The Treatment Escalation Plan (TEP) was introduced into our trust in an attempt to improve patient involvement and experience of their treatment in hospital and to embrace and clarify a wider remit of treatment options than the Do Not Resuscitate (DNR) order currently offers. Our experience suggests that the patient and family are rarely engaged in DNR discussions. This is acutely relevant considering that the Mental Capacity Act (MCA) now obliges these discussions to take place. The TEP is a form (...) that the doctor completes, ideally with the competent patient or close relative, documenting what treatment options would be appropriate if that patient were to become acutely unwell. Ventilation of the lungs, cardiac resuscitation, renal replacement therapy, intravenous fluids and antibiotics are all discussed. The study evaluated patient and relative experiences with the TEP. 55 patients or their relatives were interviewed regarding their experience of the TEP and thoughts regarding the process. 96% of patients and relatives evaluated thought that the TEP was a good idea. Free text comments were all positive and only 34% of patients claimed to feel anxious when completing the form. Following this study, the TEP has been expanded hospital wide and into the community within our trust. Discussions are currently taking place in hospitals within our region to introduce the TEP form into other local trusts. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:nook REVIEWS 689 if everyone behaves as if everyone is saved the result is a world in which God could appear and not be crucified. To be sure, there is a chance of an infinite life. Pascal believed human beings are potentially infinite--as is shown by our capacity for extending our knowledge to the infinite--but we are also potentially nothing, as is shown by the fact that the person (...) never really appears in our scientific accounts. It is through God that our infinity is to be achieved, and so betting on God is also betting on ourselves in a perfectly intelligible way. This involw~s a notion of infinity not explored in any of these essays, which makes it possible to share with God without changing the divine nature (or losing ours). This sharing is a payoff which cannot be attained by.just any act. Our lives may also be endless and possessed of positive value because they are not lived in hell, but this is icing on a cake which you are supposed to eat anyhow. Still, though Pascal might have taught the authors a thing or two, he would have found this book handy for some of its new conceptual analyses and some of its classic essays. Ian Hacking's 1972 analysis of what he takes to be three different arguments in Pascal remains a good starting point and John K. Ryan's historical article of 1945 still has useful things to say about Tillotson, whose maximization-of-utility argument really was the one many commentators have taken to be Pascal's. (But Ryan misses much of the background in the combination of scepticism and fideism in Charron and La Mothe le Vayer.) Among the others Jeff Jordan does a good job on the "many gods" objections, Richard Foley's account of pragmatic grounds for belief adds some clear insights (though his account of rationality is open to some objections), and Thomas V. Morris's account of the problems of wagering and evidence will be a handy reference point. Edward F. McClennen's account of finite decision is a necessary counterpart to Sorensen's infinity paper, and Philip L. Quinn opens some of the moral issues involved in all such wagers. Finally, George Schlesinger's assessment of the subtleties of theistic argument well repays the time spent reading it. The bibliography is useful and up-to-date. The editor would probably cheerfully admit his book's shortcomings as a work in the history of philosophy, but the volume must nevertheless have a place on the bookshelf of everyone for whom these issues are central. LESI,IE ARMOUR Universityof Ottawa G. W. Leibniz. De Summa Rerum: MetaphysicalPapers, z675-76. Translated, with an Introduction and Notes, by G. H. R. Parkinson. The Yale Leibniz. New Haven: Yale University Press, 1992. Pp lxiv + 145. Cloth, $37.oo. The YaleLeib,niz, under the general editorship of Daniel Garber and Robert C. Sleigh, Jr., will provide scholarly editions of Leibniz's original texts along with an English translation on facing pages. As the general editors explain in their introduction, each volume in the series will be "a collection of texts that constitute a natural unit," each will be edited and translated by a specialist who will also contribute an introduction, and 690 JOURNAL OF THE HISTORY OF PHILOSOPHY 33:4 OCTOBER i99 5 each will include writings most of which either have not been published or, if published, have not been translated. The first volume of The Yale Leibniz, edited by G. H. R. Parkinson, is a tantalizing beginning. In it, Parkinson has collected, translated, and introduced some of the most interesting papers from the Academy edition's Series VI, Vol. 3, first published in 198o. In this volume the Academy editors have placed under the title of De Summa Return those papers which Leibniz wrote between late 1675 and December 1676 and which treat problems in the philosophy of mathematics (especially those of the infinite) and in metaphysics and philosophical theology. The papers are enormously important. Toward the end of his Paris stay (which lasted from March, 1672 to October 4, 1676) and after a breakthrough in his work on... (shrink)

The essays in this volume, with the exception of Gary Ferngren's, derive from ancestral versions originally presented at a symposium, 'Conflicts with Newborns: Saving Lives, Scarce Resources, and Euthanasia: held May 10-12,1984, at the Mercer University School of Medicine, Macon, Georgia. We wish to express our gratitude to the Georgia Endowment for the Humanities for a generous grant for the symposium and to Mercer University and the Medical Center of Central Georgia for additional financial support. The vit:ws expressed (...) in this volume do not necessarily represent those of the Georgia Endowment for the Humani ties, Mercer University, or the Medical Center of Central Georgia. We have endeavored to bring together a group of individuals with contrast ing viewpoints to display some of the range of approaches to a major problem in public policy: medical decisions regarding the treatment of defective newborns. So many persons contributed to the symposium that acknowledg ment of each would be impossible. Although unnamed, we express our sincere appreciation to each. Three individuals, however, must be recognized: R. Kirby Godsey, President, Mercer University; William P. Bristol, Dean, Mercer University School of Medicine; and Kenneth C. Henderson, Medical Director and Director of Medical Education, Medical Center of Central Georgia. Without their support, the symposium could not have succeeded and this volume would not have been possible. We wish also to express our gratitude to S. G. M. (shrink)

International Archives of the History of Ideas Archives internationales d'histoire des idées, Vol. 196. -/- Introduction, S. Hutton; Nicholas of Cusa : Platonism at the Dawn of Modernity, D. Moran; At Variance: Marsilio Ficino Platonism And Heresy, M.J.B. Allen; Going Naked into the Shrine:Herbert, Plotinus and the Consructive Metaphor, S.R.L.Clark; Commenius, Light Metaphysics and Educational Reform, J. Rohls ; Robert Fludd’s Kabbalistic Cosmos, W. Schmidt-Biggeman; Reconciling Theory and Fact:The Problem of ‘Other Faiths’ in Lord Herbert and the Cambridge Platonists, D. (...) Pailin; Trinity, Community and Love: Cudworth’s Platonism and the Idea of God, L. Armour; Chaos and Order in Cudworth’s Thought, J-L. Breteau; Cudworth, Prior and Passmore on the Autonomy of Ethics, R. Attfield; Substituting Aristotle: Platonic Themes In Dutch Cartesianism, H. van Ruler; Soul, Body, And World: Plato’s Timaeus And Descartes’ Meditations, C. Wilson ; Locke, Plato and Platonism, G.A.J. Rogers; Reflections on Locke’s Platonism, V. Nuovo; The Platonism at the Core of Leibniz’s Philosophy, C. Mercer; Leibniz and Berkeley: Platonic Metaphysics and ‘The Mechanical Philosophy’, S. Brown; Which Platonism for which Modernity? A Note on Shaftesbury’s Socratic Sea-Cards, L. Jaffro; Platonism, Aesthetics and the Sublime at the Origins Of Modernity, D. Hedley. (shrink)

The ethics of the Egyptian religion, by S. A. B. Mercer.--The ethics of Confucianism, by H. P. Beach.--The ethics of the Babylonian and Assyrian religion, by G. A. Barton.--The history of Hindu ethics, by E. W. Hopkins.--The ethics of Zoroastrianism, by A. V. W. Jackson.--Early Hebrew ethics, by L. B. Paton.--The ethics of the Hebrew prophets - from Amos to the Deuteronomic reformation, by L. B. Paton.--The ethics of the Greek religion, by P. Shorey.--The ethics of the Gospels, by (...) E. F. Scott.--The ethics of the Pauline epistles, by C. H. Dodd.--Moslem ethics, by J. C. Archer.--The moral values of religion, by E. H. Sneath. (shrink)

This article presents evidence supporting the claim that ethical reasoning is a skill that can be taught and assessed. We propose a working definition of ethical reasoning as 1) the ability to identify, analyze, and weigh moral aspects of a particular situation, and 2) to make decisions that are informed and warranted by the moral investigation. The evidence consists of a description of an ethical reasoning education program—Ethical Reasoning in Action —designed to increase ethical reasoning skills in a variety of (...) situations and areas of life. ERiA is housed at a public, major comprehensive U.S. university—James Madison University—and assessment of the program focuses on interventions delivered prior to and during orientation for incoming first-year students. Findings indicate that the interventions measurably enhance the ability of undergraduate students to reason ethically. ERiA’s competency-targeted program and positive student learning outcomes offers a promising model for higher education ethics programs seeking to connect classroom learning in ethics to decision-making in everyday life. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 40.1 (2002) 121-122 [Access article in PDF] Book Review Humanism and Early Modern Philosophy Jill Kraye and M. W. F. Stone, editors. Humanism and Early Modern Philosophy. New York: Routledge, 2000. Pp. xii + 270. Cloth, $75.00 Early-modern philosophy begins in the seventeenth century. This book, based on a colloquium at the Warburg Institute, London in 1997, strives at extending the limits of (...) this period into the sixteenth and fifteenth centuries. Thus "the long-standing exclusion of the Renaissance from the standard philosophical curriculum" (xii) should come to an end by acknowledging its being an integral part of early modern philosophy and its relevance for an understanding of modern thought. The distinctive element of the Renaissance was, according to the editors, humanism, understood as the revival of ancient sources from the fourteenth century on, and its impact on the shaping of modern thought by these sources.One can identify the following types of argument offered in the twelve contributions to this book: (1) Renaissance humanists mediated classical sources into the seventeenth and following centuries either by translating Greek texts into Latin (Lohr on Aristotle commentaries) or by offering new interpretations that were to become standard (Hankins on Ficino and Galileo, and Mercer on the German Platonists). (2) Ancient modes of thought, mediated through the Renaissance, shaped modern philosophy (Stone on Aristotelian and Reformed ethics, Levi on Stoicism in Justus Lipsius, Kraye on Marcus Aurelius editions, and Osler on Gassendi and Aristotle). (3) Humanist literary forms and mentalities survived in modern thought (Bianchi on dialogue, Vickers on rhetoric in Bacon, and James on 'grandeur' and scientific argument).Two papers do not fit into this scheme: in "The Theology of Lorenzo Valla," the only paper dealing directly with a Renaissance humanist, Monfasani wants to prove that "Valla was no theologian." Monfasani does this on the basis of a very narrow concept of dogmatic correctness, blaming Valla continuously for being banal, to the effect that the paper does not contribute to the topic of the book. One could well connect Valla's theological issues (free will, summum bonum, trinity, etc.) with his provocative stirring up of philosophy in general and show his influence on Protestant theology and on modern ethics.The other paper is by J. R. Milton, which is enlightening because it summarizes the prejudices against humanism in modern philosophy ("'Delicate learning,' erudition and the enterprise of philosophy"). He endorses "one of the most familiar narratives in European philosophy" (161), namely that Descartes's breakthrough was due to his total rupture [End Page 121] with the philosophical tradition, especially with contemporary humanist and scholastic thought. Thus Descartes's triumph was that of the myth of the irrelevance of history to philosophy as evident in Galileo, Locke, and even Hume. If antecedents are acknowledged, e.g., in Berkeley, then accepting that they "provide us either with an irreplaceable source of wisdom or with equally irreplaceable models for imitation, or indeed both" (167), still fails to recognize that the history of a philosophical problem is a part of that problem rather than just some general "wisdom" or a model for imitation. Of course, Milton repeats the myth of Bacon's anti-humanism, masterly refuted in this very book by Brian Vickers, and Milton believes that Valla "enthroned" "custom and example" and therefore for him "it would be difficult if not impossible to state Hempel's Raven Paradox" (169). One might wonder whether the conclusion: "All ravens are black --all non-black things are non-ravens," is the paramount of modern philosophy. But a thorough reader of Valla's logic might discover similarities to pragmatism, which are fostered by his deep criticism of language with the tools of Renaissance humanism. However, Descartes's indebtedness to Renaissance method and rhetoric is handbook knowledge today.The audience for this collection of samples are specialists either in seventeenth- or eighteenth-century philosophy, or in Renaissance thought, or even philosophers in the narrow sense of the disciplines. The latter are difficult to convince of the usefulness of historic studies or "erudite activity" (Milton... (shrink)

This article aims to explicate the concept of emotional sharing against the background of interactive and situated approaches to affectivity, and to contextualize emotional sharing within the broader context of emotion research. It brings together research on situated affectivity with the debate on collective emotion. Emotional sharing is defined via four requirements and distinguished from other phenomena in the broad field of collective emotion, especially from mechanisms of emotional convergence and other forms of affective we-experience. The paper makes use of (...) the recently proposed concepts of affective scaffolding and affective arrangement to explore how emotional sharing is always enacted in sociorelational dynamics and embedded in socio-material contexts which enable, shape, and modulate the unfolding of emotional sharing and regulate who is likely to participate. (shrink)

Three basic political positions on embryo research will be identified as libertarian, conservative, and social-democratic. The Human Embryo Research Panel will be regarded as an expression of the social-democratic position. A taxonomy of the ethical issues addressed by the Panel will then be developed at the juncture of political and ethical modes of reflection. Among the arguments considered will be those for the separability of the abortion and embryo research debates; arguments against the possibility of the preembryo being a person, (...) especially arguments associated with totipotency and the significance of the primitive streak; and the various reasons for regulating embryo research, including those associated with respect for the preembryo, the protection of traditional views of human procreation, and the prevention of commercialization. (shrink)

In this paper I shall venture into an area with which I am not very familiar and in which I feel far from confident; namely into phenomenology. My main motive is not to get away from standard, boring, methodological questions like those of induction and demarcation; but the conviction that a phenomenological account of the empirical basis forms a necessary complement to Popper's falsificationism. According to the latter, a scientific theory is a synthetic and universal, hence unverifiable proposition. In fact, (...) in order to be technologically useful, a scientific hypothesis must refer to future states-of-affairs; it ought therefore to remain unverified. But in order to be empirical, a theory must bear some kind of relation to factual statements. According to Popper, such a relation can only be one of potential conflict. Thus a theory T will be termed scientific if and only if T is logically incompatible with a so-called basic statement b, where b is both empirically verifiable and empirically falsifiable. In other words: T is scientific if it entails ¬b; where b, hence also ¬b, is an empirically decidable proposition. (shrink)

In his 1841-2 Berlin lectures, Schelling critiques German idealism’s negative method of regressing from existence to its first principle, which is supposed to be intelligible without remainder. He sees existence as precisely its remainder since there could be nothing that exists. To solve this, Schelling enlists the positive method of progressing from the fact of existence to a proof of this principle’s reality. Since this proof faces the absurdity that there is anything rather than nothing, he concludes that this fact’s (...) constitution and this principle’s proof are mutually dependent, non-dischargeable tasks. I trace this reciprocal relation to one Kant establishes between the constitutive categories of experience and the experience that proves their applicability and argue that it adheres to Kant’s threefold criterion of proof. I do so by uncovering the Maimonian skeptical motivation—specifically, the need to answer what I call the question quid indicii—behind the qualified return to Kant on which Schelling’s critique of idealism relies. (shrink)

This article discusses the place of thematic coherence in various approaches to educational dialogue and proposes a unifying approach to the analysis of thematic coherence of classroom conversations based on research in educational dialogue, philosophy of language and recent advances in linguistic research on discourse structure. Addressing the same main question is crucial to preserving thematic coherence in a conversation and is considered a key criterion of quality in classroom dialogues across the field of research in dialogic teaching, e.g., in (...) Alexander’s Dialogic Teaching, Michaels and colleagues’ Accountable Talk, and Mercer’s Interthinking. Nonetheless, a shared definition of thematic coherence is missing in the field. In order to provide such a conception, we propose a question centered approach to evaluating the thematic coherence of educational discourse. On this proposal, the thematic coherence of a conversation depends on how a conversational contribution relates to a conversation’s overall question under discussion. We show how this approach may be used to examine thematic coherence and incoherence and argue that the proposal’s focus on utterance level features of discourse has an advantage in helping researchers track how specific linguistic features of dialogue shape classroom conversations. (shrink)

A conference celebrating the appearance of Leibniz's New System in 1695 was organized by R. S. Woolhouse and held at the University of York, 5-8 July 1995. The opening lecture was given on behalf of the Leibniz Gesellechaft by Hans Poser: “L'ordre supérieur de l'âme raisonnable: On the Leibnizian Concept of Soul.” Other papers: Stuart Brown, “Leibniz's New System Strategy”; Antonio Lamarra, “Substantial Forms and Monads: the Système nouveau in comparison with the Principles of Nature and Grace”; G. H. R. (...) Parkinson, “Substantial Forms in the Système nouveau and Related Work”; Pauline Phemister, “Pre-established Harmony: Nature and Grace, Bodies and Souls”; Robert M. Adams, “The Pre-established Harmony and Its Place in the History of Modern Philosophy”; Christia Mercer, “How New is the New System?”; Roberto Palaia, “The New System of the Nature of Substances in the Philosophical Journals of the Seventeenth Century”; Donald Rutherford, “Est aliquid prodire tenus: The Système nouveau and the Development of Leibniz's Method”; Philip Beeley, “Points, Extension, and the Mind-body Problem: Remarks on the Development of Leibniz's Thought from the Hypothesis physica nova to the Système nouveau”; and Glenn Hartz, “Exactly How Are Leibnizian Substances Related to Extension?” The papers are being edited for publication by Lessico Intellettuale Europeo. (shrink)

2011 Reprint of 1943 Edition. Full facsimile of the original edition, not reproduced with Optical Recognition Software. "St. Thomas Aquinas" is enriched by the author's unique ability to see the world through the saint's eyes, a fresh and animated view that shows us Aquinas as no other biography has. Acclaimed as the best book ever written on Aquinas by such outstanding Thomists as Jacques Maritain, Etienne Gilson, and Anton Pegis, this brilliant biography will completely capture the reader and leave him (...) desirous of reading Aquinas' own monumental work. (shrink)

This book offers the first comprehensive introduction to wave scattering in nonstationary materials. G. F. Roach's aim is to provide an accessible, self-contained resource for newcomers to this important field of research that has applications across a broad range of areas, including radar, sonar, diagnostics in engineering and manufacturing, geophysical prospecting, and ultrasonic medicine such as sonograms. New methods in recent years have been developed to assess the structure and properties of materials and surfaces. When light, sound, or some other (...) wave energy is directed at the material in question, "imperfections" in the resulting echo can reveal a tremendous amount of valuable diagnostic information. The mathematics behind such analysis is sophisticated and complex. However, while problems involving stationary materials are quite well understood, there is still much to learn about those in which the material is moving or changes over time. These so-called non-autonomous problems are the subject of this fascinating book. Roach develops practical strategies, techniques, and solutions for mathematicians and applied scientists working in or seeking entry into the field of modern scattering theory and its applications. Wave Scattering by Time-Dependent Perturbations is destined to become a classic in this rapidly evolving area of inquiry. (shrink)

A general solution is obtained for a model of a nonlinear quantum theory for gravitating particles proposed by H. Efinger. The solution procedure is easily generalized to space-time or stochastic formulations.

I present the current experimental and theoretical work on interference in complementary spaces. These ideas are applicable to both light and matter waves. I give a detailed treatment for classical light beams in frequency and time domains. I also present a description which gives the totality of interferences.

La autora de esta obra desarrolla un estudio en el que se analizan los derechos del individuo en contraposición con los del profesional de las ciencias de la vida, parte de los preceptos de la bioética, que ofrece el sustento ético-teórico, y el Derecho, que constituye el sistema normativo. Contempla temas referentes a cuestiones bioéticas y jurídicas relacionadas con el tratamiento y manipulación del embrión, apropiación indebida de material genético, responsabilidad civil en la transmisión de enfermedades congénitas y genéticas derivadas (...) de la reproducción asistida, anencefalia, clonación, entre otros aspectos relacionados con el genoma humano. (shrink)