There has been little previous scholarship regarding the aims, options and impact of ethics education on residential care‐givers. This manuscript details findings from a pragmatic cluster trial evaluating the impact of three different approaches to ethics education. The focus of the article is on one of the interventions, an immersive simulation experience. The simulation experience required residential care‐givers to assume the profile of elderly care‐recipients for a 24‐hr period. The care‐givers were student nurses. The project was reviewed favourably by a (...) university ethics committee, and participants provided informed consent. Data from six postsimulation experience focus groups were analysed thematically and three themes were identified: the experience of vulnerability, dignity in care and the organisation of care. Findings suggest that the immersive simulation experience had a powerful immediate impact as participants described epiphanous insights relating to their care experiences. It is suggested that reflecting on and recording epiphanous events has the potential to sustain ethical care practices. Further research is required to evaluate the impact of different ethics education interventions in different cultural contexts. Exploration is also required regarding the meaning and significance of care epiphanies, those “most delicate and evanescent of moments,” for the sustainability of ethical care. (shrink)

There has been little previous research regarding the effectiveness of ethics education interventions for residential care‐givers. The Researching Interventions to Promote Ethics in social care project responded to the question: Which is the most effective ethics education intervention for care‐givers in residential social care? A pragmatic cluster trial explored the impact of three ethics education interventions for: (a) interactive face‐to‐face ethics teaching; (b) reflective ethics discussion groups; and (c) an immersive simulation experience. There was also a control arm (d). 144 (...) trial participants were recruited from 39 residential care homes for older people in southern England. Change scores compared across intervention arms showed a significant reduction in work‐related moral stress in the teaching arm compared with control group (p =.03); there were no significant differences between control and intervention arms in change scores for moral sensitivity, interpersonal reactivity (empathy) or ethical leadership. Qualitative data themes were as follows: ethical care; care challenges; and ethical care inhibitors. Overall findings stimulate reflection on the value of three different ethics education interventions and the most appropriate means to evaluate their impact. Findings suggest the complexity and diverse nature of ethical competence in care. We suggest a way forward for research evaluating ethics education. (shrink)

The Market as God captures how our world has fallen in thrall to the business theology of supply and demand. According to its acolytes, the Market is omniscient, omnipotent, and omnipresent. It knows the value of everything, and determines the outcome of every transaction; it can raise nations and ruin households, and nothing escapes its reductionist commodification. The Market comes complete with its own doctrines, prophets, and evangelical zeal to convert the world to its way of life. Cox brings that (...) theology out of the shadows, demonstrating that the way the world economy operates is neither natural nor inevitable but shaped by a global system of values and symbols that can be best understood as a religion. -/- Drawing on biblical sources, economists and financial experts, prehistoric religions, Greek mythology, historical patterns, and the work of natural and social scientists, Cox points to many parallels between the development of Christianity and the Market economy. At various times in history, both have garnered enormous wealth and displayed pompous behavior. Both have experienced the corruption of power. However, what the religious have learned over the millennia, sometimes at great cost, still eludes the Market faithful: humility. (shrink)

In the nineteenth century, Nietzsche famously announced that God was dead. In the twentieth century, an increasing reliance on science and technology led to a widespread rejection of belief on the grounds of its irrationality. Yet for all the skepticism directed towards it, religion has not died. In fact, the opposite has occurred: it has persisted and proliferated. In this wide-ranging dialogue, two leading commentators on religion address - from their different but complementary traditions of Christianity and Buddhism - the (...) continuing appeal of spirituality to people eager to explore fundamental questions of meaning and identity. The authors indicate that science, for all the benefits it has conferred, has limits of explanation. It may be able to show how, but not necessarily why. --BOOK JACKET. (shrink)

Sacred Tropes: Tanakh, New Testament, and Qurʾan as Literature and Culture. Edited by Roberta Sterman Sabbath. Biblical Interpretation Series, vol. 98. Leiden: Brill, 2010. Pp. xxii + 534. $241.

Intensive care unit (ICU) nurses were at the forefront of patient care during the coronavirus (COVID‐19) pandemic. To date, no studies have explored what it meant to be a ‘good nurse’ in this unique and challenging context. As such, the aim of this study was to construct the meaning of the ‘good nurse’ in ICUs during a pandemic. Semi‐structured interviews were conducted with 25 ICU nurses from three ICUs in Kuwait, who had worked during the COVID‐19 pandemic. The data were (...) analysed using Charmaz's grounded theory methodology. The analysis showed that the good ICU nurse was defined by their sense of duty, which motivated compassionate and dedicated patient care. However, the nurses' attempts to demonstrate virtue also had negative consequences for them. Selflessness led to unsustainable self‐sacrifice, empathy led to emotional labour, and efforts to remain patient and respectful led to exhaustion as the nurses found themselves under increasing pressure. Attempts to remain mentally strong may have partially protected them from stress, but also deprived them of an outlet for authentic emotional expression and support. Ultimately, their efforts to preserve their quality of patient care despite the numerous challenges of the pandemic came at an increasing cost, and resulted in moral distress and impaired well‐being. (shrink)

A sociological conceptualisation of space moves beyond the material to the relational, to consider space as a social process. This paper draws on research that explored the reproduction of legitimated knowledge and power structures in intensive care units during encounters, between patients, who were experiencing mental illness, and their nurses. Semi‐structured telephone interviews with 17 intensive care nurses from eight Australian intensive care units were conducted in 2017. Data were analysed through iterative cycling between participants' responses, the literature and the (...) theoretical framework. The material and relational aspects of space in this context constitute a dynamic process that is concerned with the reproduction of everyday life, the preservation of the biomedical authority of intensive care, and the social othering of people experiencing mental illness. The work of theorists such as Löw, Harvey and Foucault underpins the exploration of space as a multi‐dimensional, malleable social process that both produces and is the product of social interaction and the social world. In this paper, we argue that the performative work of knowledge and power production and reproduction, considered here in relation to intensive care spaces, enables ongoing othering and disenfranchisement of people experiencing mental illness. (shrink)

Continues the ongoing dialogue between religion and science. In this volume, the author has focused on scientific or science-based technology rather than just the significance of 'pure science'. This complex focus covers a number of issues including scientific theory, public policy, ethical consideration, cosmology, theological conundrums and the age-old issues of the meaning of human life and its fulfillment.

One is the beloved author of The Name of the Rose, a celebrated scholar, philosopher, and self-declared secularist; the other is a preeminent clergyman and a respected expert on the New Testament. In this intellectually stimulating dialogue, often adversarial but always amicable, these two great men, who stand on opposite sides of the church door, discuss some of the most controversial issues of our day, including the apocalypse, abortion, women in the clergy, and ethics. As we voyage onward into the (...) new millennium, they frame a debate about matters that have already begun to rage, always aware of the gulf between belief and nonbelief that separates them, constantly probing and challenging, but also respectful of the other’s viewpoint. For believers and nonbelievers alike, the result is both edifying and illuminating. “Their correspondence,” writes Professor Harvey Cox in his introduction, “lifts the possibility of intelligent conversation on religion to a new level.”. (shrink)

Originally published more than fifty years ago, _The Courage to Be_ has become a classic of twentieth-century religious and philosophical thought. The great Christian existentialist thinker Paul Tillich describes the dilemma of modern man and points a way to the conquest of the problem of anxiety. This edition includes a new introduction by Harvey Cox that situates the book within the theological conversation into which it first appeared and conveys its continued relevance in the current century. “The brilliance, the (...) wealth of illustration, and the aptness of personal application... make the reading of these chapters an exciting experience.”—W. Norman Pittenger, _New York Times Book Review_ “A lucid and arresting book.”—Frances Witherspoon, _New York Herald Tribune_ “Clear, uncluttered thinking and lucid writing mark Mr. Tillich’s study as a distinguished and readable one.”—_American Scholar_ Selected as one of the Books of the Century by the New York Public Library. (shrink)

Writing for a wide audience, Harvey here tells the political-economic story of where neoliberalization came from and how it proliferated on the world stage. He constructs a framework, not only for analyzing the political and economic dangers that now surround us, but also for assessing the prospects for more socially just alternatives.

If the 1960’s did not see a resurgence of belief in God, they at least witnessed a renewed interest in him, stimulated by die writings of Harvey Cox, John Robinson and the so-called death-of-God theologians. These were concerned with the phenomenon of the ‘absence of God’, so called because, for all the difference he seemed to make in the day-to-day business of nations and cultures, God might just as well not exist. Whatever knowledge gaps may previously have existed have (...) already been plugged either in fact or in principle, and this without any explanation involving a God. The universe no longer seems to point beyond itself, but seems, on the contrary, pretty clearly self-sufficient. In such circumstances the ground has been cut from under anyone wanting to say that God exists. And if the claim continues to be made, it is from a philosophical viewpoint quite gratuitous. (shrink)

I clarify recently developed phenomenological approaches to social cognition. These are approaches that, drawing on developmental science, social neuroscience, and dynamic systems theory, emphasize the involvement of embodied and enactive processes together with communicative and narrative practices in contexts of intersubjective understanding. I review some of the evidence that supports these approaches. I consider a variety of criticisms leveled against them, and defend the role of phenomenology in the explanation of social cognition. Finally, I show how these phenomenological approaches can (...) solve the “starting problem” of social cognition. (shrink)

An important part of what it means for agents to be situated in the everyday world of human affairs includes their engagement with economic practices. In this paper, we employ the concept of cognitive institutions in order to provide an enactive and interactive interpretation of market and economic reasoning. We challenge traditional views that understand markets in terms of market structures or as processors of distributed information. The alternative conception builds upon the notion of the market as a “scaffolding institution.” (...) Introducing the concept of market as a “socially extended” cognitive institution we go beyond the notion of scaffolding to provide an enactive view of economic reasoning that understands the market participant in terms of social interactive processes and relational autonomy. Markets are more than inert devices for information processing; they can be viewed as “highly scaffolded,” where strong constraints and incentives predictably direct agents’ behavior. Building on this idea we argue that markets emerge from (a) the economic interaction of both supply and demand sides, in continual and mutual interplay, and (b) more basic social interactions. Consumer behavior in the marketplace is complex, not only contributing to determine the market price, but also extending the consumer’s cognitive processes to reliably attain a correct evaluation of the good. Moreover, this economic reasoning is socially situated and not something done in isolation from other consumers. From a socially situated, interactive point of view buying or not buying a good is something that enacts the market. This shifts the status of markets from external institutions that merely causally affect participants’ cognitive processes to social institutions that constitutively extend these cognitive processes. On this view the constraints imposed by social interactions, as well as the possibilities enabled by such interactions, are such that economic reasoning is never just an individual process carried out by an autonomous individual, classically understood. In this regard, understanding the concept of relational autonomy allows us to see how economic reasoning is always embodied, embedded in, and scaffolded by intersubjective interactions, and how such interactions make the market what it is. (shrink)

This chapter addresses two questions. First, can phenomenology be naturalized? Second, if so, how? It employs the term ‘phenomenology’, and understands the question in this second sense. At the same time, responses to the question about naturalising consciousness and the question about naturalising phenomenology, in this second sense, are interlaced. Edmund Husserl has been careful about how he defined phenomenology, distinguishing it from a naturalistic enterprise. The Centre de Recherche en Epistémologie Appliquée proposal shows that a sufficiently complex mathematics can (...) help the translation of data from phenomenological and naturalistic realms. Neuroscientists often attract to personal-level practices and phenomenological experiences in establishing their experiments, and in many cases the only way to define the explanadum is in terms of phenomenology. The ‘truth’ of naturalism is not the naturalism which Husserl cautioned against, but a redefined non-reductionist naturalism that correlates with a redefined phenomenology. (shrink)

Forty four years after the publication of Harvey Cox‟s The Secular City that celebrated “the progressive secularization of the world as the logical outcome of Biblical religion” (Newsweek)1, we almost feel the bones of religious fundamentalism cracking under the pressure of secularization. At the same time, however, the Hegelian dialectic holds ground as both refuse to be crushed by either; and any compromising stance only begets another rival; to the effect, that it can be said that fundamentalism is never (...) a phenomenon that may be extinguished. (shrink)

This systematic introduction to Buddhist ethics is aimed at anyone interested in Buddhism, including students, scholars and general readers. Peter Harvey is the author of the acclaimed Introduction to Buddhism, and his new book is written in a clear style, assuming no prior knowledge. At the same time it develops a careful, probing analysis of the nature and practical dynamics of Buddhist ethics in both its unifying themes and in the particularities of different Buddhist traditions. The book applies Buddhist (...) ethics to a range of issues of contemporary concern: humanity's relationship with the rest of nature; economics; war and peace; euthanasia; abortion; the status of women; and homosexuality. Professor Harvey draws on texts of the main Buddhist traditions, and on historical and contemporary accounts of the behaviour of Buddhists, to describe existing Buddhist ethics, to assess different views within it, and to extend its application into new areas. (shrink)

This book sorts out the confusion created by the use of the term "postmodern" in relation to widely divergent theological positions. Four different types of postmodern theology are distinguished in the preface: constructive, deconstructive, liberationist, and conservative. Two forms of each type are discussed in the book. Writing from a constructive, postmodern perspective, the authors enter into dialogue with the deconstructive postmodernism of Mark C. Taylor and Jean-François Lyotard, with the liberationist postmodernism of Harvey Cox and Cornel West, and (...) with the conservative postmodernism of George William Rutler and John Paul II. (shrink)

Atran & Norenzayan (A&N) survey a substantial body of theory and evidence on which there is broad agreement in the cognitive science of religion. Some parts of their argument (for instance, concerning the causes of costly commitment to religious beliefs) are more speculative and remain a focus of lively debate and further research.

Abstract This paper defends an argument from interpretation against the possibility of massive error. The argument shares many important features with Donald Davidson's famous argument, but also key differences. I defend the argument against claims that it begs the question against scepticism and that it leaves the sceptic with an obvious means of escape.

I review a variety of theories that attempt to explain how young infants are able to pass spontaneous false belief tests, and then ask whether any of these approaches can explain the 3-year-olds' failure on standard, elicited FB tests. I argue that some of these approaches fail to provide adequate explanations, and I defend an embodied enactive approach that I think does a better job. The primary reason 3-year-olds fail at the elicited FB tests is not due to language problems, (...) the complexity of the situation, or the number of perspectives involved, but because the saliency of the second-person interaction with the experimenter takes precedence over the third-person task. (shrink)

BackgroundHospitals face a disclosure dilemma when large-scale adverse events affect multiple patients and the chance of harm is extremely low. Understanding the perspectives of patients who have received disclosures following such events could help institutions develop communication plans that are commensurate with the perceived or real harm and scale of the event.MethodsA mailed survey was conducted in 2008 of 266 University of Washington Medical Center (UWMC) patients who received written disclosure in 2004 about a large-scale, low-harm/low-risk adverse event involving an (...) incomplete endoscope cleaning process. The survey measured patients’ satisfaction with this disclosure, their concerns about healthcare outcomes, and their recommendations for future communication, given similar circumstances.ResultsSurveys were received from 127 of 266 (48 percent) of eligible respondents; 98 percent thought that UWMC was right to inform them about this event, and mean satisfaction with the disclosure was 7.7 on a 0 to 10 scale. Of the 127 respondents, 64 percent were somewhat or very concerned that the endoscope cleaning problem might cause them health problems; 60 percent reported their impressions of UWMC’s honesty and integrity had increased; 31 percent said their perceptions of the quality of care had increased; 94 percent agreed that institutions should tell patients about any error in their care, even when the risk of harm was low, although 28 percent agreed that such notifications would make them anxious. Respondents who reported concern that the event could cause them health problems were less likely to be satisfied with the institution’s disclosure. Patients cited their right to know information material to their own health and healthcare as an important reason for disclosure.ConclusionRecipients of disclosure of a large-scale, low-harm/low-risk event overwhelmingly supported being told of the event and endorsed notification of patients for similar events in the future. Although informing patients may cause concern for some, institutions should ensure their disclosure policies and procedures reflect their patients’ preferences. (shrink)