Respecting the autonomy of disabled people is an important ethical issue for providers of long-term care. In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in this setting, where ethical conflict, dilemma and tragedy are inescapable. He argues that liberal accounts of autonomy and individual rights are insufficient, and offers an account of autonomy that matches the realities of long-term care. The book therefore offers a framework for carers to develop an (...) ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care, this revised edition, in paperback for the first time, takes account of recent work and develops the author's views of what autonomy means in the real world. It will have wide appeal among bioethicists and health care professionals. (shrink)

The realities of long‐term care call for a refurbished, concrete concept of autonomy that systematically attends to the history and development of persons and takes account of the experiences of daily living.

RECENT PHILOSOPHICAL ATTENTION TO THE LANGUAGE OF DISEASE HAS FOCUSED PRIMARILY ON THE QUESTION OF ITS VALUE-NEUTRALITY OR NON-NEUTRALITY. PROPONENTS OF THE VALUE-NEUTRALITY THESIS SYMBOLICALLY COMBINE POLITICAL AND OTHER CRITICISMS OF MEDICINE IN AN ATTACK ON WHAT THEY SEE AS VALUE-INFECTED USES OF DISEASE LANGUAGE. THE PRESENT ESSAY ARGUES AGAINST TWO THESES ASSOCIATED WITH THIS VIEW: A METHODOLOGICAL THESIS WHICH TENDS TO DIVORCE THE ANALYSIS OF DISEASE LANGUAGE FROM THE CONTEXT OF THE PRACTICE OF MEDICINE AND A SUBSTANTIVE THESIS WHICH (...) HOLDS THAT DISEASE LANGUAGE IS EVALUATIVELY NEUTRAL. IN PARTICULAR, THE ESSAY CRITICALLY FOCUSES ON THE VALUE NEUTRAL POSITION ADOPTED BY CHRISTOPHER BOORSE, WHICH HE TERMS A FUNCTIONAL THEORY OF DISEASE. THE ARGUMENT CONCERNS WHETHER OR NOT ONE CAN HAVE VALUE NEUTRAL DESCRIPTION OF DISEASE STATES OR WHETHER DISEASE LANGUAGE ESSENTIALLY INVOLVES VALUES. (shrink)

While there is no denying the relevance of ethical knowledge and analytical and cognitive skills in ethics consultation, such knowledge and skills can be overemphasized. They can be effectively put into practice only by an ethics consultant, who has a broad range of other skills, including interpretive and communicative capacities as well as the capacity effectively to address the psychosocial needs of patients, family members, and healthcare professionals in the context of an ethics consultation case. In this paper, I discuss (...) how emotion can play an important interpretive role in clinical ethics consultation and why attention to the role of defense mechanisms can be helpful. I concentrate on defense mechanisms, arguing first, that the presence of these mechanisms is understandable given the emotional stresses and communicative occlusions that occur between the families of patients and critical care professionals in the circumstances of critical care; second, that identifying these mechanisms is essential for interpreting and managing how these factors influence the way that the “facts” of the case are understood by family members; and, third, that effectively addressing these mechanisms is an important component for effectively doing ethics consultation. Recognizing defense mechanisms, understanding how and why they operate, and knowing how to deal with these defense mechanisms when they pose problems for communication or decision making are thus essential prerequisites for effective ethics consultation, especially in critical care. (shrink)

Originally published in 1969. The proverb vox populi, vox Dei first appeared in a work by Alcuin (ca. 798), who wrote that "the people [] are to be led, not followed. [] Nor are those to be listened to who are accustomed to say, 'The voice of the people is the voice of God.'" Tracing the changing meaning of the saying through European history, George Boas finds that "the people" are not an easily identifiable group. For many centuries the (...) butt of jokes and the substance of comic relief in serious drama, the people became in time an object of pity and, later, of aesthetic appeal. Popular opinion, despised in ancient Rome, was something sought, after the French Revolution. The first essay documents the use of the titular proverb through the eighteenth century. In the next six essays, Boas attempts to determine who the people were and how writers and philosophers have regarded them throughout history. He also examines the people as the creators of literature, art, and music, and as the subject of others' artistic representations. In a final essay, he discusses egalitarianism, which has given a voice to the common person. Animating Boas's account is his own belief in the importance of the individual's voice—as opposed to the voice of the masses, which is by no means necessarily that of God or reason. (shrink)

In “Deception and the Clinical Ethicist,” Christopher Meyers defends that view that deception practiced by clinical ethicists is legitimate if it satisfies a series of justifying conditions (Meyers...

We test conformity-related values applying the value-pragmatics hypothesis by evaluating how personal values related to compliance moderate the relationships between situational factors and unethical decisions. We examine the direct and indirect effects of the values of traditionalism, conformity, and stimulation, as they combine with the situational factors of rewards and punishments in the person–situation interaction model. We find strong support for the value-pragmatics view of ethical decision making and further build support for the person–situation interaction model.

In trying to say what modernism is , we must remind ourselves that it cannot and must not—to be properly described and understood—be confined only to the arts of music, literature, painting, sculpture, theater, architecture, those arts with which we normally associate the term “culture.” Modernism can be said to embrace, in the broadest terms, not only the arts of Western culture but also science, technology, the family, marriage, sexuality, economics, the politics of democracy, the politics of authoritarianism, the politics (...) of totalitarianism, and such academic disciplines as philosophy and the social sciences of sociology and anthropology . Its influence and effects have been all-pervasive. No corner of twentieth-century life has escaped its profound alteration of both the individual and society. It has radicalized all levels of human existence.What, then, is modernism?Some have described it as a state of “chronic revolution,” that is, revolution against the past, against tradition, against history itself. Others have pointed to its voracious appetite for innovation, for the search for the “new,” for the hunger to be “original”—to be the first and last with something unique and difference, whatever that something might be or in whatever area of human endeavor it might arise.Still others have characterized modernism as the application to all realms of human life of forms of structural rationalization, that is, finding rationally structured ways of being and doing regardless of consequences and, more especially, rationalizing away the mysteries and questions which have to do with meaning, that is, morality and ethics—those areas that lie outside the purely rational. And still others have viewed modernism as a condition of freedom within which the individual can be himself, unfettered and uninhibited, released from the drag of superego and conscience, a separate entity of being, unanswerable to others whether in the form of individuals or society as a whole.Last but not least, there are those who continue to see modernism as a self-perpetuating form of avant-gardism, always at the point of the interface between the present and the future, always ready to move on to the next stage because living itself is a process of constant change, constant motion, perpetual transformation. George Rochberg is the composer of a large body of musical works and the author of a recently published collection of essays, The Aesthetics of Survival, A Composer’s View of Twentieth-Century Music. He is currently writing his fifth symphony, on a commission from the Chicago Symphony Orchestra. In 1983 he retired from the University of Pennsylvania as Emeritus Annenberg Professor of the Humanities. (shrink)

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 was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. 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. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

George Smith argues that modern humanity suffers from a late-stage, pre-fatal addiction to scientific-technological thinking. Like most pre-fatal addictions, this one will most likely result in one of three ways: misery, extinction, or human transformation. The question remains, wherein lies the third way? According to Smith, mankind's chronic and as yet undiagnosed sickness originates in early Western metaphysics and has long been thoroughly globalized. It explains unstoppable extractionism and its relentlessly increasing by-product, carbon dioxide. It also explains today's ever-increasing (...) rate of species extinction, and it explains the increasingly likely collapse of the biosphere. Citing climate change tolerance and denial as symptomatic of pre-fatal addiction, Smith turns his analysis to Heidegger's "question concerning technology" and shows that even Heidegger had become "hooked" on scientific-technological thinking. Surrendering to his disease, Heidegger "steps back" into "meditative thought." This in turn opens Heidegger to an East-West mode of scientific-poetic consciousness, the thinking of artist-philosophers such as Laozi, Hölderlin, and Rachel Carson. For Heidegger, this way of thinking lays the path to mankind's transformative emancipation from an otherwise inescapable catastrophe. The book will be of interest to scholars of the arts and culture, histories of consciousness, and climate studies. (shrink)

George Herbert Mead, one of America’s most important and influential philosophers, a founder of pragmatism, social psychology, and symbolic interactionism, was also a keen observer of American culture and early modernism. In the period from the 1870s to 1895, Henry Northrup Castle maintained a correspondence with family members and with Mead—his best friend at Oberlin College and brother-in-law—that reveals many of the intellectual, economic, and cultural forces that shaped American thought in that complex era. Close friends of John Dewey, (...) Jane Addams, and other leading Chicago Progressives, the author of these often intimate letters comments frankly on pivotal events affecting higher education, developments at Oberlin College, Hawaii, progressivism, and the general angst that many young intellectuals were experiencing in early modern America. The letters, drawn from the Mead-Castle collection at the University of Chicago, were collected and edited by Mead after the tragic death of Henry Castle in a shipping accident in the North Sea. Working with his wife Helen Castle, he privately published fifty copies of the letters to record an important relationship and as an intellectual history of two progressive thinkers at the end of the nineteenth century. American historians, such as Robert Crunden and Gary Cook, have noted the importance of the letters to historians of the late nineteenth century. The letters are made available here using the basic Mead text of 1902. Additional insights into the connection between Mead, John Dewey, Henry and Harriet Castle, and Hawaii’s progressive kindergarten system are provided by the foundation’s executive director Alfred L. Castle. Marvin Krislov, president of Oberlin College, has added additional comments on the importance of the letters to understanding the intellectual relationship that flourished at Oberlin College. Published with the support of the Samuel N. and Mary Castle Foundation. (shrink)

PREFACE. THE Author of this very practical treatise on Scotch Loch - Fishing desires clearly that it may be of use to all who had it. He does not pretend to have written anything new, but to have attempted to put what he has to say in as readable a form as possible. Everything in the way of the history and habits of fish has been studiously avoided, and technicalities have been used as sparingly as possible. The writing of this (...) book has afforded him pleasure in his leisure moments, and that pleasure would be much increased if he knew that the perusal of it would create any bond of sympathy between himself and the angling community in general. This section is interleaved with blank shects for the readers notes. The Author need hardly say that any suggestions addressed to the case of the publishers, will meet with consideration in a future edition. We do not pretend to write or enlarge upon a new subject. Much has been said and written-and well said and written too on the art of fishing but loch-fishing has been rather looked upon as a second-rate performance, and to dispel this idea is one of the objects for which this present treatise has been written. Far be it from us to say anything against fishing, lawfully practised in any form but many pent up in our large towns will bear us out when me say that, on the whole, a days loch-fishing is the most convenient. One great matter is, that the loch-fisher is depend- ent on nothing but enough wind to curl the water, -and on a large loch it is very seldom that a dead calm prevails all day, -and can make his arrangements for a day, weeks beforehand whereas the stream- fisher is dependent for a good take on the state of the water and however pleasant and easy it may be for one living near the banks of a good trout stream or river, it is quite another matter to arrange for a days river-fishing, if one is looking forward to a holiday at a date some weeks ahead. Providence may favour the expectant angler with a good day, and the water in order but experience has taught most of us that the good days are in the minority, and that, as is the case with our rapid running streams, -such as many of our northern streams are, -the water is either too large or too small, unless, as previously remarked, you live near at hand, and can catch it at its best. A common belief in regard to loch-fishing is, that the tyro and the experienced angler have nearly the same chance in fishing, -the one from the stern and the other from the bow of the same boat. Of all the absurd beliefs as to loch-fishing, this is one of the most absurd. Try it. Give the tyro either end of the boat he likes give him a cast of ally flies he may fancy, or even a cast similar to those which a crack may be using and if he catches one for every three the other has, he may consider himself very lucky. Of course there are lochs where the fish are not abundant, and a beginner may come across as many as an older fisher but we speak of lochs where there are fish to be caught, and where each has a fair chance. Again, it is said that the boatman has as much to do with catching trout in a loch as the angler. Well, we dont deny that. In an untried loch it is necessary to have the guidance of a good boatman but the same argument holds good as to stream-fishing... (shrink)

This is a concise introduction to the life and work of the Italian militant and political thinker, Antonio Gramsci. As head of the Italian Communist Party in the 1920s, Gramsci was arrested and condemned to 20 years' imprisonment by Mussolini's fascist regime. It was during this imprisonment that Gramsci wrote his famous Prison Notebooks – over 2,000 pages of profound and influential reflections on history, culture, politics, philosophy and revolution. An Introduction to Antonio Gramsci retraces the trajectory of Gramsci's life, (...) before examining his conceptions of culture, politics and philosophy. Gramsci's writings are then interpreted through the lens of his most famous concept, that of 'hegemony'; Gramsci's thought is then extended and applied to 'think through' contemporary problems to illustrate his distinctive historical methodology. The book concludes with a valuable examination of Gramsci's legacy today and useful tips for further reading. George Hoare and Nathan Sperber make Gramsci accessible for students of history, politics and philosophy keen to understand this seminal figure in 20th-century intellectual history. (shrink)

The proliferation of ethics committees and ethics consultation services has engendered a discussion of the issue of the expertise of those who provide clinical ethics consultation services. In this paper, I discuss two aspects of this issue: the cognitive dimension or content knowledge that the clinical ethics consultant should possess and the practical dimension or set of dispositions, skills, and traits that are necessary for effective ethics consultation. I argue that the failure to differentiate and fully explicate these dimensions contributes (...) to the confusion over the issue of expertise and fuels, at least partly, the controversies about expertise (or authority) in ethics and the legitimacy of the use of ethical knowledge in clinical ethics consultation. (shrink)

La peripecia vital de George Santayana, contada aquí con una profundidad reflexiva y una capacidad de observación admirables, nos proporciona, a través de su autobiografía, un recorrido perspicaz, sutil, por las impresiones que en el pensador dejaron todos aquellos momentos que más fuertemente marcaron su experiencia. El autor nos presenta esas impresiones intencionadamente ordenadas, hilvanadas y ribeteadas con el hilo conductor de sus reflexiones. Surge, así, el retrato vital del protagonista a través del minucioso mapa geográfico, familiar, social y (...) personal de su peripecia, interpretable además como un elaborado libro de sabiduría al que avala la privilegiada mente filosófica y poética de su autor. En la presente versión castellana de la edición crítica, íntegra y definitiva, que se publicó en inglés en 1986, el lector encontrará, entre otros, interesantes textos sobre arte y arquitectura, geografía e historia, política y sociología, literatura, filosofía y religión; podrá disfrutar, sin sentirse jamás adoctrinado, de las observaciones clarividentes del autor y de su inteligente comprensión de la realidad, que le ayudarán sin duda, como se dice en las líneas finales del libro, a convertir las virtudes y las tristezas pasajeras de la naturaleza en vislumbres de la verdad eterna. (shrink)

First published in 2002. Routledge is an imprint of Taylor & Francis, an informa company.