_Disaster Psychiatry: Intervening When Nightmares Come True_ captures the state of disaster psychiatry in the aftermath of the terrorist attacks of September 11, 2001. This emergent psychiatric specialty, which is increasingly separated from trauma and grief psychiatry on one hand and military psychiatry on the other, provides psychotherapeutic assistance to victims during, and in the weeks and months following, major disasters. As such, disaster psychiatrists must operate in the widely varying locales in which natural and man-made disasters occur, and they (...) must establish their role among the chaotic array of organizations involved in direct disaster response. Editors Anand Pandya and Craig Katz have captured the challenge and promise of disaster psychiatry through first-person narratives. We hear from psychiatrists who have encountered disasters at various stages of their career and in widely varying social, political, and personal contexts. Accounts of psychiatric involvement with adults and children during and after 9/11 have understandable pride of place in this collection. But they are balanced by richly informative narratives about other domestic and international disasters. Fraught with the drama attendant to the events they describe, these essays delineate the dizzying array of challenges that confront the disaster psychiatrist. They range from the intense emotional responses that are part of the aftermath of any disaster, to the need to legitimize a psychiatric presence within diverse cultural and medical contexts, to the subtle task of providing therapeutic boundaries at a time when all rules seem to be suspended. Special attention is given to the daunting task of working with children whose parents' are disaster victims. What emerges from these testimonies is compelling documentation of skilled and compassionate psychiatrists at the outer limits of their specialty, pursuing their calling into uncharted realms of therapeutic engagement. (shrink)

Modal rationalism includes the thesis that ideal primary positive conceivability entails primary possibility. Modal monism is the thesis that the space of logically possible worlds is coextensive with the space of metaphysically possible worlds. In this paper I explore the relation between the two theses. My aim is to show that the former thesis implies the latter thesis, and that problems with the latter make the former implausible as a complete picture of the epistemology of modality. My argument explores the (...) relation between logical modality and metaphysical modality. (shrink)

There are three theories in the epistemology of modality that have received sustained attention over the past 20 years: conceivability-theory, counterfactual-theory, and deduction-theory. In this paper we argue that all three face what we call the problem of modal epistemic friction. One consequence of the problem is that for any of the three accounts to yield modal knowledge, the account must provide an epistemology of essence. We discuss an attempt to fend off the problem within the context of the internalism (...) versus externalism debate about epistemic justification. We then investigate the effects that the PMEF has on reductive and non-reductive theories of the relation between essence and modality. (shrink)

I examine social capital’s impact on financial reports. Based on the social capital literature, I predict that the quality of the financial reports is higher when a firm is headquartered in a region with high social capital. Consistent with this prediction, I find that the firms that are headquartered in this type of region in the USA have a lower probability of committing fraud by misrepresenting financial information. Further, I find that the firms in regions with high social capital have (...) lower levels of discretionary accruals and much more readable annual reports. (shrink)

Analytic Panpsychism has been brought into contact with Indian philosophy primarily through an examination of the Advaita Vedānta tradition and the Yogācāra tradition. In this work I explore the relation between Rāmānuja, the 12th century father of the Viśiṣṭādvaita Vedānta tradition, and analytic panpsychism. I argue that Rāmānuja’s philosophy inspires a more world affirming form of cosmopsychism where there are different kinds of reality, rather than one fundamental reality of pure consciousness and an ordinary wrold that is illusory from the (...) perspective of fundamental reality. (shrink)

This volume provides an overview of issues arising in work on the foundations of decision theory and social choice. The collection will be of particular value to researchers in economics with interests in utility or welfare, but also to any social scientist or philosopher interested in theories of rationality or group decision-making.

Modal epistemology has been dominated by a focus on establishing an account either of how we have modal knowledge or how we have justified beliefs about modality. One component of this focus has been that necessity and possibility are basic access points for modal reasoning. For example, knowing that P is necessary plays a role in deducing that P is essential, and knowing that both P and ¬P are possible plays a role in knowing that P is accidental. Chalmers (2002) (...) and Williamson (2007) provide two good examples of contrasting views in modal epistemology that focus on providing an account of modal knowledge where necessity and possibility are basic access points for modal knowledge, and Yablo (1993) provides a good account of how we have justified beliefs about modality. In contrast to this tradition I argue for and outline a modal epistemology based on objectual understanding and essence, rather than knowledge or justification and necessity and possibility. The account employs a non-modal conception of essence and takes objectual understanding of essence, rather than knowledge of essence to be basic in modal reasoning. I begin by articulating Kvanvig’s (2003) account of objectual understanding, on which objectual understanding of Φ is not equivalent to propositional knowledge of Φ. I then argue that an epistemology of essence that uses property variation-in-imagination is better construed as a model that delivers objectual understanding of essence rather than knowledge of essence. I argue that this is so, since the latter and not the former runs into a version of the Meno paradox. I show how this account can be applied to two issues in modal epistemology: the Benacerraf problem for modality, and the architecture of modal knowledge. (shrink)

Autumn Fiester's “Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure” (2015) demonstrates how a focus on recommendations in clinical ethics consultations (CECs) can fail to...

Perceptual disjunctivism is a controversial thesis about perception. One familiar characterization of the thesis maintains that there is no common epistemic kind that is present in both veridical and non-veridical cases of perception. For example, the good case, in which one sees a yellow lemon, and the bad case, in which one hallucinates a yellow lemon, share a specific first-person phenomenology, being indistinguishable from the first-person point of view; however, seeing a yellow lemon and hallucinating a yellow lemon do not, (...) according to the disjunctivist, share a common epistemic kind. There are two types of disjunctivism: epistemological vs. metaphysical. John McDowell, 243–255, 2011, Philosophical Explorations, 16, 259–279, 2013) has articulated, refined, and defended one kind of disjunctivism. Tyler Burge, 1–78, 2005, Philosophical Explorations, 13, 43–80, 2011) has objected to many forms of disjunctivism, arguing that they are all inconsistent with the proximality principle in the vision sciences. PP requires an ability-general kind in common between relevantly similar perceptual states, such as seeing a yellow lemon and hallucinating a yellow lemon, which disjunctivism denies. Against the background of this debate some analytic epistemologists, such as Michael Martin, Alan Millar, 176–198, 2007), Berit Brogaard, 46–73, 2011), Duncan Pritchard, and Heather Logue, 105–133, 2013) remain attracted to some version of disjunctivism. Brogaard and Pritchard each have gone on to articulate and defend a version. Pritchard’s, for example, defends epistemological disjunctivism. Martin, Millar, and Logue, by contrast, have defended the idea that the disjunctivist is right about something, but perhaps not wholly correct about the nature of perception. In what follows, I articulate and defend the view that an interesting kind of disjunctivism is to be found through a reading of the Nyāya School of classical Indian philosophy. I articulate a version of perceptual disjunctivism informed by Nyāya perceptual theory that is not derivable from any single Nyāya philosopher. The view I offer is inspired by work on disjunctivism both in Anglo-analytic philosophy and in Nyāya scholarship, such as by Dasti and Phillips, 535–540, 2010), Ganeri, 541–550, 2010), Dasti, 1–15, 2012), Phillips, Vaidya, 562–585, 2013), and Schiller, 1–18, 2019). Importantly, the causal account I offer is distinct from Grice’s single-factor causal theory of perception by crucially involving a multi-factor causal theory of perception. My work on Nyāya perceptual theory derives primarily from Jaysankar Shaw’s account of Nyāya on the sources of knowledge, which is distinct from Stephen Phillips’ well-known account of Nyāya epistemology. Shaw’s theory has been developed and refined through textual analysis and dialectical engagement with the twentieth century Nyāya Pundit Philosopher, Viśvabandhu Tarkatīrtha. Like other modern Nyāya scholars, such as B. K. Matilal, A. Chakrabarti, 1–8, 2010), M. Chadha, J. Ganeri, and S. Phillips, 104–113, 2001, 2012), J. Shaw’s account shows how Nyāya epistemology is a living and continuing form of Indian philosophy. My goal here is twofold. On the one hand, I articulate multi-factor causal disjunctivism and show how it can be applied to the McDowell-Burge debate over the viability of disjunctivism and naïve realism. On the other hand, I aim to start a cross-cultural epistemological conversation with those that have contributed to the Anglo-analytic debate in anthologies, such as Haddock and Macpherson, Byrne and Logue, and introductions, such as Soteriou. The hope is that a cross-cultural epistemological investigation into disjunctivism will lead to better epistemic theorizing about the nature of perception. (shrink)

In the last fifty years, average overall health status has increased more or less in parallel with a much celebrated decline in mortality, attributed mostly to poverty reduction, sanitation, nutrition, housing, immunization, and improved medical care. It is becoming increasingly clear, however, that these achievements were not equally distributed. In most countries, while some social groups have benefited significantly, the situation of others has stagnated or may even have worsened.If health is a prerequisite to a person functioning as an agent, (...) inequalities in health constitute inequalities in people's capability to function -- a denial of equality of opportunity. So why should a concern with health equity be singled out from the pursuit of social justice more generally? Can existing theories of justice provide an adequate account of health equity? And what ethical problems arise in evaluating health inequalities? These are some of the important questions that this book addresses in building an interdisciplinary understanding of health equity. With contributions from distinguished philosophers, anthropologists, economists, and public-health specialists, it centres on five major themes: what is health equity?; health equity and social justice; responsibilities for health; ethical issues in health evaluation; and anthropological perspectives. (shrink)

In this paper I articulate the question of whether machines can have emotions. I then reject a common argument against why they cannot have emotions based on the lack of a capacity for feelings. The goal of this paper is not to decisively show that machines can have emotions, but to decisively show that the naïve argument for the conclusion that they cannot needs to be critically examined. I argue that machines that have artificial general intelligence can have emotions based (...) on having the capacity to make judgments that are essential and constitutive of certain emotions, such as anger. I argue against the view that phenomenological or physiological profiles are essential to anger on the basis of emotion regulation. I consider a long list of objections to the position that machines can have emotions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Reality+: Virtual Worlds and the Problems of Philosophy by David J. ChalmersAnand Jayprakash Vaidya (bio)Reality+: Virtual Worlds and the Problems of Philosophy. By David J. Chalmers. New York, NY: W.W Norton & Company, 2022. Pp. xi + 520. Hardcover $22.49, isbn 978-0-393635-80-5.It isn't uncommon to think that virtual worlds, the worlds we engage with in video games, for example, are not real or at least less real than (...) the ordinary world. After all, they are worlds that are created by us, and thus are less real than the world we didn't create, mind-independent reality. However, in Reality+, David Chalmers argues for the thesis that virtual reality is genuine reality.Reality+ is the twenty-first century equivalent of Bertrand Russell's twentieth century The Problems of Philosophy, published 110 years prior. Like Russell, Chalmers' goal is to explain the basic problems of philosophy to a wide audience.The book's twenty-four chapters are organized into seven different parts: virtual worlds, knowledge, reality, real virtual reality, mind, value, and foundations. Each section has about three to four chapters. Having taught the book in an upper-division philosophy of mind course, I would say that the first nine chapters should be read together to get a good sense of the whole project, because they give shape and structure to Chalmers' basic arguments and positions. The following fifteen self-explanatory, self-contained, chapters, are independently engaging, and can be taught separately, as standalone works of philosophy.Chalmers engages in what he terms technophilosophy, which is the combination of (1) asking philosophical questions about technology and (2) using technology to help answer traditional questions of philosophy. He claims that he draws inspiration for the project from Patricia Churchland's 1986 Neurophilosophy, where she does the equivalent of (1) and (2) with neuroscience. Reality+ delivers clear arguments, referencing historical and contemporary philosophical work, while frequently drawing from science fiction, including several outstanding Rick and Morty -style illustrations. The use of science fiction helps to connect students to abstract ideas, while the robustly constructed arguments serve to instruct students on how to go about critically examining the ideas. My students found the book accessible and engaging. I imagine the book [End Page 1] will become even more relevant to successive classes, as the issues Chalmers discusses grow more dominant in the future.Chapter 1, "Is this the real life?", begins by discussing Indian and Chinese philosophy in relation to Greek philosophy with respect to theme of illusion/dreams vs. reality. In all three traditions, one finds discussion of the nature of reality and whether we can know it. Chalmers thinks that each of these traditions helps to formulate the basic questions of his book: the knowledge question, the reality question, and the value question.The knowledge question: can we know whether or not we are living in a virtual world? In part 2, Chalmers argues that we cannot know that we are not living in a virtual world. He does so by defending his own version of Nick Bostrom's simulation argument (2003), which very roughly goes as follows: (1) If there is nothing (technological or otherwise) that would serve to block the creation of a perfect simulation of a humanlike being into existence (what he calls a sim blocker), then most humanlike beings are simulations. (2) if most humanlike beings are simulations, we are probably simulations. So, (3) if there are no sim blockers, we are probably sims.The reality question: are virtual worlds real? He argues that virtual worlds are genuinely real by examining a variety of definitions of what makes something real in chapter 6. I will examine this argument in more detail in the following section.The value question: can you lead a good life in a virtual world? He argues that one can, in parts 5 and 6. He says: "In principle, life in virtual reality can have the same sort of value as life in nonvirtual reality. To be sure, life in virtual reality can be good or bad" (p. 311).As successful as Reality+ is, philosophical counterpoints arose in my mind. In the next section, I present... (shrink)

The Unified Medical Language System and the Gene Ontology are among the most widely used terminology resources in the biomedical domain. However, when we evaluate them in the light of simple principles for wellconstructed ontologies we find a number of characteristic inadequacies. Employing the theory of granular partitions, a new approach to the understanding of ontologies and of the relationships ontologies bear to instances in reality, we provide an application of this theory in relation to an example drawn from the (...) context of the pathophysiology of hypertension. This exercise is designed to demonstrate how, by taking ontological principles into account we can create more realistic biomedical ontologies which will also bring advantages in terms of efficiency and robustness of associated software applications. (shrink)

Human Aspiration is the first chapter of the magnum opus book "Life Divine". Here in in this chapter Sri Aurobindo one of the most modern prolific philosophers of Renaissance India has highlighted his focal points as to what Man's eternal aspiration has been, that is, God, Light , Freedom & Eternity. Despite technological and scientific advancements, Mans is still thirsty, it is because he aspires for a Divine Life. The article talks about the "Human aspiration" of eternity in details.

In this critical discussion, I evaluate David Chalmers’ position on the moral grounding question from his (2022) Reality +. The moral grounding question asks: in virtue of what does an entity x have moral standing? Chalmers argues for the claim that phenomenal consciousness is a necessary condition for moral standing. After a brief introduction to his book, I evaluate his position on the moral grounding question from the perspective of access consciousness as opposed to phenomenal consciousness, as well as the (...) Jain doctrine of non-violence, and the differentiation of creatures in terms of their sense capacities. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Considering CertificationAnand Jayprakash Vaidya (bio)Jewel of Reflection on the Truth about Epistemology: A Complete and Annotated Translation of the Tattva-cintā-maṇi. Volume 1, Perception. Volume 2, Inference. Translated by Stephen Phillips. London: Bloomsbury.I. IntroductionStephen Phillips' Jewel of Reflection on the Truth about Epistemology is a masterful translation and commentary on the books originally written by Gaṅgeśa, the fourteenth-century father of the Navya-Nyāya tradition of Indian philosophy. Jewel is one of (...) the most highly regarded works in Indian epistemology, one that rivals the work of Immanuel Kant in terms of its depth and significance. While J. N. Mohanty (1966) and B. K. Matilal (1968) translated portions of Gaṅgeśa's Jewel, only Phillips (2020) offers a complete translation—one that will serve as the foundation for any future study of Gaṅgeśa. In what follows, I will not be focusing on issues of translation or interpretation pertaining to the text. Rather, I will be engaging Phillips' account of Gaṅgeśa (hereafter Phillips) with the aim of bringing Gaṅgeśa's Jewel into contact with a debate in contemporary epistemology. I believe Gaṅgeśa's distinction between perceptual knowledge and certification has a lot to offer contemporary epistemology.The point of departure for my engagement with Phillips is the debate over internalism and externalism about knowledge.1 One account of the debate is that there is a disagreement over whether the KK principle is true. The KK principle states that when x knows that p, x knows that x knows that p. Internalists hold that knowledge is a wholly internal affair, and thus they accept the KK principle. More specifically, awareness internalists hold that x knows that p only when x is also aware of x's knowledge basis for p. By contrast, access internalists hold a weaker claim: x knows that p only when x can become aware, by reflection, of x's knowledge basis for p. Externalists typically deny some version of the KK principle. On one version of externalism, knowledge is justified true belief + some anti luck condition, and to have a justified true belief is for the belief to be formed on the basis of a reliable belief-forming process whether or not the subject knows anything about the workings of the belief-forming process. Externalists hold [End Page 486] that x can know that p, without having any reflective access to the knowledge basis for p.2 However, some analytic philosophers object to the internalismexternalism debate. In a now classic set of essays, Tyler Burge (1993, 2003) moves around the internalism-externalism debate by drawing a distinction between two types of warrant: entitlement and justification—where entitlement plays an externalist role, and justification plays an internalist role.The internalism-externalism distinction does not exist in Indian epistemology. In Indian epistemology, there is a distinction between intrinsic and extrinsic validity. This distinction only superficially resembles the internalism-externalism contrast found in the analytic tradition.3 Just as Indian epistemologists did not draw the distinction between a priori and a posteriori knowledge, they also did not draw the distinction between justification being a wholly internal affair versus justification being a wholly external affair.Can the absence of the internalism-externalism debate in classical Indian epistemology be used to draw an alternative map of epistemic relations, one that competes with Burge's distinction between entitlement and justification? Stephen Phillips' (2012) work on Nyāya epistemology in combination with his translation and commentary on Jewel allows for an opportunity to explore this question. In section II, I present Burge's account of the dual warrants of entitlement and justification. In section III, I present Phillips' account of perceptual knowledge and certified knowledge. In section IV, I use both theories to analyze a case of perceptual knowledge. In section V, I turn to a comparative analysis of Burge's and Phillips' views, to open up the issue for further debate and discussion.II. Tyler Burge on Entitlement and JustificationIn his 1993 and 2003 articles Burge offers an alternative way of seeing the internalism-externalism debate about justification. In his 1993 work he distinguishes between justification... (shrink)

The Norwegian Oil Fund (‘Government Pension Fund – Global’) is worth over NOK 10.6 trillion (USD 1.15 USD trillion)1 making it the largest sovereign wealth fund in the world (Norges Bank Investment...

Treatment of diseases of the brain by drugs or surgery necessitates an understanding of its structure and functions. The philosophical neurosurgeon soon encounters difficulties when localising the abstract concepts of mind and soul within the tangible 1300-gram organ containing 100 billion neurones. Hippocrates had focused attention on the brain as the seat of the mind. The tabula rasa postulated by Aristotle cannot be localised to a particular part of the brain with the confidence that we can localise spoken speech to (...) Broca's area or the movement of limbs to the contralateral motor cortex. Galen's localisation of imagination, reasoning, judgement and memory in the cerebral ventricles collapsed once it was evident that the functional units-neurones-lay in the parenchyma of the brain. Experiences gained from accidental injuries (Phineas Gage) or temporal lobe resection (William Beecher Scoville); studies on how we see and hear and more recent data from functional magnetic resonance studies have made us aware of the extensive network of neurones in the cerebral hemispheres that subserve the functions of the mind. The soul or atman, credited with the ability to enliven the body, was located by ancient anatomists and philosophers in the lungs or heart, in the pineal gland (Descartes), and generally in the brain. When the deeper parts of the brain came within the reach of neurosurgeons, the brainstem proved exceptionally delicate and vulnerable. The concept of brain death after irreversible damage to it has made all of us aware of 'the cocktail of brain soup and spark' in the brainstem so necessary for life. If there be a soul in each of us, surely, it is enshrined here. (shrink)

Medical practice is based on teaching, learning and examples set by seniors. Past and present practices are briefly analysed. Current trends do not justify optimism. The poor patient is likely to be sidelined as doctors reach out to the rich and powerful in this country and those bringing in American dollars from abroad. While corrective steps are possible, it is unlikely that they will be implemented.

For a countable complete o-minimal theory T, we introduce the notion of a sequentially complete model of T. We show that a model M of T is sequentially complete if and only if $\mathscr{M} \prec \mathscr{N}$ for some Dedekind complete model N. We also prove that if T has a Dedekind complete model of power greater than 2 ℵ 0 , then T has Dedekind complete models of arbitrarily large powers. Lastly, we show that a dyadic theory--namely, a theory relative (...) to which every formula is equivalent to a Boolean combination of formulas in two variables--that has some Dedekind complete model has Dedekind complete models in arbitrarily large powers. (shrink)

We define a hierarchy on the regular types of an ω-stable nonmultidimensional theory, using generalised notions of algebraic and strongly minimal formulae. As an application we show that any resplendent model of an ω-stable finite-dimensional theory is saturated.

We initiate an account of Shelah’s notion of “strong dependence” in terms of generically stable measures, proving a measure analogue of the fact that a stable theory $T$ is “strongly dependent” if and only if all types have almost finite weight.

Past discussions on the silence of the Buddha have focused on speculations on the “reasons” of the Buddha’s silence. Most scholars offer an analysis of the Buddha’s pragmatic considerations or his argument on human epistemic limits, that is, either that the metaphysical questions are irrelevant to the cessation of suffering or that the metaphysical contents cannot be known. This paper argues that the silence of the Buddha can be seen as a “speech act” whose absence of words actually achieves two (...) purposes, first, the silence expresses the Buddha’s refusal to participate in these debates, and second, the silence creates a “space” which guides the interlocutors to re-direct the focus of their religious understanding. It will be illustrated that this silence of the Buddha is a point of both distinction and connectivity between philosophy as pure speculation on the one hand, and religion as a problem-solving practice on the other. (shrink)

This article argues that nonviolence in the twenty-first century would increasingly be moving towards the color gray by addressing three related questions. First, given the way in which the media reported the news, how can the twentieth century be remembered especially in relation to what has taken place at the dawn of the twenty-first century? Second, how should “unusual” nonviolent protest actions – throwing shit, blood, and shoes at people – be construed from the perspective of nonviolent alternatives? Third, as (...) more parties become interested and consequently nonviolent actions become widespread, are they becoming less of an alternative and more of a normal course of action? As a result of the mainstreaming nonviolence trend, has anything been taken away from it? Confronting these questions as a way to critically examine the prospects for nonviolent actions at present, the paper concludes with a philosophical argument in favor of gray as the color of nonviolent alternatives in the twenty-first century. (shrink)

Can strikes by resident doctors training to become consultants in Indian public-sector teaching hospitals be ethical? These hospitals were established for the medical care of the very poor in a country where health insurance and a national health service are nonexistent. In such a situation, the paralysis of tertiary healthcare centers by striking doctors runs contrary to the raison d'être of the profession. It also violates the first dictum of medicine: Primum,nonnocere. And although there is some discussion in the Western (...) literature on strikes by doctors, authorities in India are silent on the subject. (shrink)

Recent work in philosophical methodology by experimental philosophers has brought to light a certain kind of skepticism about the role of intuitions in a priori philosophical inquiry. In this paper I turn attention away from a priori philosophical inquiry and on to the role of intuition in experimental design. I argue that even if we have reason to be skeptical about the role of intuition in a priori philosophical inquiry, we cannot remove intuition from inquiry altogether, because appeals to intuition (...) are essential for experimental design. (shrink)

By 20 October 2021, the U.S. Food and Drug Administration (FDA) had amended its Emergency Use Authorizations for immunocompetent adults who previously received the Pfizer-BioNTech, Moderna, or Johnson & Johnson COVID-19 vaccines. For the 2-dose Pfizer-BioNTech and Moderna vaccines, the FDA permitted a single booster dose for adults aged 65 years or older and adults aged 18 to 64 years at high-risk for severe COVID-19 or at high risk for occupational or institutional COVID-19 exposure. For the single-dose Johnson & Johnson (...) vaccine, the FDA permitted a single booster dose for all adults aged 18 or older. These eligibility schemes were endorsed by the Centers for Disease Control and Prevention shortly after FDA approval. (shrink)

This research looks at how yoga can contribute to business ethics education in MBA programmes. The effectiveness of yoga practice in breathwork, movement, and meditation was evaluated using a Randomised Controlled Trial on participants of Executive MBA programmes. Half the participants (n = 125) were assigned to the intervention group and the other half placed on the waiting list for the next programme and used as the control group. Mediation analysis was used for statistical analysis to measure the influence of (...) yoga on the participants’ performance in business ethics related courses and to quantify the influence of mindfulness which is a mediating variable. Statistical analysis revealed that the increase in performance in business ethics related courses through mindfulness and as a direct increase through yoga were significant. Two thirds of the enhancement of performance came through mindfulness while the remaining one third came directly from yoga practice. (shrink)

When weighing up which inhaler to prescribe, a doctor may prioritise a patient’s preferences over the expected harms from the associated carbon emissions. Parker argues that this is wrong.1 Doctors have a pro-tanto duty to switch from a high-carbon metered-dose inhaler (MDI) to a low-carbon dry-powdered inhaler (DPI)—even though this provides no direct patient benefit—unless switching would undermine trust or significantly worsen a patient’s health. He goes on to state that even if DPIs are more expensive for the National Health (...) Service (NHS) then this is justified so long as it does not ‘significantly threaten’ the NHS’ ability to protect and promote health. This may appear to be a radical proposal, challenging the ethical principles of autonomy, health entitlements and justly distributed resources. However, we will claim that it is only radical in so far as one perceives (A) patient autonomy and healthcare entitlements as existing within a vacuum, unrelated to other foundational ethics concerns and (B) the health consequences of a given healthcare budget are limited solely to the designated recipients rather than all affected parties. Here, we test the claim that our responsibility for promoting patient autonomy …. (shrink)

Contributed articles presented at a seminar held at Satya Nilayam Research Institute, Chennai in January 1996.