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)

While positive information in the context of clinical care can lead to placebo effects, negatively framed information can have negative or nocebo effects. Extant literature documents how doctor–patient encounters are fertile ground for suboptimal interactions leading to negative experiences for ethnoracial minority patients. In their _JME_ paper, Blease presents a critical perspective on the potential for patients’ access to their doctors’ clinical notes, ‘open notes’, to engender nocebo effects. 1 In this commentary, we affirm the central claim that nocebo effects (...) could emerge ‘via negative wording or framing of health information expressed by clinicians in documentation’. The advent of electronic health records (EHR) allowed patients the unprecedented opportunity to access personal clinical documentation, giving them a window into decision making around their health. This shift is undoubtedly complex, and thus warrants a more fulsome rendering of the unique challenges faced by ethnoracial minority patients. Herein, we highlight three... (shrink)

Heidegger’s understanding of the relationship between philosophy and science is expressed in his claim that they are not hostile towards each other, i.e., that philosophy is neither for nor against science, though they differ in ambition, strength, and methodology. Their interaction, as this essay suggests, may contribute to the range and diversification of philosophical thinking and to a deeper grasp of the strength and boundary (potential and limitation) of scientific inquiry and knowing. Heidegger’s rethinking of science, especially in his twenty-four (...) “propositions about science”, includes a critical assessment of the status of science in the epoch of modernity; it discerns (discovers, discloses) the truth of science in its relation to the measure of truth in beings, and to the truth of be-ing. The entire inquiry at hand is grounded in be-ing-historical thinking and mindfulness. (shrink)

This paper discusses the importance of Richard M. Zaners work on clinical ethics for answering the question: what kind of doing is ethics consultation? The paper argues first, that four common approaches to clinical ethics – applied ethics, casuistry, principlism, and conflict resolution – cannot adequately address the nature of the activity that makes up clinical ethics; second, that understanding the practical character of clinical ethics is critically important for the field; and third, that the practice of clinical ethics is (...) bound up with the normative commitments of medicine as a therapeutic enterprise. (shrink)

"Many in elite circles yield to the temptation to believe that anyone who disagrees with them is a bigot or a religious fundamentalist. Reason and science, they confidently believe, are on their side. With this book, I aim to expose the emptiness of that belief." --From the introductionAssaults on religious liberty and traditional morality are growing fiercer. Here, at last, is the counterattack.Showcasing the talents that have made him one of America's most acclaimed and influential thinkers, Robert P. George (...) explodes the myth that the secular elite represents the voice of reason. In fact, George shows, it is on the elite side of the cultural divide where the prevailing views frequently are nothing but articles of faith. Conscience and Its Enemies reveals the bankruptcy of these too often smugly held orthodoxies while presenting powerfully reasoned arguments for classical virtues.In defending what James Madison called the "sacred rights of conscience"--rights for which government shows frightening contempt--George grapples with today's most controversial issues: abortion and infanticide, same-sex marriage, genetic manipulation, euthanasia and assisted suicide, religion in politics, judicial activism, and more. His brilliantly argued essays rely not on theological claims or religious authority but on established scientific facts and a philosophical tradition that extends back to Plato and Aristotle.Conscience and Its Enemies elevates our national debates. It sets forth powerful arguments that secular liberals are unaccustomed to hearing--and that embattled defenders of traditional morality so often fail to marshal. It also lays out the principles and arguments for rebuilding a moral order. (shrink)

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.

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)

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)

Volume 19, Issue 6, June 2019, Page 1-3.

A climate that is too cold to grow crops for part of the year demands foresight and self-control skills. To the extent that a culture has developed intertemporal bargaining, its members will have more autonomy, but pay the cost of being more compulsive, than members of societies that have not. Monetary resources will be a consequence but will also be fed back as a cause.

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)

Der vorliegende Band ist die schriftliche Fassung einer Vorlesung, die Moore im Wintersemester 1910/11 an der Cambridge University als Einführung in die Philosophie gehalten hat und erst 1956, zwei Jahre vor seinem Tod, veröffentlicht wurde. Nach einer ausführlichen Erklärung dessen, was Philosophie überhaupt ist, was der Gegenstand und die Aufgabe der Philosophie ist, führt Moore im Ausgang von unseren sinnlichen Erfahrungen in das Gesamtgebiet der Philosophie ein. Behandelt werden Themen wie Existenz, materielle Dinge, Dinge in Raum und Zeit, Propositionen, Wissen (...) und Erkennen, die Philosophie David Humes und weitere Themen. Der vorliegende Band ist sowohl für Philosophiestudenten und interessierte Laien zur Einführung in die Philosophie gut geeignet, als auch für den philosophischen Experten, der sich eingehender mit Moores Philosophie beschäftigen möchte. (shrink)

Selon la description de Platon, Socrate est devenu célèbre après avoir « changé de direction et examiné les paroles du dieu », c’est-à-dire après avoir mis à l’épreuve l’oracle selon lequel il n’existe aucun homme plus sage que lui. Une telle description soulève plus d’une question. En effet, quelle direction Socrate avait-il adoptée avant de tester l’oracle de Delphes? Qu’avait-il donc fait pour inciter Chéréphon à s’enquérir auprès de l’oracle s’il existait un homme plus sage que lui? Sans aucun doute, (...) avant même de consulter l’oracle, Chéréphon devait être convaincu du caractère extraordinaire de Socrate. Toutefois, selon le témoignage de Socrate dans l’Apologie, ce n’est qu’après avoir été mis au fait des paroles de l’oracle qu’il a enfin atteint la grande notoriété que nous lui connaissons. Le témoignage contenu dans l’Apologie apparaît donc comme contradictoire. Je propose une solution à ce casse-tête en distinguant trois moments dans la vie philosophique de Socrate. Tout d’abord, je montre comment, durant la première étape de sa vie, Socrate tient des conversations qui, à défaut de le rendre célèbre, donnent à Chéréphon un motif suffisant pour consulter l’oracle de Delphes. Je distingue ensuite deux étapes ultérieures, caractérisées par des actions différentes : la période durant laquelle Socrate essaie de résoudre l’énigme et celle durant laquelle il l’a résolue. (shrink)

The mainstream approach to the understanding of pain continues to be governed by the biomedical paradigm and the dualistic Cartesian ontology. This Volume brings together essays of scholars of literature, philosophy and history on the many enigmatic shades of pain-experience, mostly from an anti-Cartesian perspective of cultural ontology by scholars of literature, philosophy and history. A section of the essays is devoted to the socio-political dimensions of pain in the Indian context. The book offers a critical perspective on the reductive (...) conceptions of pain and argue that non-substance ontology or cultural ontology supports a more humane and authentic understanding of pain. The general ontological features of the self in pain and culturally imbued dimensions of pain-experience are, thus, brought together in a rare blend in this Volume. The essays dwell on the importance of understanding what cultural, social and political forces outside our control do to our pain-experience. They show why such understanding is necessary, both to humanely deal with pain, and to rectify erroneous approaches to pain-experience. They also explore the thoroughly ambivalent spaces between pain and pleasure, and the cathartic and productive dimensions of pain. The essays in this Volume investigate pain-experiences through the fresh lenses of history, gender, ethics, politics, death, illness, self-loss, torture, shame, dispossession and denial. (shrink)

'God is Being-Itself' -- Revolution -- Revelation -- Love -- The shaking of the foundations.

Individualism is one of most criticized and least understood ideas in social and political thought. Is individualism the ability to act independently amidst a web of social forces? A vital element of personal liberty and a shield against conformity? Does it lead to or away from unifying individuals with communities? Individualism: A Reader provides a wealth of illuminating essays from the 17th to the early 20th centuries. In 26 selections from 25 writers individualism is explained and defended, often from unusual (...) perspectives. This anthology includes not only selections from well-known writers, but also many lesser-known pieces--reprinted here for the first time--by philosophers, social theorists, and economists who have been overlooked in standard accounts of individualism. The depth and complexity of ideas about individualism are reflected in the six sections in this collection. The first examines individuality generally, with the following five detailing social, moral, political, religious, and economic individualism. Throughout, individualism is analyzed and defended through the lenses of classical liberalism, free-market libertarianism, individual anarchism, voluntary socialism, religious individualism, abolitionism, free thought, and radical feminism. Both richly historical and sharply contemporary, Individualism: A Reader provides a multitude of perspectives and insights on personal liberty and the history of freedom. (shrink)

The mother discipline of organisational behaviour has deep roots in psychology, particularly industrial and organisational psychology. It comes as no surprise, therefore, that new and theoretically incommensurate findings involving human moral behaviour have been met with calls for a more psychologically informed investigation of ethical behaviour in organisational contexts (DeCremer and Tenbrunsel, 2012; Reynolds and Ceranic, 2009). This project, aimed at a fuller understanding of the psychology of ethical behaviour, typically falls under the label of Organisational Ethical Behavior (OEB).

In view of the overwhelming weight of the manuscript evidence, including most recently the testimony of Y, it is perhaps about time to stop the attempts at emendation that began in the sixteenth century with sed non blanda puto. The weaknesses, too, of the argument in favour of lengthening metri gratia the final vowel of blanda have been clearly pointed out by Housman,1 who just as clearly pointed out that blanda must therefore be an ablative.

From the standpoint of modern medicine, death is a failure—and one of the first things that we learn in the 2016 movie Doctor Strange is that Stephen Strange does not like to fail. Stephen Strange in many ways epitomizes the unflattering picture that the stereotypes paint of a spiritually desolate West. If the West is hyper‐rationalist and obsessed with subduing the forces of nature, the East of popular imagination is where one goes to gain the wisdom that begins with surrendering (...) control and accepting the limits of reason. The philosopher Friedrich Nietzsche would say that the Hinterweltler's depiction of Dormammu and the nightmarish consequences of inviting him into this world reveal the hope for eternity to be grounded in a hatred of life. The sorcerer Kaecilius, rogue disciple and nemesis of the Ancient One, also aspires to “a world beyond time, beyond death”, where mortal beings can enjoy “eternal life as part of the one”. (shrink)