Over the past several decades, medical ethics has gained a solid foothold in medical education and is now a required course in most medical schools. Although the field of medical ethics is by nature eclectic, moral philosophy has played a dominant role in defining both the content of what is taught and the methodology for reasoning about ethical dilemmas. Most educators largely rely on the case‐based method for teaching ethics, grounding the ethical reasoning in an amalgam of theories drawn from (...) moral philosophy, including consequentialism, deontology, and principlism.In this article we hope to make a case for augmenting the focus of education in medical ethics. We propose complementing the traditional approach to medical ethics with a more embedded approach, one that has been described by others as “microethics,” the ethics of everyday clinical practice. (shrink)

The proponent of the epistemological gap maintains that value claims are justified in a different way than are nonvalue claims. I show that a neo-Aristotelian naturalized virtue ethics does not fall prey to this gap. There are ethical claims concerning human beings that are epistemically justified in a way logically identical to the way in which are justified certain nonethical claims about human and nonhuman organisms. This demonstration (1) lends credibility to naturalized virtue ethics, (2) calls into question the very (...) notion of an epistemological gap, and (3) confronts antinaturalists with a dilemma. (shrink)

This article addresses whether cardiopulmonary resuscitation and sustained physiological support should ever be permitted in individuals who are diagnosed as brain dead and who had held previously expressed moral or religious objections to the currently accepted criteria for such a determination. It contrasts how requests for care would normally be treated in cases involving a brain-dead individual with previously expressed wishes to donate and a similarly diagnosed individual with previously expressed beliefs that did not conform to a brain-based conception of (...) death. The paper first focuses narrowly on requests for CPR and then expands its scope to address extended physiological support. It describes how refusing the brain-dead non-donor's requests for either CPR or extended support would represent enduring harm to the antemortem or previously autonomous individual by negating their beliefs and self-identity. The paper subsequently discusses potential implications of policy that would allow greater accommodations to those with conscientious objections to currently accepted brain-based death criteria, such as for cost, insurance, higher brain formulations and bedside communication. The conclusion is that granting wider latitude to personal conceptions around the definition of death, rather than forcing a contested definition on those with valid moral and religious objections, would benefit both individuals and society. (shrink)

There are certain traits that make us good human beings by enabling us to realize our natural ends. From the perspective of such a naturalized virtue ethics, there is nothing obviously unethical or imprudent about the capacity for same-sex love. Moreover, given the resources of this theory, such questions are empirical ones. If the capacity for same-sex love is a trait the possession of which makes one a good human being, then the just state will promote and encourage it, or (...) at least not stand in its way. It can do so by allowing same-sex marriage. (shrink)

Background Nursing students must graduate prepared to bravely enact the art and science of nursing in environments infiltrated with ethical challenges. Given the necessity and moral obligation of nurses to engage in discourse within nursing ethics, nursing students must be provided a moral supportive learning space for these opportunities. Situating conversations and pedagogy within a brave space may offer a framework to engage in civil discourse while fostering moral courage for learners. Research Objective The aim of this research is to (...) explore the influence of a structured self-assessment tool called the ESA “Engagement Self-Assessment” on the alignment and creation of a brave space in a nursing ethics course. Research Design This study used an exploratory, cross-sectional survey design. Participants and Study Setting Data from 39 undergraduate nursing students enrolled in a nursing healthcare ethics & law course using the ESA were recruited. Ethical Considerations Participation was voluntary and informed without coercion. Written consent was obtained prior to participation. Research ethics approval was obtained by the Institutional Research Ethics Board of the recruited participants (Ethics # 2022-23-03). Findings The ESA provided structured self-reflection on the impact of shared vulnerability within a brave space. However, commitment to a brave space was not strongly influenced by the ESA, but rather by a mutual “commitment to others.” Conclusion A teaching tool such as an ESA can be used to facilitate instructor expectations of civil discourse and discussion of difficult topics. Rules of engagement such as those found in brave spaces can help transform fear of vulnerability into authentic growth for learners. A morally supportive learning space can support critical opportunities for ethical development. This study provides insight into how self-assessment and the use of a brave space in nursing ethics education can facilitate a morally supportive learning space. (shrink)

Background To determine whether fetal care paediatric and maternal–fetal medicine specialists harbour differing attitudes about pregnancy termination for congenital fetal conditions, their perceived responsibilities to pregnant women and fetuses, and the fetus as a patient and whether self-perceived primary responsibilities to fetuses and women and views about the fetus as a patient are associated with attitudes about clinical care.Methods Mail survey of 434 MFM and FCP specialists .Results MFMs were more likely than FCPs to disagree with these statements : ‘the (...) presence of a fetal abnormality is not an appropriate reason for a couple to consider pregnancy termination’ ; ‘the effects that a child born with disabilities might have on marital and family relationships is not an appropriate reason for a couple to consider pregnancy termination’ ; and ‘the cost of healthcare for the future child is not an appropriate reason for a couple to consider pregnancy termination’ . 65% MFMs versus 47% FCPs disagreed that their professional responsibility is to focus primarily on fetal well-being . Specialists did not differ regarding the fetus as a separate patient. Responses about self-perceived responsibility to focus on fetal well-being were associated with clinical practice attitudes.Conclusions Independent of demographic and sociopolitical characteristics, FCPs and MFMs possess divergent ethical sensitivities regarding pregnancy termination, pregnant women and fetuses, which may influence clinical care. (shrink)

Background While prenatal surgery historically was performed exclusively for lethal conditions, today intrauterine surgery is also performed to decrease postnatal disabilities for non-lethal conditions. We sought to describe physicians' attitudes about prenatal surgery for lethal and non-lethal conditions and to elucidate characteristics associated with these attitudes. Methods Survey of 1200 paediatric surgeons, neonatologists and maternal–fetal medicine specialists. Results Of 1176 eligible physicians, 670 responded. In the setting of a lethal condition for which prenatal surgery would likely result in the child (...) surviving with a severe disability, most respondents either disagreed or strongly disagreed that they would recommend the surgery. Male physicians were twice as likely to recommend surgery for the lethal condition, as were physicians who believe that abortion is morally wrong. Older physicians were less likely to recommend surgery. For non-lethal conditions, most respondents agreed that they would recommend prenatal surgery, even if the surgery increases the risk of prematurity or fetal death. Compared with MFMs, surgeons were less likely to recommend such surgery, as were physicians not affiliated with a fetal centre, and physicians who were religious. Conclusion Physician’s attitudes about prenatal surgery relate to physicians’ beliefs about disability as well as demographic, cultural and religious characteristics. Given the variety of views, parents are likely to receive different recommendations from their doctors about the preferable treatment choice. (shrink)

Field-Programmable Gate Arrays (FPGAs) have emerged as an attractive means of implementing logic circuits, providing instant manufacturing turnaround and negligible prototype costs. They hold the promise of replacing much of the VLSI market now held by mask-programmed gate arrays. FPGAs offer an affordable solution for customized VLSI, over a wide variety of applications, and have also opened up new possibilities in designing reconfigurable digital systems. Field-Programmable Gate Arrays discusses the most important aspects of FPGAs in a textbook manner. It provides (...) the reader with a focused view of the key issues, using a consistent notation and style of presentation. It provides detailed descriptions of commercially available FPGAs and an in-depth treatment of the FPGA architecture and CAD issues that are the subjects of current research. The material presented is of interest to a variety of readers, including those who are not familiar with FPGA technology, but wish to be introduced to it, as well as those who already have an understanding of FPGAs, but who are interested in learning about the research directions that are of current interest. (shrink)

The Tractatus de suppositionibus, which is cited by Gerald Odonis in his commentary on the Sentences, probably dates from ca. 1315-25. In the Sentences commentary he refers to his treatment of 'suppositio communicabilis' and its species, indicating a type of supposition whose language seems new. This article attempts to find a source for it in contemporary authors and arrives at the conclusion that 'communicabilis' is simply a synonym for 'personalis', the most common form of supposition according to Odonis.

The Tractatus de suppositionibus, which is cited by Gerald Odonis in his commentary on the Sentences, probably dates from ca. 1315-25. In the Sentences commentary he refers to his treatment of 'suppositio communicabilis' and its species, indicating a type of supposition whose language seems new. This article attempts to find a source for it in contemporary authors and arrives at the conclusion that 'communicabilis' is simply a synonym for 'personalis', the most common form of supposition according to Odonis.

Sulla base del ms. Vat. Borg. 39 viene edita la quaestio I del Quodlibet IV. Nell'introduzione l'A. ricorda le posizioni espresse da Enrico di Gand, Duns Scoto, Gerardo da Bologna e Erveo Natale sul tema in questione. La posizione di Guido sull'analogia dell'essere, per quanto originale, si costituisce come una valida alternativa alla opinio communis rappresentata da Gerardo da Bologna, Erveo Natale e da molti altri autori attivi tra la fine del XIII sec. e gli inizi del XIV.

The Middle Ages is often viewed as a period of low intellectual achievement. The name itself refers to the time between the high philosophical and literary accomplishments of the Greco-Roman world and the technological advances that were achieved and philosophical and theological alternatives that were formulated in the modern world that followed. However, having produced such great philosophers as Anselm, Peter Abelard, John Duns Scotus, William of Ockham, Peter Lombard, and the towering Thomas Aquinas, it hardly seems fair to label (...) the medieval period as such. Examining the influence of ancient Greek philosophy as well as of the Arabian and Hebrew scholars who transmitted it, the Historical Dictionary of Medieval Philosophy and Theology presents the philosophy of the Christian West from the 9th to the early 17th century. This is accomplished through a chronology, an introduction, appendixes, a bibliography, and hundreds of cross-referenced dictionary entries on the philosophers, concepts, issues, institutions, and events, making this an important reference for the study of the progression of human thought. (shrink)

I defend a neo-Aristotelian ethical theory I call "naturalized virtue ethics," or NVE. This is a naturalistic, teleological theory. Human beings are a species of social animal for whom there is a characteristic form of life. An individual human being may be evaluated as a good or bad specimen according to how well that individual realizes the human form of life. To be a good human being, one must possess those traits of character that reliably enable one to achieve the (...) ends of creatures like us. ;In Chapter 1, I present reasons for why we should prefer ethical naturalism. ;In Chapter 2, I discuss what to many is still a contentious issue: natural teleology. NVE is teleological. Teleology, both in ethics and in science, has often been looked upon with suspicion. I argue that the teleology operative in NVE is natural, or naturalizable. NVE is on a metaphysically sound foundation. ;In Chapter 3, I further explicate NVE and show how several of the standard virtues are justified by the lights of NVE. I also show the further applications of the theory to issues of distributive justice and law. These examples provide tests of the descriptive and explanatory adequacy of NVE, a test the theory passes. ;In Chapter 4, I consider the charge that ethical naturalism commits some one or other egregious metaethical mistake. This sort of mistake has been associated variously with the fact/value gap, the is/ought gap, and the naturalistic fallacy. I discuss these issues in their general form and relative to NVE, showing that there are no problems here for NVE. ;In Chapter 5, I place NVE is the space of contemporary virtue theories and also contrast it with eudaimonistic or welfare-based ethics and with evolutionary ethics. NVE is a good-based virtue theory, but it is neither a kind of eudaimonism nor an evolutionary ethics. Considerations of evolution lead us to certain criticisms of ethical theories like NVE. Contra the critics, I show NVE's compatibility with neo-Darwinism. I then suggest further research. (shrink)

The selections included in this anthology, drawn from a variety of Aquinas' works, focus on the roles of reason and faith in philosophy and theology. Expanding on these themes are Aquinas' discussions of the nature and domain of theology; the knowledge of God and of God's attributes attainable through natural reason; the life of God, including God’s will, justice, mercy, and providence; and the principal Christian mysteries treated in theology properly speaking--the Trinity and the Incarnation.

Focusing on Meister Eckhart, John Duns Scotus, Hervaeus Natalis, Durandus of St.-PourAain, Walter Burley and Petrus Aureoli, this volume investigates the nature ...

'Postmodern Marketing II is so delightful, exciting, and chock full of good ideas that I raced through it at breakneck speed. It is at once extremely clever, extremely funny, and extremely serious.' - Russ Beck, The University of Utah 'Postmodern Marketing II is so delightful, exciting, and chock full of good ideas that I raced through it at breakneck speed. It is at once extremely clever, extremely funny, and extremely serious.' - Russ Beck, The University of Utah.

A plausible naturalistic virtue ethics requires a plausible naturalistic account of virtue. One way of naturalizing virtue is to give an account of the virtues as those traits that enable realization of the ends of creatures like us. However, three important concerns threaten the theoretical adequacy ofthe view. It appears that the fact of human variability entails that there is no human lifeform comparable to that of other living things. It appears that, even if there is a human lifeform, this (...) notion essentially involves a problematic concept of normality. And human beings differ fromother types of organisms in that they can set their own ends. I argue that naturalized virtue ethics can meet these concerns and therefore has a more than decent chance as a plausible form of ethical naturalism. However, in examining the theory we are led to a more modest understanding of whatthe ambitions of this kind of ethical naturalism ought to be. (shrink)