This chapter contains sections titled: I II III IV V.

Supererogation is the theory that some acts go beyond the call of duty. They are praiseworthy, but their omission is not blameworthy. Notice that supererogation has to do with praise and blame as well as with what is a duty or morally obligatory. Moral duty requires a moral system on the basis of which duty or obligation is assigned. Utilitarianism can provide a criterion of moral obligation, and it can also provide a criterion for moral praise and blame. However, there (...) is no necessity that the utilitarian criteria for praise and blame should be precisely correlated with its criteria of the morally obligatory and permissible. (shrink)

The negative consequences of physicians' failure to establish and maintain personal relationships with patients are at the heart of the humanistic crisis in medicine. To resolve this crisis, a new model of doctor-patient interaction is proposed, based on the ideas of Martin Buber's philosophy of dialogue. This model shows how the physican may successfully combine the personal (I-Thou) and impersonal (I-It) aspects of medicine in three stages. These Three Stages of Medical Dialogue include:1. An Initial Personal Meeting stage, which initiates (...) the doctor-patient relationship and involves mutual confirmation; 2. An Examination stage, which requires a shift from a personal to an impersonal style of interaction; 3. An Integration Through Dialogue or Healing Through Meeting Stage, which involves the integration of the impersonal medical data into the ongoing dialogue between doctor and patient, as a basis for shared decision-making. The use of the model, as well as common failures of doctor-patient dialogue are discussed. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reflections on Benjamin ButtonHenry Alexander (bio)IBenjamin Button was born at the age of seventy and as the years accumulated, grew younger physically. There are in his life three separate lines or threads. His chronological age begins in September of 1860 and terminated seventy years later. His "bodily age" consists of those stages of physical changes and of the different ways that he looked to others and to himself. In (...) 1860, he was an old man; his hair was sparse, scraggly, and nearly white; he had "a long smoke-colored beard"; his eyes were faded, watery, and tired; his teeth were ancient; his skin wrinkled, his voice had a cracked quaver and he had an aged stoop, even though he was five feet eight inches tall. From that time on, he gradually and steadily lost these characteristics of old age and became younger looking both to others and to himself until that time in 1930 when, an infant in his white crib, everything "faded out altogether from his mind." Finally, the third thread in Button's life consists of various psychological stages, attitudes, and feelings: his querulousness, his compliancy, his inquisitiveness, his assertiveness, his love for his wife, his business ability, his generosity, his enthusiasm for pleasure, his discontent with home life, his love of military activity and excitement, his delight in the company [End Page 1] of young women, the pleasure he took in his youthful appearance, his ambition to succeed at Harvard, the humiliations he suffered, his childish cheerfulness. These three threads in Benjamin Button's life—his chronological age, his bodily age, and his psychological age are seldom congruent and frequently unharmoniously interwoven.There are times when in ordinary life we may distinguish one or another of these threads out of a person's life. We may on occasion comment that someone looks so much older than she is where physical hardship, unusual sickness, or emotional pressures have left their scars. We may remark that another is so very young for her age, where, for example, inexperience, callousness, naivete show themselves in a person whose age would not lead us to expect such traits. We may remark upon how well one has kept oneself in shape when one's physique, muscle tone, and endurance are those of a decidedly younger person. Sometimes, certain traits of character—crabbiness, bossiness, old womanishness, crankiness, arbitrariness—associated with the elderly, may unexpectedly emerge in young people. Sometimes, traits perhaps conventionally associated with youth may crop up at a later stage of life, for example, carelessness, daredeviltry, sensuality, self-absorption, etc. The theme comes out in cases where we are surprised or shocked by the discrepancies between age and appearance or by changes in appearance or by psychological shifts which strike one as dissonant with one's own or another's age. There must be numerous variations on such discrepancies and they crop up from time to time in the ordinary course of things.But Benjamin Button's life was not ordinary. Those three threads of a person's life which may on occasion be singled out or contrasted are in his case systematically independent of one another. His years bear little relation to his physical age. His psychological states reflect little, if anything, of his years. Except for his middle years (between thirty-five and forty, say), there was little congruence between his chronological age, on the one hand, and his physical appearance or his psychological life, on the other.This dissonance between physical and chronological age has its ironical twists. For instance, when Benjamin was about twenty (in years), he met Hildegarde Moncrief (to whom he was later married). During their first meeting, she mistook him for his father's brother and she told Benjamin that fifty is "the mellow age" and that she "loves fifty." Of course, he appears to be a man of fifty, but he has forgotten how he appears [End Page 2] to others. He even "longed passionately to be fifty" (p. 73).1 The irony is that to Hildegarde and to everyone else, he was fifty.One anomaly that runs through much of Benjamin Button's life is his unawareness as to how... (shrink)

Journal of Social Philosophy, EarlyView.

"The Bush administration and Congress are in concert on the goal of developing a fleet of unmanned aircraft that can reduce both defense costs and aircrew losses in combat by taking on at least the most dangerous combat missions. Unmanned combat aerial vehicles (UCAVs) will be neither inexpensive enough to be readily expendable nor-- at least in early development-- capable of performing every combat mission alongside or in lieu of manned sorties. Yet the tremendous potential of such systems is widely (...) recognized, and allies as well as potential adversaries are moving quickly to mount their own research and development programs. The United States is committed to fielding UCAV capabilities by 2010, principally for the missions of suppression of enemy air defense and deep strike, which are among the highest risk tasks for the Air Force and naval aviation."--Overview. (shrink)

1. In this essay I want to try out some ideas: about the notion of a right—how it works and the terms of its meaningful application; about a distinction between institutional and noninstitutional rights; in regard to noninstitutional rights, about specific, nonspecific, general, and so-called universal rights; in relation to ‘universal’ institutional rights, about the notions of ‘natural’ and ‘human’ rights; about certain classes of noninstitutional rights which are variously regarded as basic, fundamental, inalienable, etc.; and about certain problems concerning (...) what is sometimes referred to as the metaphysics of rights: problems about their reality or existence, their eternality or historicity. Throughout I shall feel quite free to move back and forth between so-called analytical questions about rights and questions of a more substantive nature. I shall be aiming both at a clarification of my thinking about rights and at a determination of those noninstitutional rights which, in my book, are to be taken most seriously. This essay is thus written, in the first instance, for my own edification. To others I offer it as an invitation to colloquy and to further reflection. But such colloquies and reflections will not serve their purpose unless they are funded back into the practical deliberations and decisions of ordinary life. (shrink)

"The goal of philosophy is always the same, to assist men to understand themselves and thus to operate in the open, not wildly in the dark."--Isaiah BerlinThis volume of Isaiah Berlin's essays presents the sweep of his contributions to philosophy from his early participation in the debates surrounding logical positivism to his later work, which more evidently reflects his life-long interest in political theory, the history of ideas, and the philosophy of history. Here Berlin describes his view of the nature (...) of philosophy, and of its main task: to uncover the various models and presuppositions--the concepts and categories--that men bring to their existence and that help form that existence. Throughout, his writing is informed by his intense consciousness of the plurality of values, the nature of historical understanding, and of the fragility of human freedom in the face of rigid dogma. (shrink)

This is a collection of the most important writings of Oxford philosopher H.H. Price on the topics of psychical research and survival of death, collected from a wide variety of sources unavailable to most interested readers. Included are discussions of telepathy, clairvoyance, telekinesis, precognition, hauntings and apparitions, the impact of psychical research on western philosophy and science, and what afterlife is probably like. Few twentieth century English-speaking philosophers have written much on these topics. Of those who did so and whose (...) writings have not been collected and published in a single source, H.H. Price was the most important. (shrink)

The concern for ethical principles and values is not limited to health professionals alone. However, ethical principles in nursing act as safety valves for social control to prevent professional misconduct and abuse of the rights of clients. As a result of colonial experience, developing countries like Botswana usually follow the European lead, especially examples from the UK. This article examines the ethical problems and dilemmas associated with rural nursing practice in Botswana, a developing country in sub-Saharan Africa. The major ethical (...) problems identified are related to the distribution of and access to health resources in rural communities. It is proposed that nurses must assume responsibility in the field of access and allocation by working collaboratively with governments and other professional bodies, and that nurses as a global community must work together as a team to support each other. (shrink)