The role of power in healthcare can raise many ethical challenges. Power is ownership, whether given, ceded, or taken of another person’s autonomy. When a person has power over someone else, they can control or strongly influence the decision-making freedom of that person. From the principalist perspective1,2 of healthcare ethics, denying a person their freedom to choose, should only occur when justifying conditions related to beneficence and nonmaleficence are sufficiently satisfied. In healthcare, it is rare to be able to identify (...) situations where paternalism is justified. However, experience suggests that abusive power in healthcare is used too frequently without justifying criteria. (shrink)

Guidelines orient best practices in medicine, yet, in health care, many real world constraints limit their optimal realization. Since guideline implementation problems are not systematically anticipated, they will be discovered only post facto, in a learning curve period, while the already implemented guideline is tweaked, debugged and adapted. This learning process comes with costs to human health and quality of life. Despite such predictable hazard, the study and modeling of medical guideline implementation is still seldom pursued. In this article we (...) argue that to systematically identify, predict and prevent medical guideline implementation errors is both an epistemic responsibility and an ethical imperative in health care, in order to properly provide beneficence, minimize or avoid harm, show respect for persons, and administer justice. Furthermore, we suggest that implementation knowledge is best achieved technically by providing simulation modeling studies to anticipate the realization of medical guidelines, in multiple contexts, with system and scenario analysis, in its alignment with the emerging field of implementation science and in recognition of learning health systems. It follows from both claims that it is an ethical imperative and an epistemic responsibility to simulate medical guidelines in context to minimize harm in health care, before guideline implementation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:120 A WORD ON BEHALF OF DEMEA Little attention has been given to the a priori argument for God's existence espoused by Demea in Hume's Dialogues concerning Natural Religion. This circumstance is neither surprising nor unjustified. Given Hume's well-known theological sympathies, certainly no one would be tempted to regard Demea as Hume's spokesman. Demea's argument plays so small a role in the Dialogues as to suggest that Hume does (...) not take it at all seriously. He may present it only to establish that he is aware of alternative arguments for God's existence, but thinks them even less successful than the design argument and hence undeserving of extensive critique. Yet, if a philosopher criticizes an argument he deems unworthy of respect, he should still provide sound, not spurious, reasons for rejecting it. This is exactly what D. C. Stove has argued that Hume fails to do in Part IX of the Dialogues, assuming, as is generally done, that the speeches of Cleanthes and Philo present reasoning that Hume would personally endorse. Stove argues that most of the criticisms of Demea's argument are "extremely defective, and that they even include an inconsistency" (Stove, p. 300). This contention has been challenged by Donald Stahl, who has published a succinct point by point rebuttal of Stove's contentions.3 The Stove-Stahl controversy only deals with the reasoning presented in paragraphs 5, 6, 7, and 10 of Part IX because those are the contentions Stove attacks. He has "nothing to say against" the criticisms presented in paragraphs 8 and 9, which he assumes will be generally agreed to be 121 less important than the others (Stove, p. 308). He totally ignores the argument of paragraph 11. However, I am not convinced that the criticisms of these paragraphs are less important and I do have something to say against them. Consequently, instead of intervening directly on either side of the dispute between Professors Stove and Stahl, I shall attend principally to the argumentation of paragraphs 8, 9, and 11. I shall (1) summarize Demea's argument, (2) argue for the significance of the criticisms of paragraphs 8-9, (3) examine those criticisms, and (4) assess the role of Philo's concluding remarks in paragraphs 10-11. 1. Demea's Argument Early on Hume has Demea speak so obviously inconsistently as to make the reader wonder whether this character is supposed to think at all about the implications of the claims he espouses. At the beginning of Part II, he proclaims that God's existence is surely not at issue, since no one of common sense... ever entertained a serious doubt with regard to a truth so certain and self-evident." The nature of God is the only proper object of theological inquiry, and that is "altogether incomprehensible and unknown to us" (D 141)! Given such a radically apophatic position (Hume calls it "mystical"), it is hardly surprising that the sceptical Philo readily concurs, once he specifies that he takes 'God' to mean just "the original cause of this universe (whatever it be)" (D 142). But Demea immediately buttresses his alleged self-evident truth by appealing to the authority of Father Malebranche and the whole tradition of Christian theology, apparently oblivious to the impropriety of 122 supporting an indubitable truth by citing authorities (D 141-142). Further, scarcely more than a page later, after Cleanthes has sketched out the design argument, this same Demea is horrified that Cleanthes gives no abstract arguments or a priori proofs and calls for a "demonstration of the being of a God" (D 143). When, in Part IX, Demea himself undertakes to provide the "simple and sublime argument a priori" (D 188) he expected from Cleanthes, he characterizes the argument as "the common one," which suggests he is more engaged in paraphrasing authority than in thoughtfully arguing. The argument, in fact, as has been generally recognized, closely follows one given by Samuel Clarke in the Boyle Lectures of 1704. 5 Demea begins by assuming that "whatever exists must have a cause or reason of its existence," (D 188) since nothing can cause itself to exist. He then states a dilemma: in tracing the... (shrink)

Two books bound together, from the religious period of one of the most renowned and representative thinkers. Written for laymen, thus easy to understand, it is penetrating and brilliant as well. Illuminations of age-old religious questions from a pragmatic perspective, written in a luminous style.

This book offers a systematic examination of the place of religion within Kant's major writings. Kant is often thought to be highly reductionistic with regard to religion - as though religion simply provides the unsophisticated with colourful representations of moral lessons that reason alone could grasp. James DiCenso's rich and innovative discussion shows how Kant's theory of religion in fact emerges directly from his epistemology, ethics and political theory, and how it serves his larger political and ethical projects of (...) restructuring institutions and modifying political attitudes towards greater autonomy. It also illustrates the continuing relevance of Kant's ideas for addressing issues of religion and politics that remain pressing in the contemporary world, such as just laws, transparency in the public sphere and other ethical and political concerns. The book will be valuable for a wide range of readers who are interested in Kant's thought. (shrink)

The idea behind this book is that developing a conception of the physical world and a conception of mind is impossible without the exercise of agency, meaning "the power to alter at will one's perceptual inputs". The thesis is derived from a philosophical account of the role of agency in knowledge - the first time this has been attempted in the context of developmental psychology. The book is divided into three parts. In Part One, Russell argues that purely "representational" theories (...) of mind and of mental development have been overvalued, thereby clearing the ground for the book's central thesis. In Part Two, he proposes that, because objective experience depends upon the experience of agency, the development of the "object concept" in human infants is grounded in the development of executive-attentional capacities. In Part Three, an analysis of the links between agency and self-awareness generates an original theory of the nature of certain stage-like transitions in mental functioning and of the relationship between executive and mentalising deficits in autism. The book will be of particular interest to students and researchers in cognitive-developmental psychology, to philosophers of mind, and to anybody with an interest in cognitive science. (shrink)

The goal of this book is to develop a new approach to reading the rule-following sections guided by a simple idea. The simple idea is that Wittgenstein's remarks on rule-following are split between two distinct but complementary projects. The projects are marked not only by different guiding questions, but different presuppositions and methodologies. There is of course precedent for reading the rule-following remarks as comprising two parts. For example, there is the reading of (S. Kripke 1982) on which Wittgenstein first (...) presents a skeptical challenge before turning to its skeptical solution. And there are readings like (Minar 2011) and (Goldfarb 2012) that likewise treat the sections as roughly divided into two components or "chapters." But even these commentators do not explicitly associate their components with different questions and associated methodologies, and so fall short of attributing to Wittgenstein's text anything quite like the thoroughgoing bipartite structure I will be proposing here. (shrink)

David Hume (1711-76) is one of the greatest figures in the history of British philosophy. Of all of Hume's writings, the philosophically most profound is undoubtedly his first, A Treatise on Human Nature. Hume on Morality introduces and assesses: Hume's life and the background of the Treatise ; the ideas and text in the Treatise ; and Hume's continuing importance to philosophy. James Baillie provides us with a map to Books 2 and 3 of the Treatise, focusing on Hume's (...) theory of the passions and morality. This book sets out its principal ideas and arguments of the Treatise in a clear and readable way and is ideal for anyone coming to Hume's work for the first time. (shrink)

This generous omnium-gatherum brings together all the writings William James published that have not appeared in previous volumes of this definitive edition of ...

Several of the essays, like "The Sentiment of Rationality" and "The Knowing of Things Together," are of particular significance in the development of the views ...

2013 Word Guild Award (Academic) How does worship work? How exactly does liturgical formation shape us? What are the dynamics of such transformation? In the second of James K. A. Smith's three-volume theology of culture, the author expands and deepens the analysis of cultural liturgies and Christian worship he developed in his well-received Desiring the Kingdom. He helps us understand and appreciate the bodily basis of habit formation and how liturgical formation--both "secular" and Christian--affects our fundamental orientation to the (...) world. Worship "works" by leveraging our bodies to transform our imagination, and it does this through stories we understand on a register that is closer to body than mind. This has critical implications for how we think about Christian formation. Professors and students will welcome this work as will pastors, worship leaders, and Christian educators. The book includes analyses of popular films, novels, and other cultural phenomena, such as The King's Speech, Rise of the Planet of the Apes, David Foster Wallace's Infinite Jest, and Facebook. (shrink)

I discuss several issues related to "classical" spacetime structure. I review Galilean, Newtonian, and Leibnizian spacetimes, and briefly describe more recent developments. The target audience is undergraduates and early graduate students in philosophy; the presentation avoids mathematical formalism as much as possible.

A timely and accessible synthesis of the strengths, weaknesses and reality of science through the eyes of a practicing scientist.

Boredom has been characterized as a crisis of meaning, a failure of attention, and a call to action. Yet as a self-regulatory signal writ-large, we are still left with the question of what makes any given boredom episode meaningless, disengaging, or a prompt to act. We propose that boredom is an affective signal that we have deviated from an optimal (‘Goldilocks’) zone of cognitive engagement. Such deviations may be due to a perceived lack of meaning, arise as a consequence of (...) struggles we are experiencing in attending to a task, or be interpreted as a blunt call to find something different to engage with. Thus, the key to understanding boredom lies in its role in keeping us cognitively engaged. -/- . (shrink)

Kuhn closed the Introduction to The Structure of Scientific Revolutions with what was clearly intended as a rhetorical question: How could history of science fail to be a source of phenomena to which theories about knowledge may legitimately be asked to apply? (Kuhn 1970, 9) This paper argues that there is a more fruitful way of conceiving the relationship between a historical and philosophical study of science, which is dubbed the 'phylogenetic' approach. I sketch an example of this approach, and (...) take a first pass at an abstract characterization of the method. (shrink)

Infamous cases like Enron and Bernie Madoff question whether business is an inherently dubious activity. Honorable Business argues that there is, in fact, such a thing as honorable business, which seeks to generate value not only for itself but for all parties to its transactions-and to society generally.

The objectivity of Bayesian induction relies on the ability of evidence to produce a convergence to agreement among agents who initially disagree about the plausibilities of hypotheses. I will describe three sorts of Bayesian convergence. The first reduces the objectivity of inductions about simple "occurrent events" to the objectivity of posterior probabilities for theoretical hypotheses. The second reveals that evidence will generally induce converge to agreement among agents on the posterior probabilities of theories only if the convergence is 0 or (...) 1. The third establishes conditions under which evidence will very probably compel posterior probabilities of theories to converge to 0 or 1. (shrink)

This book examines the distinctive and significant contribution of the great French philosopher, Paul Ricoeur to contemporary debates in ethics and philosophy of religion. James Carter argues that Ricoeur's later writings in particular offer a vision of ethical life that can be understood as a moral religion.

James O. Young seeks to explain why we value music so highly. He draws on the latest psychological research to argue that music is expressive of emotion by resembling human expressive behaviour. The representation of emotion in music gives it the capacity to provide psychological insight--and it is this which explains a good deal of its value.

The past several decades have seen a renaissance in Christian philosophy, led by the work of Alvin Plantinga, Nicholas Wolterstorff, William Alston, Eleonore Stump, and others. In the spirit of Plantinga s famous manifesto, Advice to Christian Philosophers, James K. A. Smith here offers not only advice to Pentecostal philosophers but also some Pentecostal advice to Christian philosophers. In this inaugural Pentecostal Manifestos volume Smith begins from the conviction that implicit in Pentecostal and charismatic spirituality is a tacit worldview (...) or social imaginary. Thinking in Tongues unpacks and articulates the key elements of this Pentecostal worldview and then explores their implications for philosophical reflection on ontology, epistemology, aesthetics, language, science, and philosophy of religion. In each case, Smith demonstrates how the implicit wisdom of Pentecostal spirituality makes unique contributions to current conversations in Christian philosophy. (shrink)

The intertwining: the recursion of the seer and the seen -- Artificial intelligence and the phenomenology of flesh -- Aesthetic education and the project of being human -- The intertwining of incommensurables: Yann Martel's life of Pi -- Flesh and the limits of self-making -- Violence and embodiment -- Excessive presence and the image -- Politics and freedom -- Sovereignty and alterity -- Political violence -- Public space -- Sustaining the other: tolerance as a positive ideal -- Forgiveness and incarnation.

In all these discussions, the author explains the arguments he is criticizing, for the benefit of the non-specialist reader, so that this work can serve as a ...

Discussing authorial power, landscape metaphor and the notions of community and sense of place, this explores the ways in which spatial and cultural analysis have found much common ground in making sense of ourselves and the landscape we inhabit.

In describing his seven and a half years as a prisoner of war in North Vietnam, the late Vice Admiral James B. Stockdale has said: "In that atmosphere of death and hopelessness, stripped of the niceties, the amenities of civilization, my ideas on life and leadership crystallized." Despite torture, intimidation, and isolation, Stockdale fulfilled his duties as senior officer among the prisoners with intelligence and courage, defining rules of conduct and maintaining morale. He often described the intense pressures of (...) that situation as a "melting" experience, in which preconceived feelings, fears, and bias melt as one comes to realize that, under the gun, you must grow or fail—or, in some cases, grow or die. This collection of his essays and speeches from the 1980s and 1990s reinforces how that experience formed a lifelong basis for his philosophical thought on issues of character, leadership, integrity, personal and public virtue, and ethics. The selections in this volume all reflect, in one way or another, a central theme: how man can rise with dignity to prevail in the face of adversity. (shrink)

" These speeches and essays were written over a period of twenty-four years.

In the past few years an increasing number of colleges and universities have added courses in biomedical ethics to their curricula. To some extent, these additions serve to satisfy student demands for "relevance. " But it is also true that such changes reflect a deepening desire on the part of the academic community to deal effectively with a host of problems which must be solved if we are to have a health-care delivery system which is efficient, humane, and just. To (...) a large degree, these problems are the unique result of both rapidly changing moral values and dramatic advances in biomedical technology. The past decade has witnessed sudden and conspicuous controversy over the morality and legality of new practices relating to abortion, therapy for the mentally ill, experimentation using human subjects, forms of genetic interven tion, suicide, and euthanasia. Malpractice suits abound and astronomical fees for malpractice insurance threaten the very possibility of medical and health-care practice. Without the backing of a clear moral consensus, the law is frequently forced into resolving these conflicts only to see the moral issues involved still hotly debated and the validity of existing law further questioned. In the case of abortion, for example, the laws have changed radically, and the widely pub licized recent conviction of Dr. Edelin in Boston has done little to foster a moral consensus or even render the exact status of the law beyond reasonable question. (shrink)