The author, a regional health authority administrator, argues that `ownership' is a side issue in legal and moral arguments over confidentiality of medical records. Nor is it practicable, he argues, for doctors alone to control all access to the medical records. He proposes the principle of `custodianship' of confidential information, to be accepted by an institution as a whole, as a possible way of resolving the problem. In commentaries on this and the following article an academic lawyer and a practising (...) physician respond. (shrink)

Conscientious objections (CO) can be disruptive in a variety of ways and may disadvantage patients and colleagues who must step-in to assume care. Nevertheless, nurses have a right and responsibility to object to participation in interventions that would seriously harm their sense of integrity. This is an ethical problem of balancing risks and responsibilities related to patient care. Here we explore the problem and propose a nonlinear framework for exploring the authenticity of a claim of CO from the perspective of (...) the nurse and of those who must evaluate such claims. We synthesized the framework using Rest’s Four Component Model of moral reasoning along with tenets of the International Council of Nursing’s (ICN) Code of Ethics for Nurses and insights from relevant ethics and nursing ethics literature. The resulting framework facilitates evaluating potential consequences of a given CO for all involved. We propose that the framework can also serve as an aid for nurse educators as they prepare students for practice. Gaining clarity about the sense in which the concept of conscience provides a defensible foundation for objecting to legally, or otherwise ethically, permissible actions, in any given case is critical to arriving at an ethical and reasonable plan of action. (shrink)

Tsc question of the date of Ctesibius has been much obscured of late years by those German scholars1 who assert that Ctesibius the pneumatic and hydraulic engineer mentioned by Vitruvius IX. 8. 2 is distinct and separate from Κτησίβιος Κτησίβιος μηΧανικός who is mentioned by Athenaeus Mechanicus , Philo of Byzantium , and Hedylus ap. Athenaeum Naucratitam Deipn. XI., p. 497, d-e = Anthologia Graeca ed. Cougny, Paris , 1890, Vol. III., p. 298, n. 67.

This collection of recent articles by leading scholars is designed to illuminate one of the greatest and most influential philosophical books of all time. It includes incisive commentary on every major theme and argument in the Meditations, and will be valuable not only to philosophers but to historians, theologians, literary scholars, and interested general readers.

The historical context of the philosophical work of St. Thomas Aquinas, by D. Knowles.--Form and existence, by P. Geach.--Categories, by H. McCabe.--Analogy as a rule of meaning for religious language, by J. F. Ross.--Nominalism, by P. Geach.--St. Thomas' doctrine of necessary being, by P. Brown.--The proof ex motu for the existence of God; logical analysis of St. Thomas' arguments, by J. Salamucha.--Infinite causal regression, by P. Brown.--St. Thomas Aquinas and the language of total dependence, by J. N. Deck.--Divine foreknowledge and (...) human freedom, by A. Kenny.--Intellect and imagination in Aquinas, by A. Kenny.--The immortality of the soul, by H. McCabe.--Aquinas on intentionality, by P. Sheehan.--The scholastic theory of moral law in the modern world, by A. Donagan.--The first principle of practical reason, by G. G. Grisez. (shrink)

Routledge is proud to reissue these nine pivotal titles from the acclaimed series Studies in Ethics and the Philosophy of Religion. Including key works by Ahern, Beardsmore, Pike, and others, these books are essential for all serious collections. Available as single volumes or as a nine-volume set, the titles in this collection were originally published between 1950-1960 by Routledge and Kegan Paul: Volume 1: The Problem of Evil M.B. Ahern Hb: 0-415-31841-6 Volume 2: Moral Reasoning R.W. Beardsmore Hb:0-415-31842-4 Volume 3: (...) Theology and Intelligibility Michael Durrant Hb: 0-415-31843-2 Volume 4: Humanism and Ideology James R. Flynn Hb: 0-415-31844-0 Volume 5: The Five Ways: St.Thomas Aquinas' Proofs of God's Existence Anthony Kenny Hb: 0-415-31845-9 Volume 6: Moral Practices D.Z. Phillips Hb: 0-415-31846-7 Volume 7: God and Timelessness Nelson Pike Hb: 0-415-31847-5 Volume 8: Without Answers Rush Rhees Hb: 0-415-31848-3 Volume 9: Morality and Purpose J.L. Stocks Hb: 0-415-31849-1. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Objective Reality of Ideas in Descartes, Caterus, and Su irez NORMAN j. WELLS IT HAS LONG BEEN ACKNOWLEDGEDthat Francisco Sufirez's distinction between a formal and an objective concept exercised some influence upon Descartes's teaching on 'idea'.' It would appear, however, that not enough attention has been given to that distinction of Sufirez (and especially to another to be mentioned shordy) to aid in dispelling what I take to be (...) a widespread confusion and misunderstanding with regard to 'idea' in Descartes, especially with respect to 'idea' taken 'objectively'. Much, if not all, of the confusion in question has to do with Descartes's admittedly equivocal use of the term 'idea'. For he had allowed that 'idea' could be taken 'materially' (materialiter), on the one hand, for the knowing activity of the intellect. On the other hand, it could be taken 'objectively' (objective) for the thing (res) represented by that knowing activity.' At this point, the contemporary reader can only be brought up short, See E. Gilson, Index scolastico-cart~sien (New York: Burt Franklin Reprint, 1912), 48-49; Discours de la m~thode: Texte et commentazre (Paris: J. Vrin, 1947), 321; G. Rodis-Lewisin her edition of Meditationes de Prima PhRosoph.m (Paris: J. Vrin, 1953), 41 n. 1; L'oeuure de Descartes (Paris: J. Vrin, 1971), 53~ n. 8; J. Collins, Modern European Philosophy (Milwaukee: Bruce, 1954), 165;T.J. Cronin, S.J., Objecttve Being m Descartes and SuArez (Rome: Gregorian University Press, 1966); "Objective Reality of Ideas in Human Thought: Descartes and Su~rez," Wisdom in Depth: Essays in Honor of Henri Renard, SJ., eds. V. F. Daues, S.J., M. R. Holloway, S.J., L. Sweeney, S.J. (Milwaukee : Bruce, 1966), 68-79; L. Gilen, S.J., "Uber die Beziehungen Descartes zur zeitgenossischen Scholastik," Scholastik 32 (1957): 41-66; R. Dalbiez, "Les sources scolastiques de la th~orie cart6sienne de l'&re objectif," Revue d'histoire de la philosophic 3 (1929): 464-72;J. Owens, C.S.S.R., in The Cambridge HtstoU of Later Medu,val Philosophy, eds. N. Kretzmann, A. Kenny, J. Pinborg (Cambridge University Press, 1982), 459; G. Nuchelmans,Judgment and Propositwnfrom Descartesto Kant (Amsterdam: North Holland Publishing Co., 1983), 36-54. " Oeuvres de Descartes, ed. C. Adam et P. Tannery, 11 vols. (Paris: J. Vrin, 1897-19o9; hereafter cited according to volume, page and line), Praefatio ad Lectorem, 7: 8. 19-251 "Sed respondeo hic subesse aequivocationem in voce ideae: sumi enim potest vel materialiter, pro operatione intellectus, quo sensu me perfectior dici nequit, vel objective, pro re per istam operationem repraesentata, quae res, etsi non supponatur extra intellectum existere, potest tamen me esse perfectior ratione suae essentiae." It is clear that two realities are to be causally accounted for. The [33] 34 JOURNAL OF THE HISTORY OF PHILOSOPHY 28"1 JANUARY 1990 conditioned as we are by an appreciation of 'objectivity' altogether extramental! It makes for a considerable wrench of perspective to do justice to Descartes's acknowledged doctrine of intramental objectivity and an intramental 'thing represented' (resrepraesentata). 'Idea', then, in traditional Cartesian fashion, designates the act of representing as well as the 'thing represented '. S Yet, for all this, and despite repeated expressions of the same doctrine, there is a persistent tendency in the history of Cartesianism and its scholarship to interpret 'idea' taken 'objectively' as in some way representative. Contrary to what I take to be Descartes's constant position, such a rendering unwittingly transfers that function which is proper to the cognitive activity, mind is the efficient cause of its cognitive activity. With respect to ideas taken 'objectively', such as the ideas of God and the triangle on the levels of metaphysical and mathematical intelligibility, an efficient cause, extrinsic to the mind, is certainly at issue. For here we are in the presence of what is independent of the mind, however intramental it may be. On the triangle, see Medit. 5; 7: 64. ]4s7 : "...est tamen profecto determinata quaedam ejus natura, sire essentia, sive forma, immutabUis et aeterna, quae a me non efficta est, nec a mente mea dependet." For the idea of God, see Medit. 5; 7: 68. l o-12: "Nam sane multis modis inteUigo illam [ideam... (shrink)

Hermeneutics, the Bible and Literary Criticism. Edited by Ann Loades and Michael McLain.The Craft of Theology: From Symbol to System. By Avery Dulles.The Shape of Soreriology. By John McIntyre.Not the Cross But the Crucfied. By H.‐E. Mertens.Verbum Curo: An Encyclopedia on Jesus, the Christ. By Michael O'Carroll.The Search for the Origins of Christian Worship: Sources and Methods for the Study of the Early Liturgy. By Paul Bradshaw.Worship: Initiation and the Churches. By Leonel L. Mitchell.The Eucharistic Mystery: Revitalizing the Tradition. By (...) David Power.Church of Churches: The Ecclesiology of Communion. By J.‐M. Tillard.God and History, Aspects of British Theology 1875‐1914. By Peter Hinchliff.Clear Heads and Holy Hearts: The Religious and Theological Ideal of John Henry Newman. By Terrence Merrigan.The Desert Fathers on Monastic Community. By Graham Gould.John Moschos, ‘The Spiritual Meadow’. Introduction, translation and notes by John Wortley.A Gentle Touch. By David Pailin.The Eye of the Storm: Spiritual Resources for rhe Pursuit of Justice. By Kenneth Leech.The Church and the Arts. Edited by Diana Wood.Anti‐Christian Polemic in Early Islam: Abu Isa al‐Warraq's ‘Against the Trinity’. Edited by David Thomas.Bernardus Magister: Papers Presented at the Nonacentenary Celebration of the Birth of St Bernard of Clairvaux. Edited by John R. Sommerfeldt.Church and City 1000‐1500: Essays in Honour of Christopher Brooke. Edited by David Abulafia, Michael Franklin and Miri Rubin.‘Piers Plowman’ and the Problem of Belief. By Britton J. Harwood.Ignutius of Luyola: The Psychology of a Saint. By W. W. Meissner.Jerome Naahl, S. J., 1507‐1580: Tracking the First Generation of Jesuits. By William V. Bangert, edited and completed by Thomas M. McCoog.From Bishop to Witch: The System of the Sacred in Early Modern Terra d'Otranto. By David Gentilcore.Civic Politics in the Rome of Urban VIII. By Laurie Nussdorfer.Michel de Montaigne: The Complete Essays. Translated by M. A. Screech.Montaigne and Melancholy: The Wisdom of the ‘Essays’. By M. A. Screech.Religion and Philosophy. Edited by Martin Warner.What is Faith? Essays in the Philosophy of Religion. By Anthony Kenny.Truth and Hisroriciry. By Richard Campbell. (shrink)

The first volume from the work of the Séminaire d’Etudes Phénoméologiques et Herméneutiques as a section of the Centre d’Histoire des Sciences et des Doctrines, this book is one of the latest statements in the continuing dialogue between analytic philosophy and phenomenology. In this instance there is the unique advantage of a very recent and careful statement of the results of the research of European thinkers offering a careful look at contemporary Anglo-Saxon philosophy. The first part of the volume is (...) an extended essay by Ricoeur concerning the language of action. Ricoeur, very familiar with Anglo-Saxon philosophy, is one of the most versatile thinkers to involve himself in the conversation between these two great philosophical traditions. He concentrates upon the contribution made by the insights of ordinary language philosophy to phenomenology, as well as the basic divergence between them. He deals especially with the difference between intersubjective interaction and the more scientific description of action as a part of the description of nature, while continuing his well known analysis of motives and causes. In this section he extends special attention to Anscombe, R. Taylor, C. Taylor, J. L. Austin, Strawson, Feinberg, Kenny, and von Wright. He also sets ordinary language philosophy in relationship to Husserl, thus giving special attention to the role of intentionality. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS 149 temporary, might he an eyeopener to young Thomists who know so little about his work. In the meantime, however, in this English version of The Eyes of Faith a primary source of first importance has come our way. Catholic libraries should definitely have it on hand for philosophers and theologians to consult. Fordham University Bronx, New York GERALD A. McCooL, S.J. The Phuosophy of Thomas Aquinas: (...) Introductory Readings. Edited by CHRISTOPHER MARTIN. New York: Routledge, Chapman & Hall, 1988. Pp. 202. $57.50 (cloth); $18.95 (paper). One has a difficult time finding a wholly satisfactory collection of writings from Thomas Aquinas in a single volume. In different ways, the well-known collections of Mary Clark, Robert Goodwin, Thomas Gilby, Vernon Bourke, and Anton Pegis have their merits, hut they have their defects too-one of which is that they all came out twenty to forty years ago. Christopher Martin has recently produced a new collection of readings, and his selection is much different. Add to this that many of the texts in his work are rare or nonexistent in translation, and one begins to see why it is delightful to see this work appear. Christopher Martin has gathered a number of philosophical texts from Aquinas for those who have already cut their teeth in philosophy. (Hence, the uninitiated to philosophy will find things here hard going.) Texts were selected principally with an eye to interesting those students who are most familiar with philosophy in the analytic tradition. They are often unacquainted with theology and at a loss as to how to sort out Thomas's philosophical claims from his theological claims. The aim was to produce a volume which would help such students read Thomas fruitfully and show them that Thomas has many genuine philosophical insights. To this end, texts were chosen that presupposed no, or a minimal, understanding of theology. Not every side of Thomas's philosophical thought is reflected in this work, hut a number of important sides of it are, and an idea of the breadth of it comes through. The format of this work is something like that of Ralph Mclnerny's recent A First Glance at St. Thomas Aquinas. Each chapter begins with an essay that is closely tied to a Thomistic text or two given at the end of the chapter. In Martin's work, however, the emphasis lies more on the itexts than on the expository essays. Apart from the introduction, the 150 BOOK REVIEWS book is divided into five chapters: Aquinas on Logic; Aquinas on Metaphysics; Aquinas on God; Aquinas on Truth, Knowledge and the Mind; and Aquinas on Ethics. The chapters by design follow the major divisions and order of Anthony Kenny's Aquinas: A Collection of Critical Essays. The essays which begin each chapter and introduce the texts that follow are solid pieces. They make many references to Thomas's depend· ence on Aristotle and to parallels between Thomas's handling of a problem and recent discussions of the same. They also give guidance in reading the Thomistic texts and explain what is difficult in the doctrine found in the texts. Throughout these essays, the influence of Peter Geach's writings is evident (especially God and the Soul and Three Philosophers). At times it is just an example or the choice of a term, and at other times it is something more substantial. Though Martin's essays are quite accurate and helpful, a reader can find things to quibble with. Thomas's distinction, for example, between id a quo nomen imponitur ad significandum and id ad quod nomen imponitur ad significandum does not seem, as Martin suggests, to be Frege's distinction between sense and reference or Kripke's distinction between the reference of a name and the fixing of a reference. Rather, Thomas seems to be distinguishing more the etymology of a name from its meaning. Again, it will not do to say that the principle of individuation for individuals of the same kind is " distinct lumps of matter " and that the lumpiness of matter in turn is responsible for the individuation of forms. The " lumpiness " of matter is itself a formal feature. Thomas's teaching... (shrink)

I present an annotated development of the basic ideas of the Geneva School approach to the foundations of physics and the structures which emerge as mathematical representations of the physically dual notions of state and property.

Recent studies using functional magnetic resonance imaging of patients in a vegetative state have raised the possibility that such patients retain some degree of consciousness. In this paper, the ethical implications of such findings are outlined, in particular in relation to decisions about withdrawing life-sustaining treatment. It is sometimes assumed that if there is evidence of consciousness, treatment should not be withdrawn. But, paradoxically, the discovery of consciousness in very severely brain-damaged patients may provide more reason to let them die. (...) Although functional neuroimaging is likely to play an increasing role in the assessment of patients in a vegetative state, caution is needed in the interpretation of neuroimaging findings. (shrink)

Full text of erratum: "In the article by D.J. Buller, on p. 278, the y-axis label to Fig. IIb was incorrect. Instead of 'Percentage choosing "Eats cassava root" and "Tattoo," it should have read: 'Percentage choosing "Eats cassava root" and "No tattoo."' We apologise to readers for this error.".

Introduction: Variation across research ethics boards in conditions placed on access to medical records for research purposes raises concerns around negative impacts on research quality and on human subject protection, including privacy.Aim: To study variation in REB consent requirements for retrospective chart review and who may have access to the medical record for data abstraction.Methods: Thirty 90-min face-to-face interviews were conducted with REB chairs and administrators affiliated with faculties of medicine in Canadian universities, using structured questions around a case study (...) with open-ended responses. Interviews were recorded, transcribed and coded manually.Results: Fourteen sites required individual patient consent for the study to proceed as proposed. Three indicated that their response would depend on how potentially identifying variables would be managed. Eleven sites did not require consent. Two suggested a notification and opt-out process. Most stated that consent would be required if identifiable information was being abstracted from the record. Among those not requiring consent, there was substantial variation in recognising that the abstracted information could potentially indirectly re-identify individuals. Concern over access to medical records by an outside individual was also associated with requirement for consent. Eighteen sites required full committee review. Sixteen allowed an external research assistant to abstract information from the health record.Conclusions: Large variation was found across sites in the requirement for consent for research involving access to medical records. REBs need training in best practices for protecting privacy and confidentiality in health research. A forum for REB chairs to confidentially share concerns and decisions about specific studies could also reduce variation in decisions. (shrink)