As the COVID-19 pandemic impacts on health service delivery, health providers are modifying care pathways and staffing models in ways that require health professionals to be reallocated to work in critical care settings. Many of the roles that staff are being allocated to in the intensive care unit and emergency department pose additional risks to themselves, and new policies for staff reallocation are causing distress and uncertainty to the professionals concerned. In this paper, we analyse a range of ethical issues (...) associated with changes to staff allocation processes in the face of COVID-19. In line with a dominant view in the medical ethics literature, we claim, first, that no individual health professional has a specific, positive obligation to treat a patient when doing so places that professional at risk of harm, and so there is a clear ethical tension in any reallocation process in this context. Next, we argue that the changing asymmetries of health needs in hospitals means that careful consideration needs to be given to a stepwise process for deallocating staff from their usual duties. We conclude by considering how a justifiable process of reallocating professionals to high-risk clinical roles should be configured once those who are ‘fit for reallocation’ have been identified. We claim that this process needs to attend to three questions that we consider in detail: (1) how the choice to make reallocation decisions is made, (2) what justifiable models for reallocation might look like and (3) what is owed to those who are reallocated. (shrink)

This paper focuses on the structure and substance of the Core Content Framework (CCF), a controversial document which stipulates content that providers of teacher education in England must incorporate in their programmes. We identify both a concept of instrumental trainability and a lack of coherence in the CCF which suggests it is unsuitable as a guide to a curriculum for teacher education. Drawing on Bernstein’s work and its application by other sociologists of educational knowledge, we identify how the CCF embeds (...) a ‘generic mode’ in teacher education that has roots outside of disciplinary structures of knowledge production and therefore foregrounds a type of official pedagogy that sees teaching as a technical performance and leaves gaps in the knowledge and understanding a new teacher requires to make sound educational judgements. Employing Muller’s distinction between conceptual and contextual coherence, we argue that the CCF is based upon an imaginary notion of instructional practice that does not fully grasp the context of teachers’ work. We illustrate the argument via an analysis of the language, structure, and three of the eight sections in the CCF. (shrink)

1. The study of education is an activity that could involve a range of research traditions, scholarly societies and organisations with differing processes of knowledge production (Furlong and Whitt...

This article argues that religious and other "non-public" reasoning can have a legitimate and beneficial role in justifying health-related resource allocation decisions affecting individuals, subpopulations and whole communities. Section I critically examines Norman Daniels’s exclusion of such reasoning from such justifications. Section II shows the inadequacy of Daniels’s approach to healthcare as a matter of basic justice, arguing that consensus public reason is indeterminate in certain areas of healthcare policy, including the use of life-sustaining resources and issues related to risk (...) and responsibility. Section III shows how resource allocation decision-making can appropriately incorporate religious and "non-public" reasoning via the medical professional practice of collaborative deliberation. (shrink)

Religion, belief and culture should be recognized as potential sources of moral purpose and personal strength in healthcare, enhancing the welfare of both clinicians and patients amidst the experience of ill-health, healing, suffering and dying. Communication between doctors and patients and between healthcare staff should attend sensitively to the welfare benefits of religion, belief and culture. Doctors should respect personal religious and cultural commitments, taking account of their significance for treatment and care preferences. Good doctors understand their own beliefs and (...) those of others. They hold that patient welfare is best served by understanding the importance of religion, belief and culture to patients and colleagues. The sensitive navigation of differences between people's religions, beliefs and cultures is part of doctors' civic obligations and in the UK should follow the guidance of the General Medical Council and Department of Health. In particular, apparent conflict between clinical judgement or normal practices and a patient's culture, religion and belief should be considered carefully. Doctors' own religion or culture may play an important role in promoting adherence to this good practice. In all matters, doctors' conduct should be governed by the law and arrangements for conscientious objection that are in effect. (shrink)

Philoxenus of Cythera's dithyramb, Cyclops or Galatea, was a poem famous in antiquity as the source for the story of Polyphemus' love for the sea-nymph Galatea. The exact date of composition is uncertain, but the poem must pre-date 388 B.C., when it was parodied by Aristophanes in the parodos of Plutus , and probably, as we shall see below, post-dates 406, the point at which Dionysius I became tyrant of Syracuse . The Aristophanic parody of the work may well point (...) to a recent performance in Athens, perhaps the first, and it is hard to identify any more significant reason for mentioning the poem. Previous accounts of the poem have concentrated on two main points, its supposed satirical purpose, and the possibly dramatic nature of its performance, but there has been no attempt to consider these two points in relation to each other, or to assess in detail the value of the source-material. I argue that although there is some evidence to support the satirical reading of the poem, the main value of this tradition is that it reveals Philoxenus' comic treatment of his subject, and that while the Galatea motif has previously been considered the essential element in this comic treatment, it was probably a small part of the plot, perhaps only briefly alluded to. Finally I provide reasons for doubting the prevalent view that the performance included dramatic elements. (shrink)

The paper seeks to identify how teacher expertise is implicitly and explicitly conceptualised in current English education policy in respect of the professional development of teachers. We focus specifically on conceptualisations of expertise in the Early Career Framework (ECF), both in terms of the policy documentation produced by the Department for Education and in terms of a selection of publicly available materials produced by the lead providers of the ECF. We aim to locate these conceptualisations in terms of broader sociological (...) and philosophical debates about the nature of expertise and its relationship to professional work, in addition to recent research on the policy context of teacher education and professional development in England. Our analysis reveals the inappropriacy of ‘expert systems’ approaches to expertise in educational contexts, the underlying assumptions embedded in policy in terms of what constitutes high-quality teaching practice and the insufficiency of relying on an appointed advisory group and organisations preferred by government for identifying and iterating criteria for expertise. (shrink)

This article responds to Jeffrey Stout’s argument in favour of immanent criticism of religious convictions in public reasoning by examining the affective dimension of religious loyalty and conscience. To this end, a conversation between Jonathan Edwards and Martha Nussbaum is undertaken to explore the basis on which the shared evaluations of religious citizens, especially Christians, should inform public discourse. Whereas the affections of Edwards’s sense of the heart are shown to be epistemologically over-realised and in unsustainable tension with the political (...) implications of his contested social ontology, Nussbaum’s cognitivist theory of emotions improves on Edwards’s by providing a basis for social criticism of religious convictions, but is then found incompatible with her own commitment to a Rawlsian overlapping consensus. Moreover, the political appeal of the Protestant-Stoic conscience she advocates is cast into doubt by considering how Protestant and perhaps Islamic concepts of conscience structure eschatological loyalties that foster not Rawls’s overlapping consensus or even Nigel Biggar’s ‘tense consensus’ but rather the ‘tense communion’ appropriate to twenty-first-century democracies. (shrink)

Contemporary universities are engaged in multiple activities, which are often disconnected and subject to powerful external influences. Undergraduate research projects have been posited as a means of enhancing undergraduate education and improving the integration of research and teaching. However, engagement with the core research activity of the institution is not easily achieved. Greater integration between disparate activities within the university is hindered by the dynamics of the higher education field, pressures on academic staff and students, and funding policies. Expanded undergraduate (...) involvement in externally funded research projects could engender connectivity between disconnected parties and with learning contexts often considered external to the university. (shrink)

The focus of this project, New Conversations in Islamic and Christian Political Thought, concerns the ‘pre-modern’ or ‘long’ traditions of political thought in Islam and Christianity. The renaissance in Christian political thought since World War II has not yet witnessed a sustained engagement with Islamic political thought. Meanwhile, the interface of religion and political life has increasingly become a major focus of academic and public discourse. By exploring the varied traditions of Islam and Christianity, this project seeks to retrieve and (...) develop wisdom in political understanding with a view to enriching this discourse. (shrink)

This volume explores how 'the market'continues to affect and redefine health professionals as moral beings and impact on the care they provide. By reflecting on the meaning of the market and the medical profession, this ground-breaking volume identifies a variety of ways to help preserve healthcare workers' integrity and ensure compassionate care.

The subtitle to the conference upon which this journal issue is based invited us to ‘follow Crowter’. This paper does so primarily by following the person and only thereby attends to the legal judgment. In particular, it will attend to her comment that When mum told me about the discrimination against babies like me in the womb, I felt like a knife had been put into my heart. It made me feel less valued than other people. The argument is that (...) (I) there are strong reasons for such an approach from the field of theological ethics and that this is valuable for pastoral theology and for bioethics. With this case made, the argument proceeds (II) by following and building on three elements of Heidi Crowter’s words concerning (a) the knife (b) the heart and (c) the person. The argument concludes (III) with theological reflection and deliberation regarding institutions, practices and actions which will make for ‘ethical society’, principally focussed on ecclesial life. (shrink)

This paper considers what concept of accommodation is necessary to identify and address discrimination, disadvantages and disparities in such a way that the plurality of religious people with their beliefs, values and practices may be justly accommodated in healthcare. It evaluates threats to the possibility of such accommodation pertaining by considering what beliefs and practices might increase the risk of unjust discrimination against and disadvantage for religious people, whether as individuals or as groups; and the risk of disparities between the (...) care provided to religious people. The claim is that there is an important cluster of risks that are political in kind and emergent within philosophical bioethics. While not amounting (yet) to a trend, they are sufficiently threatening to a just civic life for patients and healthcare staff as to warrant scrutiny. After an Introductory Section 1, Section 2 evaluates a criticism of ‘accommodation’ and the apparently additional health-related requirements that those of religious faith demand, when compared with other people. It does so by comparing Lori Beaman's idea of agonism with that of a distinct and somewhat complementary approach in Jonathan Chaplin's political philosophy, before examining the role of established religion in setting the conditions for the accommodation of religion and belief in healthcare. Section 3 examines risks to such accommodation by engaging critically with three health-related instantiations of political philosophy that differ radically from both Beaman and Chaplin. A concluding Section 4 focusses on appropriate modes of communicating about religious and other beliefs in healthcare. (shrink)

Compassion in Healthcare gives an account of the nature and content of compassion and its role in healthcare based on notions of pilgrimage and civic life. Drawing on the author's real-world collaborations, the book proposes strategies for an improved understanding of compassionate relationships in healthcare practice.

This article considers the political significance of game theoretical notions of cooperation by responding theologically to the writings of David Willetts, a minister in the UK government. The argument is that the forms of cooperative institutional life which societies require can be neither explained nor planned for solely by mathematical modelling of rational self-interest. What altruistic, civic cooperation depends upon is a complex web of affective trust, often theologically formed by open-handed faith rather than a self-protective pinch, so that wise (...) risks may be taken for the sake of future generations. (shrink)

This is a non-evaluative overview of Justice: Rights and Wrongs covering its three parts: (i) an ‘archaeological’ account of justice and rights in the Christian tradition; (ii) a description of the goods to which we have rights; (iii) an argument grounding natural, inherent, human rights to goods in God’s love.

The symposium, with which the present issue of SCE is concerned, concluded with a frank and probing discussion about the future of theological ethics. It is the purpose of this final contribution to provide a sense of the character of that debate.

A theological treatment of the role of affections such as joy, compassion, and shame in contemporary politics. Hordern discusses what affections are and how they play a role in parts of political life such as representation and law. He shows that affections have an intelligent role to play in fostering loyalty, trust and public moral reasoning.

a1 University College DublinAt lines 7–10 the description of the sea-battle appears to involve the destruction of the oars of the enemy ship , with the result that the sailors fall over . We would expect lines 11–13 to provide some sort of contrast with this description, since εἰ δέ at 11 contrasts with 7 ảλλ’ εἰμέυ, but the exact sense is not quite clear.

The fragment is preserved in two sources, Clement of Alexandria's Miscellanies, Strom. 5.14.112, which gives the order of words printed above, and Eusebius' Praep. Evang. 13.680c, in which the second line is given as. The latter reading was preferred by Bergk, but there seems at first little reason to prefer one order over the other. I shall return to this issue shortly.

In some popular and political discourse, ‘compassion’ is commonly conceived as a simple or ‘given’ aspect of the world. And yet public discussion also focusses on whether ‘compassion' has gone wrong in some way, suggesting that there might be various more or less satisfactory versions of compassion. At the same time, some thinkers doubt whether compassion should any longer be expected of those working in healthcare. This article draws on philosophical and theological resources to argue that the conceptual context which (...) forms compassion is crucial for determining the ethos of healthcare. The discussion explores three themes – politics, suffering and responsibility – which must be addressed in order to understand what is wrong with compassion, to identify lines of future investigation and to develop possible remedies. (shrink)

The work of Basil Bernstein has proved generative of some of the most insightful and nuanced sociological studies of education of the last 25 years, including volumes produced following various sym...