Introduction Currently, The nature and scope of Clinical Ethics Protocols in Madrid are not well understood.Objectives The main objective is to describe the features of ‘guideline/recommendation’ type CEPs that have been or are being developed by existing Clinical Ethics Committees in Madrid. Secondary objectives include characterisation of those CECs that have been the most prolific in reference to CEP creation and implementation and identification of any trends in future CEP development.Methods We collected CEPs produced and in process by CECs accredited (...) in the public hospitals in Madrid, Spain, from 1996 to 2008.Results CECs developed 30 CEPs, with 10 more in process. The most common topic is refusal of treatment . If CEPs addressing terminal illness, Do-Not-Resuscitate orders and advance directives are placed into a separate ‘ethical problems at the end of life’ category, this CEP subject emerges as the most common . There is a relationship between the age of the CEC and the development of CEPs . CECs now seem to be more likely to engage in CEP development.Conclusions The CECs in Madrid, Spain, have developed a significant number of CEPs and there is a trend towards continued development. The most frequent topics are ethical problems at the end of life and refusal of treatment by the patient. (shrink)

Open peer commentary on the article “Exploration of the Functional Properties of Interaction: Computer Models and Pointers for Theory” by Etienne B. Roesch, Matthew Spencer, Slawomir J. Nasuto, Thomas Tanay & J. Mark Bishop. Upshot: Although the authors investigate a form of distributed swarm intelligence and solve some problems with it – including sorting and summing – the major goal, which is constructing cognition, cannot be achieved by this approach alone. I propose that anticipatory mechanisms have the potential to (...) construct cognition and may very well be combined with swarm intelligence principles. (shrink)

More than six centuries of Christian and non-Christian reflection and admiration of Meister Eckhart are the subject matter of this very scholarly yet very readable work. Philosophers like Nicolas Cusanus and Hegel, great scholars like H. Denifle and a number of lesser men are examined in order to determine what they thought about Eckhart, what they learned from him, how much they knew of him. The medieval condemnations and Cusanus' admiration issued into a period of relative neglect of Eckhart, broken (...) only by the deserving attempts of Daniel Sudermann to collect Eckhart's manuscripts. The great Dominican did not come into his own until the beginning of the last century. Franz von Baader was the one who "discovered" him and who drew Hegel's attention to some of his texts. With the monographs by C. Schmidt and Bishop Martensen, Eckhart had become known to the philosophical public as a forerunner of nineteenth-century speculation and this image had not been shattered until Denifle shifted the focus of attention to the Latin texts with their more orthodox formulations. In this century there has been a renewal of interest in the German writings which continue to have a certain popular appeal, but now, thanks to the monumental edition of the complete works, a more objective and more scholarly atmosphere pervades the literature on Meister Eckhart.--M. J. V. (shrink)

The purpose of the article is the analysis of the causes of the systemic crisis that hit modern civilization through the description of its main structures, identifying the relationship between its elements, assessments of their heuristic potential. This will open up opportunities for finding ways to resolve this crisis, new directions of civilizational development. Theoretical basis of the research are the systems analysis, socio-philosophical and philosophical-anthropological approaches as well as the analysis of scientific developments in the field of global studies. (...) Originality lies in the fact that this article is the first to show the connection between the main structural elements of human civilization as a system. Change in one of the parameters leads to a change in all the others, together with a change in civilization as a whole. Conclusions. The reason for the deep crisis that hit modern civilization is its imbalance as a system. The most important elements of this system are population size, resources and technology, and the core is consciousness in its individual and collective forms. The perception, processing, and use of information, which is a defining civilizational resource, as well as the stability of the entire system depend on the state of consciousness. Consciousness, based on old, obsolete principles and stereotypes, is unable to cope with the most acute challenges of time. New consciousness, since it is formed, will mark the transition to a new theoretical picture of the world and a model of human behavior, in which people will act, driven by proven knowledge, and not willfulness and prejudice. The idea of forming a productive information environment where the ideas of constructiveness and creative work will dominate rather than consumerism and destruction, as is the case at present, must become the categorical imperative of the new consciousness. (shrink)

Мета роботи полягає у постметафізичній концептуалізації суб’єкта у клінічному дискурсі філософської антропології. Теоретичний базис дослідження поєднує засоби дискурсивної аналітики і загальні принципи історико-філософської науки. Логіка дослідження збігається із парадигмальним розумінням трансформацій суб’єкта та передбачає перехід від діагностичних стратегій аналізу індивідуального буття як основи патологічності суб’єкта до дослідження терапевтичних моделей концептуалізації комунікації як детермінанти патології та, нарешті, до аналітики суб’єкта в горизонті полісуб’єктної соціальності. Наукова новизна полягає у розкритті основних антропологічних моделей суб’єкта, що відповідають функціям діагностики й терапії. Показано, що, попри (...) революційність певних проектів, що дозволяє їх віднести до постметафізичних, у них залишаються рецидиви метафізичності, які існують в образі суб’єкта, що мислиться як основа справжності. Відповідно до критеріїв практичної імплементації ключовою є трансформація теорій суб’єкта, орієнтованих на самопокладання і автономію, у концепції, сфокусовані на відповідальності, турботі про суще і здійсненні у якості людини. Висновки. Доведено, що образ посткласичного суб’єкта, зосередженого на ідеалі власної автентичності, мусить діагностуватися як патологічний. Показана недоцільність акцентуації виключно на дискурсивності, розмові, результатом якої стає ствердження незалежності внутрішнього, хоч і маргінального світу девіантного суб’єкта. Обґрунтована необхідність доведення проблеми до логіки соціальної взаємодії, у якій виникає та форма смислової організації феноменів, що є нормальною структурою життєвого світу і на основі якої виникає повноцінний суб’єкт із уявленнями про власну самодостатність, і з турботою про суще. (shrink)

The "mathematization" of knowledge is a historically inevitable process governed by two circumstances. In the first place there is the need for the further extension of knowledge in all areas of human activity, whether it be the study of natural phenomena or the theory of taking decisions in the economic or social sphere. Marx pointed out long ago that a science reaches its highest levels only when it succeeds in making use of mathematics. The second circumstance rendering the process of (...) deepening and broadening the mathematization of knowledge not only necessary but possible lies in the constant development both of mathematics itself and of the technical means broadening the sphere of its application. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Hume Studies Volume 29, Number 2, November 2003, pp. 223-266 A Diplomatic Transcription of Hume's "volunteer pamphlet" for Archibald Stewart: Political Whigs, Religious Whigs, and Jacobites M. A. BOX, DAVID HARVEY, AND MICHAEL SILVERTHORNE Many scholars interested in David Hume will have encountered his defense of the beleaguered Archibald Stewart as it appears in an appendix in John Valdimir Price's The Ironic Hume (Austin: University of Texas Press, 1965). (...) Additionally they might know of Price's discussion for The Biblioteck of 1973 of a copy with manuscript markings. A reason for revisiting this pamphlet is that the National Library of Scotland has graciously given permission to reproduce a copy (shelfmark NE.10.e.4) featuring a preface and significant markings in manuscript not in the copy that Price reproduced in his book. As Hume assumes considerable familiarity with the events to which he alludes, we have annotated the text to make it fully intelligible to readers two and half centuries after its composition. The rudimentary bibliographic facts and mysteries are as follows. Two editions survive to us, an octavo (in fours) and a rare duodecimo. Although there is no reason to regard the duodecimo as a second edition correcting or augmenting a first edition, it probably was manufactured after, and was textually derivative from, the octavo. We know nothing of the publishing of M. A. Box is Associate Professor of English, University of Alaska, Fairbanks, PO Box 755720, Fairbanks, AK 99775-5720, USA. David Harvey is at the Classics Department, University of Exeter, Queen's Building, Queen's Drive, Exeter EX4 4QH, UK. Michael Silverthorne is Associate Professor of History, McGiIl University, Stephen Leacock Building, 855 Sherbrooke St. West, Montreal H3A 2T7, Canada, e-mail: [email protected] 224 M. A. Box, David Harvey, and Michael Silverthorne the duodecimo, and doubtless that is as its producers intended. Its title page indicates, like that of the octavo, that the printing was done "for M. Cooper" in 1748, but William Strahan's ledgers register the printing in December 1747 of only the octavo in an edition of 1000 copies.1 The job is listed under bookseller Andrew Millar's account, not Mary Cooper's, probably for the reason that Cooper was a front whose role was to screen the true producers. It is possible that Millar hired someone other than Strahan to print the duodecimo, but it is also possible that someone other than Millar had it printed to mimic the octavo and take the opportunity it offered for concealment.2 A different editorial judgment is evinced in the duodecimo in that cosmetic measures are taken in it to obscure the identities of two military men ridiculed. For example, "Fowke" is rendered as "F—" and "John Cope" as "J-C-----." A digression on Mary Cooper is in order. This remarkable woman (died 1761) took over her husband Thomas's business upon his death 9 February 1743. That business had a history of "publishing" pamphlets and therefore made a plausible front for Millar, who in at least thirty-six other instances, none requiring courage, was willing to have his name appear on a title page with "M. Cooper." (This figure derives from a search by imprints using the English Short-Title Catalogue.) Until Thomas Cooper died, his name appeared on editions of John Armstrong's The Oeconomy of Love (1736 and thereafter) though only Millar's name is listed in the Stationers' Register (Foxon, English Verse A303-A311), and Mary's name is on the title page of the 1753 edition for which Strahan charged Millar (Strahan Papers, Add. MS 48800, s.v. August 1753). It was perhaps in this pattern that the second edition of Hume's heterodox Philosophical Essays (1750) would be reissued in 1751 with a new title page replacing Millar's name with Cooper's. That book was made temporarily a more alarming property by the superstitious panic of the London populace following the winter earthquakes in 1750, presaged by a bloody cloud. Within that year Bishop Thomas Sherlock caused a stir with a pastoral letter (A Letter from the Lord Bishop of London) blaming the earthquakes on several iniquities, "particularly heretical books" (Walpole, Correspondence 20... (shrink)

Despite its short life and the nonexistence of either troops or strong authority, the League of Nations did manage to generate positive developments in the establishment of international protection.

The aim of this study was to explore the existence of moral distress among nurses in Lilongwe District of Malawi. Qualitative research was conducted in selected health institutions of Lilongwe District in Malawi to assess knowledge and causes of moral distress among nurses and coping mechanisms and sources of support that are used by morally distressed nurses. Data were collected from a purposive sample of 20 nurses through in-depth interviews using a semi-structured interview guide. Thematic analysis of qualitative data was (...) used. The results show that nurses, irrespective of age, work experience and tribe, experienced moral distress related to patient/nursing care. The major distressing factors were inadequate resources and lack of respect from patients, guardians, peers and bosses. Nurses desire teamwork and ethics committees in their health institutions as a means of controlling and preventing moral distress. There is a need for creation of awareness for nurses to recognize and manage moral distress, thus optimizing their ability to provide quality and uncompromised nursing care. (shrink)

BackgroundThe potential contribution of community engagement to addressing ethical challenges for international biomedical research is well described, but there is relatively little documented experience of community engagement to inform its development in practice. This paper draws on experiences around community engagement and informed consent during a genetic cohort study in Kenya to contribute to understanding the strengths and challenges of community engagement in supporting ethical research practice, focusing on issues of communication, the role of field workers in 'doing ethics' on (...) the ground and the challenges of community consultation.MethodsThe findings are based on action research methods, including analysis of community engagement documentation and the observations of the authors closely involved in their development and implementation. Qualitative and quantitative content analysis has been used for documentation of staff meetings and trainings, a meeting with 24 community leaders, and 40 large public and 70 small community group meetings. Meeting minutes from a purposive sample of six community representative groups have been analysed using a thematic framework approach.ResultsField workers described challenges around misunderstandings about research, perceived pressure for recruitment and challenges in explaining the study. During consultation, leaders expressed support for the study and screening for sickle cell disease. In community meetings, there was a common interpretation of research as medical care. Concerns centred on unfamiliar procedures. After explanations of study procedures to leaders and community members, few questions were asked about export of samples or the archiving of samples for future research.ConclusionsCommunity engagement enabled researchers to take account of staff and community opinions and issues during the study and adapt messages and methods to address emerging ethical challenges. Field workers conducting informed consent faced complex issues and their understanding, attitudes and communication skills were key influences on ethical practice. Community consultation was a challenging concept to put into practice, illustrating the complexity of assessing information needs and levels of deliberation that are appropriate to a given study. (shrink)

The importance of communities in strengthening the ethics of international collaborative research is increasingly highlighted, but there has been much debate about the meaning of the term ‘community’ and its specific normative contribution. We argue that ‘community’ is a contingent concept that plays an important normative role in research through the existence of morally significant interplay between notions of community and individuality. We draw on experience of community engagement in rural Kenya to illustrate two aspects of this interplay: (i) that (...) taking individual informed consent seriously involves understanding and addressing the influence of communities in which individuals’ lives are embedded; (ii) that individual participation can generate risks and benefits for communities as part of the wider implications of research. We further argue that the contingent nature of a community means that defining boundaries is generally a normative process itself, with ethical implications. Community engagement supports the enactment of normative roles; building mutual understanding and trust between researchers and community members have been important goals in Kilifi, requiring a broad range of approaches. Ethical dilemmas are continuously generated as part of these engagement activities, including the risks of perverse outcomes related to existing social relations in communities and conditions of ‘half knowing’ intrinsic to processes of developing new understandings. (shrink)

The paper investigates inaccessible set axioms and their consistency strength in constructive set theory. In ZFC inaccessible sets are of the form Vκ where κ is a strongly inaccessible cardinal and Vκ denotes the κth level of the von Neumann hierarchy. Inaccessible sets figure prominently in category theory as Grothendieck universes and are related to universes in type theory. The objective of this paper is to show that the consistency strength of inaccessible set axioms heavily depend on the context in (...) which they are embedded. The context here will be the theory CZF− of constructive Zermelo–Fraenkel set theory but without -Induction . Let INAC be the statement that for every set there is an inaccessible set containing it. CZF−+INAC is a mathematically rich theory in which one can easily formalize Bishop style constructive mathematics and a great deal of category theory. CZF−+INAC also has a realizability interpretation in type theory which gives its theorems a direct computational meaning. The main result presented here is that the proof theoretic ordinal of CZF−+INAC is a small ordinal known as the Feferman–Schütte ordinal Γ0. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:What Has Cartesianism To Do with Jansenism?Tad M. SchmaltzMy title is modeled on the famous query of the third-century theologian, Tertullian: “What has Athens to do with Jerusalem?” Tertullian’s question asks what pagan Greek learning has to do with the theology of the early Church. By comparison my question asks what philosophical Cartesianism has to do with theological Jansenism, and more specifically what these movements had to do with (...) each other in the France of Louis XIV. To anticipate, the answer is: not much and plenty. I say not much, in the sense that there are profound differences in the approaches and interests of the namesakes of these two movements: in the case of Cartesianism, the French critic of scholastic natural philosophy, René Descartes, and in the case of Jansenism, the Louvain critic of Jesuit theology, Cornelius Jansen (Jansenius). Yet I also say plenty, in the sense that there was in the second half of the seventeenth century a fairly widespread belief in France of an intimate link between the two movements that the work of Descartes and Jansen inspired. What we need here is a story that shows how despite the differences between these two thinkers, their French followers were commonly associated with each other.In order to tell such a story I need to consider some basic difficulties in pinning down the nature of the movements themselves. There are of course familiar problems with the appeal to generic “isms” in the history of ideas, but I also want to consider special concerns pertaining to the definition of French Jansenism and French Cartesianism. In the course of this consideration I suggest that since both movements are to some extent constructs that emerged from intellectual battles in late-seventeenth-century France, they must be understood in light of the political, theological, and philosophical goals of the polemicists involved in these battles.Perhaps the most obvious reason for the connection between the Jansenist and Cartesian movements is that one of the most prominent of the Jansenist theologians, the Port-Royalist Antoine Arnauld, was also an enthusiastic defender [End Page 37] of Descartes’s metaphysical system. But while Arnauld undoubtedly played an important role in the emergence of this link, I think that the full story of its emergence must include a consideration of the different role played by a somewhat neglected figure in the history of early modern Cartesianism, namely, the Lorraine Benedictine Robert Desgabets (1610–78). Desgabets was more deeply involved than Arnauld in the 1671 “Eucharist affair,” which was important for the polemical linkage of Jansenism to Cartesianism in France. Whereas Arnauld attempted to separate Jansenist theology from Cartesian philosophy, Desgabets tried to provide Cartesian foundations for a theology with strong Jansenist overtones. It was Desgabets more than Arnauld, then, who was concerned to apply Cartesian principles to issues of importance for the Jansenist theologian.What Has Descartes To Do with Jansen?A primary trigger for the bitter “Jansenist controversies” in France during the seventeenth century was the posthumous publication in 1640 of the Augustinus of Jansen, the late Bishop of Ypres in the Spanish Netherlands. This technical three-volume work attempts to draw from Augustine responses to Pelagian and semi-Pelagian views concerning the prelapsarian state of innocence, the fall from this state, and the grace required to overcome that fall. Jansen’s emphasis is on the pervasive corruption of original sin and on the impossibility of meritorious action that does not derive from God’s grace to the elect. The Jesuits in Louvain saw the work as a throwback to the theses of Michel du Bay (Baius) that Pope Paul V had condemned in 1567 due to pressure exerted by their order, and they made an unsuccessful attempt to stop the publication of the book. 1 After its publication this text drew the suspicion of Cardinal Richelieu, who (correctly) believed Jansen to be the author of Mars Gallicus, an anonymous pamphlet protesting Richelieu’s anti-Habsburg policies. Richelieu chose a theologian of Notre-Dame-de-Paris, Isaac Habert, to launch an attack against the Augustinus. In a series of sermons starting in 1642 Habert criticized Jansen’s assertion of the necessity of contrition... (shrink)

The concept of interpretation is applicable to any forms of knowledge, including systems of religious knowledge, designing the ideal model of the subject of religious veneration. The author analyzes the epistemological features of theology as a form of spiritual culture, its formation in ancient culture. It is shown that the epistemological basis for overcoming mythological consciousness was the decentralization of thinking, i.e. development of the ability of consciousness in the construction of the image, the picture of the world to correct (...) the position of the subject, to take into account the relativity of the reference system, from the standpoint of which the subject perceives the object and transforms it into an operational system of thinking. Decentration of thinking provided the overcoming of the subjective mental boundaries of the field, giving the thinking nature of universality. Historical stages and moments of this process - the transformation of mythology into forms of folk art, mythopoetic epic, in the form of religious consciousness. In line with such transformations of archaic consciousness, cultural and historical prerequisites of theology emergence were formed. They are represented in mythopoetic art, ancient mythography, early traditions of critical and rationalistic interpretation of the myth, etc. The article shows the formation of allegorical theology, which became possible in the era of individualization of artistic creativity, when the visible was the difference between the motive and the purpose of activity, creative idea and its embodiment, figuratively-poetic and rationally-conceptual ways of reflecting the world, when the image of reality and its personal meaning began to be realized as different States of consciousness. The main function of any theology is the interpretation of abstract models of the subject of religious veneration. (shrink)

В монографии рассматривается соотношение индивидуальных и универсальных начал в праве как эффективное средство решения многих правовых проблем, как руководство в законодательной и судебной деятельности.