two current perspectives of nursing ethics – the Traditional View and the Theory View. I argue that the Traditional View, which casts nursing ethics as a subcategory of healthcare ethics, is problematic because it (1) fails to sufficiently acknowledge the unique nature of nursing practice; and (2) applies standard ethical frameworks such as principlism to moral problems which tend to alienate (...) or undermine nursing ethical concerns. Alternatively, the Theory View, which aims to build an independent and comprehensive theory of nursing ethics, is also found wanting because it (1) fails to sufficiently acknowledge the heterogeneous nature of nursing practices; (2) overemphasizes the differences and undervalues the similarities between nurses and other health professionals; and (3) assumes that one ethical framework can be meaningfully applied across diverse moral problems and contexts.My alternative, is to argue that nursing ethics inquiry should take a pluralist and critical stance towards available ethical frameworks and the negotiation of the ethical realm. On this view, the search for moral consensus or a unique ethical framework for nursing is replaced by the task of working strategically with multiple frameworks in order to expand the moral agency of nurses and empower them to positively engage with moral uncertainty as an inevitable feature of living a moral life. I conclude by indicating some of the implications that this has for the teaching of nursing ethics. (shrink)

In this important volume Habermas outlines the views which form the basis of his critical theory of modern societies. The volume comprises five interlocking essays, which together define the contours of his theory of communication and of his substantive account of social change. ′What is Universal Pragmatics?′ is the best available statement of Habermas′s programme for a theoryof communication based on the analysis of speech acts. In the following two essays Habermas draws on the work of Kohlberg and others to (...) develop a distinctive account of moral consciousness and normative structures. ′Toward a Reconstruction of historical Materialsim′ takes these issues further, offering a wide–ranging reconstruction of Marx′s historical materialsim understood as a theory of social evolution. The final essay focuses on the question of legitimacy and on the legitimation problems faced by modern states. This book is essential reading for anyone concerned with the key questions of social and political theory today. (shrink)

This book proposes a new theory of the origins of human language ability and presents an original account of the early evolution of language. It explains why humans are the only language-using animals, challenges the assumption that language is a consequence of intelligence, and offers a new perspective on human uniqueness. The author draws on evidence from archaeology, linguistics, cognitive science, and evolutionary biology. Making no assumptions about the reader's prior knowledge he first provides an introductory but critical survey of (...) all sources of evidence for language evolution. He then considers what language itself reveals about its own and human origins and evolution. He shows that certain central aspects of language do not, unexpectedly, reflect what they are used for, are maladapted for their function. He considers why this should be, and argues that these odd aspects of language reveal important clues about its evolutionary origin. The Origins of Complex Language fulfils the promise of its title. In doing so it turns upside down conventional theories about the relation between cognition and expression, truth and reference, and the co-evolution of mind and body. Original in conception, brilliantly executed, stylishly written, this book will attract a wide range of readers interested in the evolution and origins of language. (shrink)

It is time to bring the rich resources of these traditions into the contemporary debate about the nature of self. This volume is the first of its kind.

Philosophers often assume that we can somehow quantitatively measure how good things are for people. But what does such talk mean? And what are the measures? In *Weighing Goods* John Broome offers one treatment of these questions. In his later *Weighing Lives* he offers a different treatment. This article discusses both positions but advocates a third. But while the three positions disagree about matters of meaning, they agree about the form of the measures. Roughly speaking, they are such that the (...) goodness of a lottery for an individual is equal to its expected goodness for her. (shrink)

In this unique and comprehensive book, George McCarthy examines the influence of Greek philosophy, literature, arts, and politics on the development of twentieth-century German social thought. McCarthy demonstrates that the classical spirit vitalized thinkers such as Weber, Heidegger, Freud, Marcuse, Arendt, Gadamer, and Habermas. With the romancing of antiquity, they transformed their understanding of the modern self, political community, and Enlightenment rationality. By viewing contemporary social theory from the framework of the classical world, McCarthy argues, we are (...) capable of thinking beyond the limits of modernity to new possibilities of human reason, science, beauty, and social justice. (shrink)

Jurgen Habermas is unquestionably one of the foremost philosophers writing today. His notions of communicative action and rationality have exerted a profound influence within philosophy and the social sciences. This volume examines the historical and intellectual contexts out of which Habermas' work emerged, and offers an overview of his main ideas, including those in his most recent publication. Amongst the topics discussed are his relationship to the Frankfurt School of critical theory and Marx, his unique contributions to the philosophy of (...) the social sciences, the concept of 'communicative ethics', and the critique of post-modernism. New readers and non-specialists will find this the most convenient, accessible guide to Habermas currently available. Advanced students will find a conspectus of recent developments in the interpretation of Habermas. (shrink)

Together again for the first time, Marx and Durkheim join forces in the pages of Disintegration: Bad Love, Collective Suicide, and the Idols of Imperial Twilight for a dialectical exploration of the moral economy of neoliberalism, animated, as it is not only by the capitalist chase for surplus value, but also by an immortal vortex of sacred powers. Classical sociology and psychoanalysis are reconstituted within Hegelian social ontology and dialectical method that differentiates between the ephemeral and free and the eternal (...) and fixed aspects of modern life. (shrink)

In ancient China, a revered Taoist sage named Zhuangzi told many parables. In Existential Psychology and the Way of the Tao, a selection of these parables will be featured. Following each parable, an eminent existential psychologist will share a personal and scholarly reflection on the meaning and relevance of the parable for psychotherapy and contemporary life. The major tenets of Zhuangzi's philosophy are featured. Taoist concepts of emptiness, stillness, Wu Wei (i.e. intentional non-intentionality), epistemology, dreams and the nature of reality, (...) character building in the midst of pain, meaning and the centrality of relationships, authenticity, self-care, the freedom that can come from one's willingness to confront death, spiritual freedom, and gradations of therapeutic care are topics highlighted in this book. (shrink)

What can we learn about the nature of technology by studying practices of maintenance and repair? This volume addresses this question by bringing together scholarship from philosophers of technology working at the forefront of this emerging and exciting topic. -/- The chapters in this volume explore how attending to maintenance and repair can challenge and complement existing ways of thinking about technology focused on use and design and introduce new philosophical perspectives on the relationship between technology, time and human practice. (...) They examine the significance of maintenance and repair practices at different scales in relation to a diverse range of philosophical traditions and a wide variety of technologies, from urban infrastructure such as bridges and buildings to data technologies such as servers and software systems. Together, the contributions highlight common themes in the philosophical study of maintenance, including the role of skill, the significance of social values and the potential of these practices to transform the technologies to which they are applied. By reflecting on the different ways in which we keep technologies going, from the devices we use in our homes to the large technical systems which surround us, this volume reveals the philosophical significance of practices of maintenance, not only as a source of new insights but also as a resource for enriching our understanding of a variety of existing topics in philosophy. -/- Maintenance and Philosophy of Technology will appeal to scholars and advanced students working in philosophy of technology, philosophy of engineering and science & technology studies. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:A New Look at Animal-to-Human Organ TransplantationCharles R. McCarthy (bio)The acute shortage of organs available for transplantation into human beings combined with a new scientific understanding of the immune systems of both humans and animals make it probable that animal-to-human solid organ transplants (xenografts) may soon be attempted at a frequency rate unknown in the past. 1 Optimism about successful animal-to-human organ transplantation is greater than at any (...) previous time. The creation of a reliable supply of animal organs appears to be technically feasible. At least five major transplant centers in the United States are currently considering plans to pursue xenotransplantation. Although, at the time of this writing, no federal guidelines prohibit animal-to-human organ transplantation, the institutions considering such programs are awaiting deliberations on the subject by the Institute of Medicine (IOM), the Food and Drug Administration (FDA), and the Department of Health and Human Services (DHHS).The demand for organs suitable for transplantation into human beings greatly exceeds the supply. According to the United Network for Organ Sharing (UNOS 1996a), approximately 44,000 patients in the United states awaited organ transplantation at the end of 1995. In 1994, more than 3,000 patients died while on the transplant waiting list, and the demand for transplantable organs increases annually (UNOS 1996b). The figures do not include the hundreds or perhaps thousands of patients who could profit from a transplant, but who do not meet the requirements of the UNOS waiting list. Even if efforts to persuade persons to donate organs are redoubled, and even if the consent to donate organs should become a legal presumption, there is little prospect of developing a sufficient supply of transplantable human organs to meet the growing demand.As technical and biological barriers to successful animal-to-human xenografts are lowered, the prospect of raising dedicated colonies of animals, genetically altered to reduce the chances that human hosts will reject organs derived from them, is being seriously discussed. 2 Such colonies do not exist at the present time. [End Page 183] However, if new techniques for animal-to-human transplantation prove successful, it is likely that animal colonies will be established to provide a ready and predictable supply of organs for transplantation to humans. Some believe that commercial investment in colonies of purpose-bred animals to serve as a source of transplantable organs is close at hand (Leventhal 1994).New drugs and new combinations of existing drugs have improved the chances of successful medical outcomes for patients who receive solid organ transplants. It is now recognized that serial application of immunosuppressive drugs can reduce the likelihood of both short- and long-term organ rejection (Makowka 1994). Improved understanding of both human and animal immune systems, insights into histocompatibility, new agents to control graft-versus-host disease, animal breeding programs for the production of transgenic animals, and improved surgical techniques have opened, as never before, the possibility of successful transfer of organs from animals to humans. Some rate the chances of good patient outcomes (usually measured in terms of time of patient survival) as high, others make more conservative predictions, but virtually all experts believe that the chances for successful human patient outcomes resulting from xenotransplantation are improved. Because many patients face immanent death unless their organs can be replaced, there can be little doubt that many humans will readily consent to xenotransplantation.History Suggests CautionDespite the advances in immunosuppression, the frequency of failure in past animal-to-human xenograft attempts should temper the optimism of the transplant community. To date, all efforts to prolong human life by implanting solid organs from animals into human recipients have failed. The first attempts at animal-to-human xenotransplantation early in the twentieth century resulted in the early death of all recipients (Neuhof 1923). More sophisticated efforts at xenotransplantation occurred in the late 1960s and early 1970s, a period when anti-rejection drugs began to make allografts more feasible. Although one human recipient of a xenograft survived for nine months (with poor quality of life), most patients died within a matter of minutes, hours, or a few days following the transplantation of organs from chimpanzees or baboons (Starzl... (shrink)