This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be (...) preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS Metaphysics as a Guide to Morals. By IRIS MURDOCH. Harmondsworth: Allen Lane; New York: Viking, 1992. $35.00. Dame Iris Murdoch is familiar to most people as a witty and en· gaging novelist whose twenty-four hooks of fiction can he read on a variety of levels. They are wonderful stories, hut the philosophically acute reader will also enjoy Murdoch's judgments, polemics, and inhouse jokes about philosophers and philosophical (...) views. Comparatively few people are aware of Murdoch's previous scholarly studies: Sartre, Romantic Rationalist, The Sovereignty of the Good, The Fire and the Sun; and Acastos. Even so, those familiar with these hooks will recognize the profound impact she has had on debates within moral philosophy. She has been at the forefront of the move· ment that has rehabilitated the central importance of such notions as goodness, the Good, virtue, and the moral life as a journey. So it is not surprising that Murdoch has returned to the genre of philosophical argument to advance her views on the relationship between metaphysics and morals. But it is surprising that her argument exhibits neither the clarity of thought characteristic of the analytic philosophy in which she was trained nor the dramatic narrative of her novels. Indeed the hook reads like a collage of lecture notes, complete with extensive quotations from other people's thoughts with minimal com· mentary. Further, the chapter titles (e.g., " Fact and Value," " Schopenhauer," " Consciousness and Thought-I," " Derrida and Struc· turalism," " Consciousness and Thought-II," "Notes on Will and Duty," " Axioms, Duties, Eros," " Void ") shed little light on the overall structure or argument of the hook. One cannot help hut have the impression that Murdoch spent less time crafting the argument of this hook than she does in crafting the story line and characters of her novels. This is not to say, of course, that there is not much to he learned from Murdoch's perspective. She is remarkably erudite, and her discussion of various themes, figures, and issues often yields fascinating insights. But the whole is considerably less than the sum of its often interesting parts. I have already suggested that this is partly because of the structure and style in which the hook is written. But the hook 687 688 BOOK REVIEWS is also disappointing, and perhaps more determinatively, because of the overall perspective she seeks to deploy and defend. Readers of Murdoch's work have heretofore often wondered about the relationship between her avowed Platonism and her interest in Christianity. Metaphysics as a Guide to Morals has the virtue of clarifying that relationship, hut the result is unpersuasive. At the heart of Murdoch's Platonism is her recasting of the allegory of the cave from The Republic. The moral life is an arduous struggle to ascend from the cave (represented, as in her earlier works, by " the fat, relentless ego ") by a dispossession of the self so that we can apprehend a little less imperfectly the perfect form of the Good. As Murdoch puts it, Plato assumes the internal relation of value, truth, cogmtion. Virtue (as compassion, humility, courage) involves a desire for and achievement of truth instead of falsehood, reality instead of appearance. Goodness involves truth.seeking knowledge and ipso facto a discipline of desire. ' Getting things right ', as in meticulous grammar or mathematics, is truth-seeking as virtue. Learning anything properly demands (virtuous ) attention. Here the idea of truth plays a crucial role (as it does also in Kant) and reality emerges as the object of truthful vision, and virtuous action as the product of such vision. This is a picture of the omnipresence of morality and evaluation in human life (p. 39). Such a depiction ought to resonate quite deeply with Christians, something not lost on Murdoch when she writes a few pages earlier: "There are innumerable points at which we have to detach ourselves, to change our orientation, to redirect our desire and refresh and purify our energy, to keep on looking in the right direction: to attend upon the grace that comes through faith " (p. 25). But Murdoch's "grace" and her "truth-seeking as virtue," among other themes, involve something quite different from what Christians... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:THE LOVE WHICH LOVE'S KNOWLEDGE KNOWS NOT: NUSSBAUM'S EVASION OF CHRISTIANITY L. GREGORY JONES Loyola College Baltimore, Maryland WITH THE PUBLICATION in 1986 of The Fragilty of Goodness, Martha Nussbaum established herelf as a central figure on the intellectual stage.1 The book is elegantly written and eloquently argued, one of those rare books whose depth of insight is coupled with an ease of expression. Equally at home (...) in the scholarship of both classical antiquity and contemporary philosophy, The Fragility of Goodness stimulated conversations and arguments among a wide range of scholars. At the same time, however, there were hints that Nussbaum's philosophical insights and classical acumen did not extend to a knowledge of Christian texts, much less a willingness to engage with them. For example, in a note to the Introduction of the book, Nussbaum observes : When we do not try to see [the Greeks] through the lens of Christian beliefs we can not only see them more truly; we can also see how true they are to us-that is, to a continuous historical tradition of human ethical experience that has not been either displaced or altered by the supremacy of Christian (and Kantian) teaching. (FG, p. 15) As such a quotation indicates, Nussbaum vastly oversimplifies 1 Martha C. Nussbaum, The Fragility of Goodness: Luck and Ethics in Greek Tragedy and Philosophy (Cambridge: Cambridge University Press, 1986). 554 pp., $19.95pb. Further citations to this work will be made parenthetically in the text with the abbreviation FG. 323 324 L. GREGORY JONES Christian theology and/or Christian teaching, not only in relation to " the Greeks " but also about such questions as vulnerability, tragedy, and friendship. That this is the case becomes more explicit in her recent book Love's Knowledge, a collection of essays about the relationship between philosophy and literature.2 Here it becomes clear that Nussbaum's project attempts to retrieve an Aristotelian ethics that would displace not only Kantian or Utilitarian ethics but also Christian ethics. But whereas Nussbaum explicitly criticizes Kantian and Utilitarian positions on both methodological and substantive grounds, she evades engagement with Christian thought. In order to understand how and why this is the case, it is necessary first to explicate in greater detail her Aristotelian position as it develops in The Fragility of Goodness and then Love's Knowledge. In The Fragility of Goodness Nussbaum addresses three central issues : ( 1) the role in " the human good life " of activities and relationships that are, in their nature, especially vulnerable to reversal; (2) the relationship among such components as friendship, love, and political activity in a good life; and (3) the relationship between self-sufficiency and the more ungovernable parts of the human being's internal makeup (see FG, pp. 6-7). Nussbaum proceeds to explore these issues through analyses of diverse Greek tragedies as well as some of the central texts of both Plato and Aristotle. Her approach, she indicates in that book, is Aristotelian; she thinks that Aristotle's central question, "How should a human being live?", should be the central question that frames any ethical inquiry-as opposed, say, to the questions put by Kant or Mill that focus on what one should do. Moreover, she contends that an Aristotelian approach engages the intuitions and beliefs of an interlocutor or reader in a " reflective dialogue " with a 2 Martha C. Nussbaum, Love's Knowledge: Essays on Philosophy and Literature (New York: Oxford University Press, 1990), 432 pp., $42.50. Further citations to this work will be made parenthetically in the text with the abbreviation LK. NUSSBAUM'S EVASION OF CHRISTIANITY 325 series of complex ethical conceptions presented for exploration (FG, p. 10). But it is not only her approach that is Aristotelian; so also is the substance of her ethical position. Nussbaum prefers a commitment to the complexities of particularity (which she considers characteristic of the tragedians and Aristotle) to the quest for self-sufficiency (a nuanced version of which she finds in Plato). Likewise, she describes Aristotle and the tragedians as appreciative of the ethical, and indeed rational, significance of the emotions and prefers this to Plato's ostensible rationalism. Thus Nussbaum's perspective in The... (shrink)

Out of the ashes of the post-modern critique of metaphysics comes a series of important essays which re-think the place of metaphysics in theological and philosophical inquiry. This book ranges across a variety of philosophical and theological traditions, charting new directions for theological reflection.

Jones (theology, Loyola College) argues that the most coherent account of moral judgement is one grounded in, and lived in the presence of, the mystery of the Triune God. Particular attention is given to the importance of friendship and the ways in which people learn to acquire and exercise the virtues in making moral judgments. Annotation copyrighted by Book News, Inc., Portland, OR.

Spillover occurs when one environmentally sustainable behaviour leads to another, often initiated by a behaviour change intervention. A number of studies have investigated positive and negative spillover effects, but empirical evidence is mixed, showing evidence for both positive and negative spillover effects, and lack of spillover altogether. Environmental identity has been identified as an influential factor for spillover effects. Building on identity process theory the current framework proposes that positive, negative, and a lack of spillover are determined by perceived threat (...) of initial behaviour and identity process mechanisms evaluating the behaviour. It is proposed, that an environmental behaviour change intervention may threaten one’s existing identities, leading to either (a) integration, (b) compartmentalisation, or (c) conflict between one’s environmental identity and non-environmental identities. Initial evidence for the proposed framework is based on a field intervention which included a meat reduction programme in a canteen of a medium size private sector company. Semi-structured interviews and an explorative visualisation method that aimed at assessing identity change were implemented with thirteen employees (i.e. intervention participants) before and after the intervention. The qualitative data was analysed by using thematic analysis via NVivo12. Results of the visualisation task and interview method provided initial evidence of direct and indirect positive contextual spillover effects, with comparatively less evidence a lack of spillover and a relative absence of reported negative spillover. This paper provides a novel theoretical approach, centred on identity process theory to enhance understanding of positive spillover, negative spillover, and the lack of spillover. (shrink)

The possibility that two forms of asymmetry underlie handedness is considered. Corballis has proposed that right-handedness developed when gesture encountered lateralized vocalization but may have been superimposed on a preexisting two-thirds dominance. Evidence is reviewed here which suggests that the baseline asymmetry is even more substantial than this, with possible implications for brain anatomy and genetic theories of handedness.

Examination of naturally occurring cases in which a person reports that a word is on the tip of his or her tongue has led several theorists to propose that an important role is played by blocking words whose intrusions hinder access to the correct targets. As yet, however, the blocking mechanism appears to have received little direct investigation experimentally. It was studied here by adapting the classic method of Brown and McNeill in which a person is presented with a definition (...) of a rare word and uses it to attempt to generate that target word. The adaptation that was made was to append a potential blocking word to the presentation of each definition. The potential blocking words were either phonologically related to the target or not, either semantically related to the target or not, and either rare or not. Only the first of these factors exerted a significant effect—more cases of tip of the tongue were experienced when the potential blocking word was phonologically related to the target than when it was not. This result suggests that the recall of a word on the basis of its meaning may proceed via an intermediate stage characterised by partial retrieval of its phonology. (shrink)

The predicate-argument approach, focused on perception, is compared with the ease-of-predication (or predicability) approach, focused on encyclopedic knowledge. The latter offers functional prediction and implementation in connectionist models. However, the two approaches characterise predicates in different ways. They thus resemble predicational cantilevers built out from opposite sides of cognition, with a gap that is yet to be bridged.

When comparing alternative courses of action, modern military decision makers often must consider both the military effectiveness and the ethical consequences of the available alternatives. The basis, design, calibration, and performance of a principles-based computational model of ethical considerations in military decision making are reported in this article. The relative ethical violation (REV) model comparatively evaluates alternative military actions based upon the degree to which they violate contextually relevant ethical principles. It is based on a set of specific ethical principles (...) deemed by philosophers and ethicists to be relevant to military courses of action. A survey of expert and non-expert human decision makers regarding the relative ethical violation of alternative actions for a set of specially designed calibration scenarios was conducted to collect data that was used to calibrate the REV model. Perhaps unsurprisingly, the survey showed that people, even experts, disagreed greatly amongst themselves regarding the scenarios’ ethical considerations. Despite this disagreement, two significant results emerged. First, after calibration the REV model performed very well in terms of replicating the ethical assessments of human experts for the calibration scenarios. The REV model outperformed an earlier model that was based on tangible consequences rather than ethical principles, that earlier model performed comparably to human experts, the experts outperformed human non-experts, and the non-experts outperformed random selection of actions. All of these performance comparisons were measured quantitatively and confirmed with suitable statistical tests. Second, although humans tended to value some principles over others, none of the ethical principles involved—even the principle of not harming civilians—completely overshadowed all of the other principles. (shrink)

One recent priority of the U.S. government is developing autonomous robotic systems. The U.S. Army has funded research to design a metric of evil to support military commanders with ethical decision-making and, in the future, allow robotic military systems to make autonomous ethical judgments. We use this particular project as a case study for efforts that seek to frame morality in quantitative terms. We report preliminary results from this research, describing the assumptions and limitations of a program that assesses the (...) relative evil of two courses of action. We compare this program to other attempts to simulate ethical decision-making, assess possibilities for overcoming the trade-off between input simplification and output reliability, and discuss the responsibilities of users and designers in implementing such programs. We conclude by discussing the implications that this project highlights for the successes and challenges of developing automated mechanisms for ethical decision making. (shrink)

In this essay I argue that Rawls does not establish the priority of the right over the good, and that his notion of the original position creates more problems than it solves. I further argue that Rawls, even in his recent proposal for an overlapping consensus, misdiagnoses the problems of modern society and our capacity for justice. I suggest that what we need is not so much theories of justice or methods to abstract from conceptions of the good as discriminating (...) patterns to judge whether, and to what extent, our institutions are sustaining or corroding our social practices that might serve justice and/or make us more just people. (shrink)

Two perspectives from which memories can be retrieved have been distinguished: field resembles the view from the first-person vantage point of original experience, whereas observer resembles the view from the third-person vantage point of a spectator. There is evidence that the incidences of the two types of perspective differ between at least two different cultural groups. It is hypothesised here that this is a special case of a more general relation between memory perspective and cultural individualism, such that field and (...) observer perspectives are more prevalent among people from, respectively, relatively individualist and relatively collectivist societies. Memory perspectives adopted by participants from a range of different countries were recorded, and were found to vary in the predicted manner. Regression analysis showed that the potential effects of three other cultural variables – uncertainty avoidance, masculinity and, to a lesser extent, power distance – were eclipsed by the influence of individualism, and the implications are discussed. (shrink)

As the rapidly advancing possibilities of biotechnology have outstripped the adaptive capacity of current legal and ethical institutions, a vigorous debate has arisen that considers the boundaries of appropriate use of this technology, particularly when applied to humans. This article examines ethical concerns surrounding the development of markets in a particular form of human genetic engineering in which heterozygotes are fitter than both homozygotes, a condition known as heterozygous advantage. To begin, we present a generalized model of the condition, illuminated (...) by the application to sickle-cell anemia. Next, we propose a typology of related markets, some of which are currently functioning with available products and services, and others that are widely viewed as imminent. We suggest the manner in which perverse incentives may arise for firms that market genetic intervention in circumstances where heterozygous advantage is possible. Finally, we propose that this misalignment of incentives with social welfare has arisen from both ill-conceived market intervention where markets are capable of achieving efficient outcomes and the lack of market intervention where markets have failed. We offer specific legal and regulatory approaches for reform. (shrink)

The discovery in 1987 of Paul de Man?s pro?Nazi literary activities in wartime Belgium prompted a debate over the fact that de Man neither publicly declared his collaboration, nor clarified the relationship between his wartime experience and his post?war work. De Man?s detractors argued that he insidiously hid his past. The evidence of his concealment, they maintained, was his silence and unwavering conviction in his mature work that the meaning of every text contains its opposite. De Man guaranteed the impossibility (...) of knowing the original meanings of his wartime articles. In contrast, de Man?s supporters argued that what appeared to be de Man?s silence masked his life?long critique of his wartime errors. His heroic analysis, they maintained, was expressed in his post?war work. In contrast to these interpretations, it is argued that de Man?s silence and post?war work resulted from his rejection of his former self and the influence of its unacknowledged presence. The unintentional presence of his past caused de Man?s inability to speak openly about his coll aboration and shaped the content of his late work. (shrink)

Forgiveness is much more than isolated acts and words of individuals. The capacity to discover what it means to forgive and be forgiven depends, in part, on the richness of one's communal practices and disciplines.

In the late 1970s and early 1980s, Richard Rorty advocated that his confréres kick the ‘philosophy habit’-that is, adopt a post-positivist, post-metaphysical style of interpretation. Philosophers largely ignored Rorty’s clarion call. Unburdened by the kind of Selbstverständnis of scholarly mission held by most analytics, members of departments of literature instead became the most important advocates for reading literature philosophically during the last two decades of the twentieth century. Though the academic Left, especially practitioners of ‘theory’, largely celebrated and encouraged this (...) development, Rorty, in the late 1990s, came to view it as harmfully elevating ‘cultural politics’ above ‘real politics’, which would ultimately lead to the abandonment of civic responsibilities. While heavy-handed and partial, Rorty’s critique of the uses of philosophy by literary critics was not only perceptive, but can be helpful for understanding how the contemporary academic Left might move forward as well. (shrink)