Discussions of both personal responsibility and the importance of trust in health-care settings are increasingly prominent in the bioethics literature. In this paper I link the two discussions and argue that health policies that include personal responsibility ought to address climates of social trust. Trust is a social good that is not always fairly distributed. Disadvantaged social groups often face default distrust. I suggest that agent-centered models in which responsibilities are negotiated do a better job of repairing social distrust than (...) authoritative models in which responsibilities are assigned . Attending to climates of trust, distrust, or antitrust is essential for addressing health inequalities. (shrink)

This collection of essays is a sequel to the editors' 1976 volume Studies in Nietzsche and the Classical Tradition. Philosophers, theologians, and literary historians discuss important aspects of Nietzsche's attack on Judaism and Christianity. The book contains studies of his view of biblical figures, Luther and Pascal as well as comparisons of his thought with that of Spinoza, Lessing, Heine, and Kierkegaard. Nietzsche's critique of the Old Testament, the Jewish religion of the diaspora, and historical Christianity are also investigated. Of (...) the eighteen articles included here, thirteen were prepared expressly for this volume--five were translated from German, one from French, and one from Hebrew. Contributors to this volume are: Eugen Biser, Harry Neumann, Israel Eldad, Charles Lewis, Jorg Salaquarda, Joan Stambaugh, Max L. Baeumer, Brendan Donellan, Diana Behler, Sander L. Gilman, Gerd-Gunther Grau, Josef Simon, James C. O'Flaherty, Bernd Magnus, Georges Goedert, Hans Lung, and Karl Barth. (shrink)

These fifteen essays on Nietzsche's indebtedness to the Classical Tradition were composed by scholars in the fields of philosophy, theology, German and Classics. The essays roughly cover the following epochs: the age of the Fathers of the Western Church, medieval scholasticism, the Renaissance, the Enlightenment, Weimar Classicism, Romanticism and the several other intellectual trends and movements in the nineteenth century. Collection includes three essays comparing Nietzsche's perceptions of Plato, Aristotle, and Socrates with those (respectively) of Augustine, Aquinas, and Hamann. Three (...) essays treat Nietzsche's relationship to Goethe, Schiller, and Heine. Three deal with Nietzsche and French literature or thought, one explores possible parallels between Nietzsche and Dante, another the extent of his debt to Byron. Four contributions center on Nietzsche's view of tragedy, and an older study has been expanded to show the underlying harmony of Nietzsche's conception with that of the French classical tragedians. This book affirms and fulfills the need for serious scholarship by the student of Nietzsche unable to work in German, while presenting a readable cross-section of the work being done relating Nietzsche to the intellectual tradition from which he sprang. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 39.1 (2001) 158-159 [Access article in PDF] Christopher Janaway, editor. The Cambridge Companion to Schopenhauer. New York: Cambridge University Press, 1999. Pp. 592. Cloth, $59.95. Schopenhauer's import as a original thinker has often been downplayed or underestimated by contemporary commentators and his philosophy is often examined only in light of his influence upon Nietzsche. This collection of thirteen essays assembled by Christopher Janaway (...) does much to overcome scholarly neglect of Schopenhauer by illustrating the original aspects of his thought as well as the widespread influence his philosophy has had. One gains from this book not only a solid introduction to Schopenhauer's major ideas but an appreciation of the significant contributions he made to the philosophical milieu of the nineteenth and twentieth centuries.In the first essay, Gunter Zöller examines how Schopenhauer's unique notion of selfhood fits into his overall "dual aspect" theory of the world as both will and representation. He also discusses Schopenhauer's conception of the self within the context of his claims regarding the negation of the will. The following article, by David Hamlyn, is also broad in scope and provides a comprehensive examination of Schopenhauer's epistemology in The World as Will and Representation. He looks at the various notions of knowledge that are employed in Schopenhauer's system and how they are determined by the different classes of objects of knowledge that Schopenhauer distinguishes. In the third essay F. C. White turns to Schopenhauer's earlier work, On the Fourfold Root of the Principle ofSufficient Reason. White runs through Schopenhauer's arguments regarding each of the four classes of objects which comprise the world as representation in the Fourfold Root. He reinforces the point made by Schopenhauer himself, that this is a text that can not be overlooked if one is to gain a sufficient understanding of his primary work. The Fourfold Root, like the rest of Schopenhauer's philosophy, is deeply engaged with the philosophy of Kant. This is the topic of the next article by Paul Guyer. Guyer gives a detailed summary and evaluation of Schopenhauer's appropriation and critique of Kant's theoretical philosophy. According to Guyer, Schopenhauer and Kant employ quite different methodologies, Kant's being thoroughly transcendental and Schopenhauer's more phenomenological. Also, Schopenhauer's phenomenological approach to epistemological questions often skews his interpretation and evaluation of Kant's transcendental arguments. [End Page 158]Christopher Janaway, in the first of his two contributions, turns the focus to Schopenhauer's famous metaphysical doctrine of the will. He provides a particularly illuminating discussion of Schopenhauer's conception of will as the "thing-in-itself." The thing-in-itself is also the subject of the next article by Noira Nichols. Despite his reputation for not significantly altering his major positions, Nichols argues that there is a distinct difference between Schopenhauer's earlier, more Kantian, conception of the thing-in-itself with his later, more mystical, conception. She attributes these conceptual shifts to the increasing influence of Eastern philosophy upon Schopenhauer's thinking. Schopenhauer's broad analysis of the concept of will includes complex aesthetic and moral theories which are addressed in the contributions by Cheryl Foster and David Cartwright. In her contribution, Cheryl Foster examines Schopenhauer's aesthetics by focusing on his views regarding the relationship of art and science, art and the limitations of the intellect, and the nature of artistic genius. Turning to Schopenhauer's moral theory, David Cartwright explicates Schopenhauer's "narrower" sense of morality as discussed in his often overlooked On the Basis of Morality, rather than focusing on the "higher metaphysical-ethical standpoint" exemplifed in the World as Will and Representation. Cartwright also attempts to demonstrate "... how Schopenhauer has contributed and could contribute to contemporary moral thought" (253).The next group of articles address the issue of Schopenhauer's pessimism. Dale Jacquette looks at Schopenhauer's understanding of the meaning of death in light of his pessimistic metaphysic. Included in Jacquette's study is an explanation of Schopenhauer's views on suicide and asceticism. Covering similar territory, Christopher Janaway... (shrink)

Objective Although patients exercise greater autonomy than in the past, and shared decision making is promoted as the preferred model for doctor-patient engagement, tensions still exist in clinical practice about the primary locus of decision-making authority for complex, scarce, and resource-intensive medical therapies: patients and their surrogates, or physicians. We assessed physicians’ attitudes toward decisional authority for adult venoarterial extracorporeal membrane oxygenation (VA-ECMO), hypothesizing they would favor a medical locus. Design, Setting, Participants A survey of resident/fellow physicians and internal medicine (...) attendings at an academic medical center, May to August 2013. Measurements We used a 24-item, internet-based survey assessing physician-respondents’ demographic characteristics, knowledge, and attitudes regarding decisional authority for adult VA-ECMO. Qualitative narratives were also collected. Main Results A total of 179 physicians completed the survey (15 percent response rate); 48 percent attendings and 52 percent residents/ fellows. Only 32 percent of the respondents indicated that a surrogate’s consent should be required to discontinue VA-ECMO; 56 percent felt that physicians should have the right to discontinue VA-ECMO over a surrogate’s objection. Those who self-reported as “knowledgeable” about VA-ECMO, compared to those who did not, more frequently replied that there should not be presumed consent for VA-ECMO (47.6 percent versus 33.3 percent, p = 0.007), that physicians should have the right to discontinue VAECMO over a surrogate’s objection (76.2 percent versus 50 percent, p = 0.02) and that, given its cost, the use of VA-ECMO should be restricted (81.0 percent versus 54.4 percent, p = 0.005). Conclusions Surveyed physicians, especially those who self-reported as knowledgeable about VA-ECMO and/or were specialists in pulmonary/ critical care, favored a medical locus of decisional authority for VA-ECMO. VA-ECMO is complex, and the data may (1) reflect physicians’ hesitance to cede authority to presumably less knowledgeable patients and surrogates, (2) stem from a stewardship of resources perspective, and/or (3) point to practical efforts to avoid futility and utility disputes. Whether these results indicate a more widespread reversion to paternalism or a more circumscribed usurping of decisional authority occasioned by VA-ECMO necessitates further study. (shrink)

This paper reports on an ongoing ARC Discovery Project that is conducting design research into learning in collaborative virtual worlds (CVW).The paper will describe three design components of the project: (a) pedagogical design, (b)technical and graphics design, and (c) learning research design. The perspectives of each design team will be discussed and how the three teams worked together to produce the CVW. The development of productive failure learning activities for the CVW will be discussed and there will be an interactive (...) demonstration of the project's CVW. (shrink)